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Avraham Lahav-Amyotrophic Lateral Sclerosis(Israel)

Author Zhangqi Views Posted at 2016/11/08

Name: Avraham Lahav  
Sex: Male
Nationality: Israeli
Age: 57
Diagnoses: 1.Amyotrophic Lateral Sclerosis(ALS)  2. Hypertension level 2 (high risk)
Date of Admission: August 25th, 2016
Treatment hospital/period: Wu Medical Center/14days

Before treatment:
Avraham had muscle tremors in his left upper limb without any known causes, 4 years ago, 2-3 months later, his left hand developed weakness and he also had muscular atrophy. His right upper limb was involved, so he went to the local hospital and had an MRI, EMG and other tests done. He was diagnosed with Amyotrophic Lateral Sclerosis 3 years ago. He was prescribed Riluzole but it wasn’t effective. The symptoms become worse. He developed muscle tremors and weakness in the lower limbs 1 year ago.  At present, his limbs are weak and he walks slowly. He wanted a better life, so he came to our hospital.
Avraham was in good spirits. His diet and sleep were good. His urination and bowel movements were normal.

Admission PE:
Bp: 145/90mmHg; Hr: 84/min. Br: 19/min. Temperature: 36.7 degrees. Height:170. Weight:82kg. Avraham has a normal and well-nourished body type. His skin and mucosa had no yellow stains, bleeding points or ecchymosis. His lips had no cyanosis. There was no pharyngeal congestion. The tonsils were not enlarged. His bony thorax was symmetrical and the type was normal. The respiratory sounds in both lungs were clear, without dry or moist rales heard. There was no intumescing of the precordia. His heart rhythm was regular and strong, without obvious murmur in the valves. The abdomen was intumescing slightly with no pressing pain or rebound tenderness. The shifting dullness was negative. His legs were not swollen. The spine is normally developed.   

Nervous System Examination:
Avraham Lahav was alert and he was in good spirits. He was not able to speak clearly. His memory, calculation abilities and orientation were normal. Both pupils were equal in size and round, the diameter was 3 mms. Both eyes had sensitive responses to light stimuli. Both eyeballs could move freely and he had no nystagmus. The nasolabial fold and forehead wrinkle pattern were symmetrical. The tongue was centered in the oral cavity. The muscles of the tongue were slightly atrophied; there was no tooth or mouth deflection. There was some air leakage when the cheeks were expanded.  He chewed powerfully; both soft palates could be raised and were symmetrical. He could close his eyes normally. The bilateral shoulder girdle,muscles of the upper limbs, bilateral muscle of the thenar and hypothenar were atrophied; his neck was soft, the ability of his neck to turn was weak and he wasn’t able to shrug his shoulders strongly. The adduction muscle power of the left upper limb was level 3.  The abductor muscle power was level 2+, the abductor muscle power or the right upper limb was level 3, the adduction muscle power was level 3+, the right hand gripping strength was level 2-,the left hand gripping strength was level 1. The muscle strength of both lower limbs was level 4; the muscle tension of all four limbs was slightly high. The bilateral biceps reflexes were active, the patellar tendon reflexes of both lower limbs were active. The bilateral Hoffmann and Babinski sign were positive. Due to lack of muscle strength he could not finish the finger-to- nose,finger-to-finger or rapid rotation test. The heel-knee-tibia test was normal. The meningeal irritation sign was negative.

Avraham received relevant examinations and was diagnosed with Amyotrophic Lateral Sclerosis and Hypertension level 2 (high risk), he received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace the dead cells with new injected cells, activate the stem cells in his body, regulate his immune system, improve his blood circulation, nourish the neurons and reduce the blood pressure. This was accompanied with rehabilitation therapies.          

After 14 days of treatment, Avraham had more strength in his  upper limbs. The pronation and supination movement range of the upper limbs were increased, the adduction and abduction movements of both thumbs were better than before. The muscle power of the lower limbs was improved, he could walk longer and his mood and energy were improved.

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