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Elissa-Multiple Sclerosis(Argentina)

Author Zhangqi Views Posted at 2016/09/13

Name: Elissa
Sex: Female
Nationality: Argentine
Age: 52
Diagnoses: 1. Multiple Sclerosis 2. Diabetes type II
Date of Admission: July 25th, 2016
Treatment hospital/period: Wu Medical Center/13days

Before treatment:
Elissa felt numbness in her face 16 years ago with no other symptoms. She went to the hospital and was diagnosed with multiple sclerosis. The right side of the body became numb 2 years later and the right side of the body became easily tired. Her left limbs were weak and she was unable to walk well 4 years later, so the doctor prescribed corticosteroid to her, she also took Avonex, Tysabri and Fingolimod for 18 months. She couldn’t see clearly when she got tired one year ago. There was no diplopia. She had quick micturition, there was no urinary incontinence. The left side of the body was numb with pain, the left side of the face was normal. The MRI of the brain and the MRI of the spinal cord showed the same symptoms. At present her left side of the body is weak, especially her left lower limb, she limped when she walked. The sensation in the left side of her body was decreased. Her symptoms are still progressing.
She was in good spirits. Her appetite and sleep were normal. She had constipation.

Admission PE:
Bp: 120/75mmHg, Hr: 85/min, body temperature: 36.5 degrees. Height: 159cms, weight: 73kgs. Elissa’s physical condition was normal, her nutritional status was good. The skin and mucosa were normal, with no yellow stains or petechia. There was no congestion in the oropharynx. There was no swelling in the tonsils. The bony thorax was symmetrical. The respiratory sounds in both lungs were clear. There were no dry or moist rales. The heart sounds were strong. The cardiac rhythm was regular, with no obvious murmur in the valves. The abdomen was flat and soft, with no masses or rebound tenderness or tenderness. The liver and spleen were normal. Shifting dullness was negative. The spinal column was normal. There was no edema in the lower limbs.

Nervous System Examination:
Elissa was alert and in good spirits. Her speech was clear. Her memory, orientation and calculation abilities were normal. Both pupils were equal in size and round, their diameter was 2.5mm. Both pupils were sensitive to light stimulus. Both eye fields were normal. There was no nystagmus. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. Her mouth and teeth were correctly positioned without deflexion. Her tongue was centered in the mouth, her tongue muscle was normal. The uvula was correctly positioned. Her neck moved freely, her left shoulder was a little weaker than the right shoulder. The muscle power of the right limbs was at level 5. The muscle power of the left upper limb was at level 4, the left lower limb was at level 3-. The muscle tension of all four limbs was normal. The tendon reflex of the left upper limb was weak, the left lower limb and right limbs were normal. The abdominal reflexes were abnormal. The bilateral palm jaw reflex and bilateral Hoffmann sign were negative. The left side Babinski sign was positive. The right Babinski sign was negative. The bilateral ankle clonus was negative. The skin sensation on the left side was decreased. The other sensory examinations were normal. She was able to do the finger-to-nose test well. The left side rapid rotation test was clumsy, the right rapid rotation test was normal. The bilateral finger-to-finger test was normal. Her left lower limb was not able to do the ankle-knee-tibia test due to muscle power problems. She was able to stand on her right leg for 5 seconds. She was unable to stand on her left leg. The meningeal irritation sign was negative.

Treatment:
After the admission, Elissa received related examinations and was diagnosed with multiple sclerosis. She received 3 neural stem cell injections and 3 mesenchymal stem cell injections to nourish the nerves, regulate her immune system and improve blood circulation. She was also given rehabilitation training. Her fasting blood glucose level was higher than normal before she came to our hospital. After admission, her fasting blood glucose level was higher than normal twice, so she was diagnosed with diabetes type II, the doctor prescribe Metformin to control it.          

Post-treatment:
After 13 days of treatment, Elissa’s blood sugar was stable. Her fasting blood glucose level was normal. Her left limbs were less painful and numb. Her left limbs were more powerful. She was able to raise her left arm and make a fist. Her left side was able to do the rapid rotation test better. She could walk better on her left leg and could walk longer than before. She was able to stand on her left leg for 2 seconds. The muscle power of the left upper limb was at level 4+, the muscle power of the left lower limb was at level 4.

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