About Cerebral Palsy

Saturday, October 10, 2015

Spastic Cerebral Palsy in 3 years Boy

Name: Hunrry
Sex: Male
Country: Mongolia
Age:3 years
Diagnosis: spastic cerebral palsy
Date:July 25, 2013
Before treatment:
The patient was born full term and had no abnormalities at birth. The patient suffered obvious stained yellow in skin and mucous at the 5th day after birth. He was sent to a hospital and received treatment. After treatment, the yellow stains disappeared. Then the patient suffered from epilepsy and dystonic disorders. The patient was diagnosed with cerebellar hypoplasia. After he received antiepileptic drug and muscle relaxant therapy, the patient developed discomfort. So the medications were stopped. He was diagnosed with cerebral palsy. Before the treatment, the patient had normal spirit and could understand simple language. He smiled or expressed anger to present his ideas. The hearing and vision were normal. He had poor control of head. He was unable to turn over, sit, stand or walk. He suffered from trunk rotation. From the onset of disease, the patient had normal nutrition, the sleep quality was good. He had semifluid diet. The defecation and urination were normal.
Admission PE:
BP: 88/56mmHg, Hr: 110/min, Br: 20/min. Temperature: 36.3 degrees. He suffered from developmental delay. The nutrition was almost normal. Height: 74cm, weight: 10 Kg. The skin and mucosa was intact, with no yellow stains or petechia. His lips and mouth was ruddy. The thorax was symmetrical. The respiratory sounds in both lungs were clear with no signs of dry or moist rales. The heart sounds were strong and cardiac rhythm was regular, with no obvious murmur. The abdomen was flat and soft, with no masses. There was no pressing pain or rebound tenderness. The liver and spleen were not enlarged.
Nervous System Examination:
The patient was alert. He suffered apraxia of speech. He could not cooperate with memory, orientation and calculation test. Both pupils were equal in size and round. The diameter was about 3.5 mm. Both eyes had sensitive reflex to light stimuli. Both eyes could move and follow objects. The movement of eyeballs was flexible. He had difficulty with the examination of cranial nerves. He had difficulty with chewing and ate semifluid diet. His swallow ability was normal. The muscle strength of neck was weak. The muscle tone of his four limbs was higher than normal. He couldn't cooperate with the examination of muscle strength. He could turn head in horizontal position. He had difficulty with raising head. He suffered from trunk rotating and trunk spasm. Both lower limbs had no activity. Sometimes, he had involuntary grasp. He couldn't turn over, sit-up, stand or walk. The patient suffered from flat foot. Both lower limbs had activity. With some assistance, the patient could stand, but both feet couldn't touch the floor. And both his lower limbs presented with scissors gait. The tendon reflex of his four limbs were not elicited (for the muscle tone was higher than normal). The abdominal reflexes were normal. Bilateral sucking reflex was negative. The Babinski sign was negative. He had difficulty with the examination of sensory system and coordinate movement. There was no meningeal irritation.
Treatment spastic cerebral palsy with stem cells:
The patient received treatment for nerve regeneration and to activate stem cells in vivo. He was given treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves and nourishment for the neurons. This was combined with daily physical rehabilitation therapy.
Post-treatment:

The patient's height: 76cm. He cries less. The muscle tone of his whole body has reduced. The trunk rotating and trunk spasm is alleviated obviously. The grasp ability of both hands have improved. The muscle strength of both upper limbs, lower back and both lower limbs have improved. With some assistance, the patient can stand with both feet touching floor. With some assistance, the scissors gait is alleviated when he walks. With slight assistance, the patient can turn over.

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