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Theo Bravo - Sequelae of brain injury (Argentina)

Author Admin Views Posted at 2012/10/15

Name: Theo Bravo         
Sex: Male
Country: Argentina
Age: 9 years
Diagnosis: Sequelae of brain injury
Admission Date: 2012-08-15
Days Admitted to Hospital: 30

Before treatment:
Turki Hail is a 9 year old boy. His mother received regular examinations before Turki was born. The examinations results were normal. The baby was a full-term normal delivery. The baby showed no abnormalities at birth. About 10 days later, he went into cardiac arrest and was in cardiac arrest for 14 minutes. After rescue, the heartbeat was restored, but he suffered from arrhythmia. He took some medication for treatment. The cardiac rhythm was restored to normal level when he was 2 years old. He stopped taking the medication when he was more than 2 years old. He was presented with motor function disorder, cognitive function delay and development delay after birth. Asyndesis. Turki started with speech rehabilitation and limbs function rehabilitation. And he received visual stimulus exercises when he was 4 years old. At present, the patient's right vision is better than the left eye's vision. He could hear sound and had response to the sound. He was unable to speak and was unable to communicate with others. He could only say "m""m". He was unable to control defecation and using paper diapers for a long time. His comprehension ability was poor and he could only understand simple words. He was unable to finish instructions and was unable to pay attention. He always sucks his fingers. He could drink liquids, but couldn't chew. His right hand could grasp toys, but the left hand had no grasp action. He could turn over in bed and could sit up slowly and stay in the sitting position. He was unable to stand or walk by himself. He couldn't take care of himself and couldn't dress or wash himself.

Admission PE:
The eye position was abnormal. He had strabismus. The oro-nasal showed no obvious abnormalities. The thorax was deformed and presented a pectus carinatum shape. The respiratory sounds in both lungs were clear with no signs of dry or moist rales. The heart sound was strong and the heart rhythm was regular. The heart rate was 102/min. There was no obvious murmur in the auscultatory valve areas. The abdomen was sinking and soft, with no masses found. The liver and spleen were not palpable under the rib. There were joint deformities of bilateral wrists, knees and ankles.

Nervous System Examination:
The patient was alert. He had asyndesis. He couldn't cooperate with the examination of memory, calculation or orientation. Both pupils were equal in size, the diameter was 3.0mms. Both pupils reacted normally to light stimulus. The co-ordination of both eyes was poor. There was no nystagmus. The patient couldn't cooperate with the vision or visual field examination. The patient's right vision was better than the left. His right eye could stare at the object, but the left side couldn't do that. The nasolabial sulcus was equal in depth. He couldn't cooperate with the examination to show teeth or tongue out. The movement of the neck was flexible. The movement of four limbs was flexible and the right side was more flexible than the left side. He had hyperactivity. The muscle tone of both upper limbs was normal. The muscle tone of both lower limbs was increased. He couldn't cooperate with the examination of muscle strength. His right hand could grasp and could hold a light object. The left hand couldn't grasp. He could turn over by himself. He could sit up and maintain a sitting position. He could bend and stretch lower limbs. He couldn't stand or walk by himself. The abdominal reflexes were normal. The tendon reflex of both upper limbs was weakened. The tendon reflex of the lower limbs was negative. Bilateral palm jaw reflex was negative. Bilateral Hoffmann sign was negative, bilateral Babinski sign was negative. The Pussep sign was negative. The Chaddock sign was negative. He couldn't cooperate with the examination of deep, shallow sensation and coordinate movement.

Treatment:
We initially gave Theo Bravo a complete examination, and according to the patient's medical history, symptoms and sign, he was diagnosed with sequelae of brain injury. He received treatment to improve the blood circulation, nourishment for the neurons and expand blood vessels. This was accompanied with sports, language and cognitive function training. 

Post-treatment:
The patient's emotion is better than before. The condition of irritability is less than before. The muscle strength and control force of the vertebral column is better. He could turn his head and chase an object.

The patient's family member email to us:

2012-11-18

Dear Doctor,

Theo have breakfast, lunch, snack, dinner at the usual hours.
The portions are plentiful, as for an adult.
1 kg increase in weight over.

Regarding the changes and improvements:
stays straighter sit in the chair, their position is a bit more symmetrical , his ribs are almost at the same height. He also more connected with the environment ... claims with  someone's presence, not  alone. yes  supports the dimly lit rooms. He Is oriented from where sounds are coming from and try to locate visually. Have faster response to any movement that wishes to, and something that had not happened before, scares or startle at loud sound like thunder or fireworks. I think all the changes are good.

 

thank you very much. best regards

                                                                    Fabiana Caraballo

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