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March 23, 2005

CSI MEDBLOGS: Does Terri Schiavo have Hydrocephalus ?

Topics: Terri Schiavo's Life Counts

THE FEEDING TUBE MUST BE REINSERTED IN ORDER TO GET A NEW CT OF THE BRAIN

He has offered the following proposition to Terri Schiavo's legal team today:

The single CT image he was able to access at the U of Miami's web sight raises the following ESSENTIAL questions/issues:

Issue: There is something in Terri's right ventricle (the image is reversed). He knows that she had thalamic implants, but on this one slice the "thing" in Terri's ventricle is not projected to the thalamus, it is projected within the ventricle. She needs a follow-up scan to  see what this is and where it is

Issue: If the "thing" in Terri's ventricle is a "shunt tip" -- who put it there and why is it there and was it removed? If she was shunted to relieve hydrocephalus then she must have follow-up exams and someone needs to postulate the most common mechanisms for hydrocephalus (which, he believes, is blood in the cranial vault)

Issue: Given this ONE image, NO ONE can exclude the possibility that Terri, at that time, had hydrocephalus.

He sees all the classic signs: 

1. Enlarged ventricles
2. Rounded, bulbous front and back ventricle horns
3. "Pressure" effect on the occipital lobes of the brain (which, by the way, do not -- on this image -- demonstrate the atrophy seen everywhere else)

*People with untreated hydrocephalus OFTEN SHOW IMPROVED MENTATION WHEN THE OBSTRUCTION IS RELIEVED.*

So, if the other images bear out my impression from this one slice, then Terri MUST have a follow up CT or MRI or BOTH and if she is hydrocephalic she needs to be shunted, because there are possible positive therapeutic implications that no one can deny.

Continue reading and learn about the profound implications of this issue.....

Hat tip - CodeBlueBlog

Posted by Hyscience at March 23, 2005 10:27 PM



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