A Case of Lumbo-Sacral Prolapsed Intervertebral Disk With Paraplegia

Mr D.D.S., 47 years, a technician of a political party, came to me on 12 Dec 2012 walking with crutches supported by a partner and diagnosed as a case of paraplegia with foot drop due to Vitamin B 12 deficiency along with diffuse posterior annular disc bulge at L3-4 to L5-S1 level.

He was not able to lift his legs, feet, or toes.

He was not able to stand without the support.

He was getting numbness in thighs at night with sudden shock like sensation.

ODP

1995: Started as sudden falling on right or left side due to imbalance associated with tingling & numbness in lower extremities

2004: Suffered from passing involuntary urination

2008: Started getting difficulty in walking with bed wetting. Gradually, lost capacity to walk as well as stand without support

Being a technician of a Political Party, he was very loquacious having a egoistic attitude. He was quite particular, perfect and industrious in his work. He could not tolerate injustice to himself as well as others.

Due to his illness, he left Mumbai and went to his native place. As he was not able to work, he became bored as well as felt forsaken by people, friends, and relatives. He gradually became indifferent with everyone as the disease progressed.

On observation, he used to "frown" a lot.

MRI: LUMBO SACRAL SPINE 11 Jan 2002 (Hinduja)

Diffuse posterior annular disc bulge is seen from L3/4 to L5/S1 levels indenting the thecal sac.

Vitamin B 12 (29 May 2004)

153 pg/ml (Normal 193-982 pg/ml)

Vitamin B 12 (8 Feb 2011)

446 pg/ml (Normal 193-982 pg/ml)

ANALYSIS OF A CASE

This is gradually developing paraplegia may be due to the disc prolapse.
Earlier, it was considered a case of Vitamin B-12 deficiency. But, even after Vitamin B 12 supplement paralysis was increasing. His B-12 level results in 2011 were found to be quite normal. Yet, the disease continued to progress.

MIASM | SYPHILITIC

RUBRICS SELECTED

Loquacity
Egotism, self esteem
Fastidious
Industrious, mania for work
Injustice, cannot support
Escape, attempts to
Ennui, boredom
Forsaken feeling
Indifference, apathy, Increasing gradually
Extremities, Paralysis, Foot, partial
Extremities, Paralysis, Legs
Extremities, Paralysis, Toes, Extensors, of
Extremities, Shocks, Lightening like
Frown, disposed to

RESULT OF THE REPERTORIZATION

Plumb met: 15/13
Sulph: 10/9
Nux vom: 11/8
Aur met: 12/7
Lyco: 11/7

HOMOEOPATHIC MANAGEMENT

Physiotherapy

REMEDY PRESCRIBED (12 Dec 2011)

Plumbum met 0/1 tds for 10 days.

PLUMBUM METALLICUM: Boericke’s Materia Medica

Drug for general sclerotic condition
Lead paralysis is chiefly of extensors from center to periphery with partial anesthesia or excessive hyperesthesia
Progressive muscular atrophy
Important to peripheral affections
The points of attack for Plumbum are the neuro-axons & anterior horns
Symptoms of Multiple Sclerosis & Posterior Spinal Sclerosis

Follow Up (23/12/11)

Feet drop decreased
Able to extend the lower limb with efforts
Able to stand without support
Feeling Hopeful about recovery
Remedy continued in bd doses for 15 days

Follow Up (12/01/12)

Feet drop decreased a lot
Able to extend the lower limb with efforts
Able to walk with stick
Feeling confident about recovery

Remedy continued in bd doses for 15 days

Follow Up (17/02/12)

Went to Mumbai for a work of his Political Party for Corporate Elections
Work hard for the same
His friends astonished observing his improvement in walking
Involuntary Urination decreased
Bed wetting absent
Able to lift his leg as well as feet
Able to extend the lower limb with efforts
Able to walk without stick for few foot-steps
Feeling too much confident

Advised him Spinal Extension Exercises
Remedy: Plumbum Met 0/2 bd for 15 days

Dr Prasad Rasal HMD (London), MD (Hom)
Sai Swami Computerized Homoeopathic Clinic, Hospital, Research Center and Maternity Home

Tags: 12, b, deficiency, paraplegia, plumbum, vitamin

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Replies to This Discussion

Permalink Reply by Debby Bruck on March 18, 2012 at 8:30pm

Dear Dr Prasad. Obviously the diagnosis of Vitamin B-12 deficiency as the cause of problems was incorrect, despite supplementation and then correct vitamin measurements, the foot drop and inability to stand, with weakness and incontinence remained until the homeopathic prescription of plumbum. I find this case interesting to compare to the muscular dystrophy case for weak legs. Was the 'frown' a tip off to you in some way, or did that make it harder to select plumbum?

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Permalink Reply by Yvonne Siblini on May 15, 2012 at 5:25pm

Nice case, I just hope this politician will promote homeopathy now that he is better

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Permalink Reply by sajjadakram on May 16, 2012 at 12:38am

I like this kind of comprehensive case taking but if you could not due to some reasons then only physical symptoms can also provide you the similar remedy.\

1.Extrem paralysis foot partial.

2.Extrem paralysis legs.

3.Extrem.paralysis toes.

4.Extrem. paralysis toes extensors of

Regards.

sajjad.

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Permalink Reply by Veeraraghavan A.R. on September 4, 2012 at 11:09am

Wonderful case!

But I have little idea about this 50 millesimal potency. If you please explain why you repeat the same remedy for some days (nearly one month)?

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Permalink Reply by Dr. Shiv Dua on September 17, 2012 at 8:36am

Excellent case Dr. Prasad. Congratulations. You selected millicimal potency of Plumbum. Since many doctors do not use this potency, do you think that potency of 200 could serve the purpose initially. Just your views. thanks

Dr. Shiv Dua,M.A. D.I.Hom.,HMD (London)

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Permalink Reply by Dr Prasad Arvind Rasal. on September 24, 2012 at 8:17am

Respected Sir,

Thank You Sir...

As there was lot of suppression due to use of steroids, anti-inflammatory as well as sedatives, he requires repetition to arouse the susceptibility. If I would have repeated the 200/ 1M, it might have caused UN-necessary aggravation. That's why I have preferred to use 50 millicimal potency. You can not repeat centicimal so often.

Thanks once again.

Dr Prasad Rasal.

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Permalink Reply by Kuldip Singh on September 23, 2012 at 2:14pm

It is an interesting case very well resolved. Dr Prasad, instead of administering 50 millesimal potency, if you had resorted to centesimal potency what would have been you potency selection and frequency of administration, this is just to have your viewpoint please.