Rehab and Recovery
I think you have to be the one who wakes up after brain surgery to really "get it"
"On examination, her higher functions are normal. Speech is somewhat dysarthric (difficulty in articulating words) . She has a mild abducens (either of the 6th pair of cranial nerves that are motor nerves supplying the rectus on the outer and lateral side of each eye) paresis (slight or partial paralysis) on the left. She has gaze evoked nystagmus (a rapid involuntary oscillation of the eyeballs) in all directions, which is horizontal as well as rotary. She has bilateral 9th and 10th nerve paresis which is worse on the right than the left. She also has bilateral hypoglossal (either of the 12th and final pair of cranial nerves which are motor nerves arising from the medulla oblongata and supplying muscles of the tongue in higher vertebrates) paresis which is worse on the right than the left, however, she is able to speak and she is able to see with shading in front of her left eye. Her tandem walking (one foot behind the other) is slightly impaired."
Dr. Grace Gonzalez, who assisted Dr. Sekhar at my first surgery, explained to me in mid-May, 2000:
"Weakness in tongue, shoulder shrug, and elevating the palate is due to injury to the 9th and 10th cranial nerves (the Glossopharyngeal and the Vagus nerves which are responsible for taste sensation and swallowing), the 11thcranial nerve (the Accessory nerve which controls neck and shoulder muscles) and the 12th (the Hypoglossal nerve which is responsible for tongue movement). The nuclei or the bodies of these cranial nerves lie at the floor of the fourth ventricle where the tumor sat."
Some patients report the following deficits after surgery, including but not limited to severe dysphagia, frozen vocal chords and profound depression.