Notes from Phone Call with Dr. Jordan

Steroids/prednisone for the pain and to help reduce inflammation take with food it will make him hungry

This sort of problem is well reported ten or fifteen years after the accident or right after an accident. 

Is there an ongoing problem? Inflammation from blood. We would like to check if there is a tear or leak.

We want to treat his symptoms and discomfort

Look at blood vessels in his head

Any issues or leakages

Spinal tap

There is Inflammation in spinal fluid

Done all at once (the scan of his head and spinal tap)

If we don’t find answers and he still isn’t well we will do more tests but I feel these tests should be enough.

MRI/contrast and Spinal Tap
No aneurisms detected, there was some old bleeding in the head and it was located between the lining of the brain and the skull.  His Spinal tap showed normal white blood cell counts but the red blood cells were higher than they should be, which means there is bleeding occurring somewhere. We believe the source of the bleeding to be very small and believe it is coming from a small blood vessel but aren’t sure where.

Dr. Jordan would like for Robert, Zachary and myself to come in and meet Dr. Singer who is a neurosurgeon who specializes in vessels going to the head and spine he will talk to us in more detail about a more invasive test that might be able to detect where this bleeding is occurring. This test is called a spinal angiogram and it will give us a more detailed look at Z's blood vessels

Dr. Jordan wants to give Zachary some time ... a few weeks to see if there are any changes in his mobility or pain and then have us all come in. The information that was gathered is good news Z has no aneurisms and there is no infection, the bleeding that was detected is very small and not of emergent concern.