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Paraplegia

Paraplegia is a condition in which the lower part of a patient's body is paralyzed and cannot move. It is usually the result of spinal cord injury or a congenital condition such as spina bifida, but polyneuropathy may also result in paraplegia. If the arms are also paralyzed, quadriplegia is a more appropriate diagnosis. more...

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Medicines

Causes

Central nervous system: Any disease process affecting the pyramidal tract of the spinal cord from the thoracic spine downward may lead to paraplegia, as this structure transmits "instructions" for movement from the brain to the anterior horn. This is the most common cause of paraplegia. It is usually spastic: it results in an increased muscle tone in the affected limbs. Causes range from trauma (acute spinal cord injury: transsection or compression of the cord, usually by bone fragments from vertebral fractures) to tumors (chronic compression of the cord), myelitis transversa and multiple sclerosis. Sometimes, paralysis of both legs can result from injury to the brain (bilateral injury of the motor cortex controling the legs, e.g. due to a stroke or a brain tumor).

Peripheral nervous system: Rarer is the type which is caused by damage to the nerves supplying the legs. This form of damage is not usually symmetrical and would not cause paraplegia, but polyneuropathy may cause paraplegia if motor fibres are affected. While in theory the arms should also be affected, the fibres that supply the legs are longer and hence more vulnerable to damage.

Disability

While some people with paraplegia can walk to a degree, many are dependant on wheelchairs or other supportive measures. Impotence and various degrees of urinary and fecal incontinence are very common in those affected.

Complications

Due to the decreased movement and inability to walk, paraplegia may cause numerous medical complications, many of which can be prevented with good nursing care. These include pressure sores (decubitus), thrombosis and pneumonia. Physiotherapyand various assistive technology, such as a standing frame, may aid in preventing these complications.

Support organisations

  • Back-Up Trust

Read more at Wikipedia.org


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Housepainter touches bare spot on power line: Negligent maintenance: Failure to inspect: Fall: Paraplegia: Multiple fractures: Verdict
From Law Reporter, 5/1/03

Litka v. Connectiv Power Delivery, Inc., N.J., Camden

County Super. Ct., No. L-6180-00, Jan. 17, 2003.

Litka, 42, was standing on a ladder washing a house when he inadvertently touched a bare spot on the house's 120 volt power line. He received an electric shock and fell from the ladder. Litka was rendered paraplegic and suffered multiple broken bones. He was hospitalized for approximately four months, incurring about $250,000 in medical expenses. His future medical expenses are estimated at $3.1 million.

Litka sued the power company that owned the line, alleging negligent maintenance of the line. Defendant argued that a third party was responsible for damage to the line and that plaintiff was contributorily negligent for touching the line. Plaintiff countered that even if a third party had caused damage to the line, defendant had a duty to inspect it and failed to do so.

A housepainter, plaintiff did not claim lost income.

A jury awarded plaintiff $7.23 million. The award was reduced to about $5.06 million because the jury found plaintiff 30 percent at fault.

Plaintiff's experts were Lorraine Buchanan, life care planning, Blue Bell, Pa.; Christopher S. Formal, physical medicine, Philadelphia, Pa.; and Robert E. Nabours, electricity, Tucson, Ariz.

Plaintiff's Counsel

John R. Minnino, Haddonfield, N.J.

*Donald F. Browne Jr., Haddonfield, N.J.

Copyright Association of Trial Lawyers of America May 2003
Provided by ProQuest Information and Learning Company. All rights Reserved

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