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Alisa-Sequelae of Spinal Cord Injury(Canada)

Author Zhangqi Views Posted at 2016/08/31

Name: Alisa
Sex: Female
Nationality: Canadian 
Age: 31
Diagnoses: 1. Sequelae of Spinal Cord Injury 2. Iron Deficiency Anemia
Date of Admission: June 30th, 2016
Treatment hospital/period: Wu Medical Center/13days

Before treatment:
On June 19th, 2011, Alisa was involved in a car accident. Her lower limbs had no feeling or movement. She was diagnosed with a spinal cord injury, rib fractures and hemopneumothorax. At the local hospital, the doctor prescribed Methylprednisolone and other medicines to treat her. She also had thoracic drainage. Two months later, she had a steel plate screwed across her thoracic vertebra. She had a blood transfusion during surgery. She continued to do rehabilitation training after surgery. At present, her lower limbs have no autonomic movement. She is able to sit up with the help of her arms. Alisa wanted a better life, so she came to our hospital and was diagnosed with a spinal cord injury.
Her mood, diet and sleep were good. An enema was used to help her defecate. She had urinary incontinence and used intermittent catherization on the fourth day. She used an indwelling catheter when she arrived at our hospital. Her weight was normal

Admission PE:
Bp: 120/74mmHg; Hr: 80/min. Temperature: 36.5 degree. Br: 19/min. Alisa’s body type was normal. There were no yellow stains or petechia on the mucous membrane. There was a 30cm scar extending from her neck to the back without ulceration. There was no pharyngeal congestion. The type and size of the thyroid was normal. The thorax was symmetrical. The respiratory sounds in both lungs were clear, with no obvious moist or dry rales. The heart sounds were strong and the heartbeat rhythm was normal. There was no obvious murmur in the valves. The abdomen was flat and soft, with no obvious masses. There was no pressing pain or rebound tenderness. The liver and spleen were normal. The peristaltic sounds were normal. The temperature and color of the foot were normal. The flow of blood through the dorsal artery in the foot was strong.

Nervous System Examination:
Alisa Abdulla was alert and her speech was fluent. Her memory, calculation abilities and orientation were normal. Both pupils were equal in size and round, the diameter was 3.0 mms, both eyeballs could move freely. Both eyes had sensitive responses to light stimuli. The forehead wrinkle pattern was symmetrical. The tongue was centered in the oral cavity and the teeth were shown without deflection. The neck moved normally. She could shrug her shoulders powerfully. The muscle tension of the upper limbs was normal. The muscle tension of the lower limbs was higher than normal. The muscle power of both upper limbs was at level 5, the muscle power of both lower limbs was at level 0. The tendon reflexes of both upper limbs were normal. The abdominal reflexes were abnormal. The tendon reflex of the right patella was normal. The right Achilles reflex was active. The tendon reflex of the left patella was abnormal. The left Achilles reflex was normal. The superficial sensation of the right T6-7 was decreased, under T7 was gone. The superficial sensation of the left T7-8 was decreased, under T8 was gone. The deep sensation of both sides under T7 was gone. The bilateral Hoffmann sign, Rossolimo sign and palm jaw reflex were negative. The left Babinski sign was positive. The right Babinski sign was strong positive. The right ankle-clonus was positive. The coordinated movements of both upper limbs were normal. Alisa was not able to do the coordinated movement examination of the lower limbs. Spinal MRI: T6-7 fractured completely, T7-8 comminuted fracture. T10-11 fractured.

Treatment:
After admission, Alisa was diagnosed with Sequelae of Spinal Cord Injury. She received 3 neural stem cell injections and 3 mesenchymal stem cell injections to activate the nerves, repair the damaged nerves and initiate growth of the stem cells, nourish the neurons, improve circulation and regulate the immune system. We also gave her daily physical rehabilitation.

Post-treatment:
After 13 days of treatment, the functioning of the spinal cord improved. When someone assisted her with bending her knees, she had obvious proximal muscular contractions and she was able to do slight abduction and adduction movements. Her right side did much better. The lower limbs’ spasmodic muscular movement was less post-stimulus. She was able to eel some vibration below T-7, the right side was better than left side.

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