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Muhammad Ali-Spinal Cord Injury(Pakistan)

Author Zhangqi Views Posted at 2018/03/06

Name: Muhammad Ali
Sex: Male
Nationality:Pakistani
Age: 25Y
Diagnosis: Spinal Cord Injury
Date of Admission: Sept. 29th, 2017
Treatment hospital/period: Wu Medical Center/7 days

Before treatment:
The patient was shot on March 31st 2014. He couldn’t move his lower limbs and had incontinence of urine and faeces. He was taken to a local hospital and was diagnosed with a spinal cord injury, had surgery and was discharged in 20 days. He did rehabilitation training but had abnormal feeling in his legs and 3 months later he felt pain in his lower legs. At present he is able to stand up with help, is able to turn his body over using his upper arms but he is unable to walk. The sensation feeling in his legs is abnormal. He has incontinence of urine and faeces.
His spirit, diet and sleep are all normal. He defecates once in 2 days and he feels the need to urinate but  is unable to control it. He has lost some weight.

Admission PE:
Bp: 117/60mmHg; Hr: 84/min. Temperature: 36.4 degree. Br: 20/min. His nutrition was poor. There was no yellow stain or petechia on the mucous membrane. There was a visible decubitus ulcer healed scar about 8cm diameter and a surgical scar about 20 cm on his abdominal and lumbar back. The thorax was in symmetry and the respiratory sounds in both lungs were clear with no obvious moist or dry rales. The heart sounds was strong, the rhythm of his heartbeat was normal and there was no obvious murmur in the valves. His abdomen was flat and soft with the absence of tenderness.

Nervous System Examination:
He was alert and his speech was fluent. His memory, calculation and orientation abilities 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 response to light stimuli. The forehead wrinkle pattern was symmetrical. The tongue was centered in the oral cavity and the teeth were shown without deflection. His neck movement was flexible. The muscle power of his arms was level 5 and the grip power of both hands were level 5. The muscle tension of the arms was normal. The muscle power of his legs was level 0,the muscle tension was low. There were muscles atrophied. The deep and superficial sensory was normal above T10,the deep and superficial sensory was reduced from T11 to T12 and there was no deep and superficial sensory since L1. The tendon reflex of the arms was normal,the knee and achilles tendon reflex of the legs could not be elicited. Both sides ankle clonus were negative. The abdominal reflexes of both sides could not be elicited. Bilateral Rossilimo sign was positive and the bilateral Hoffmann sign was negative. Bilateral Babinski sign was negative. His coordination movement of the arms were normal. He could not finish the coordinate motor test of his legs. The meningeal irritation sign was negative.

Treatment:
After the admission he received related examinations and was diagnosed with spinal cord injury. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace dead nerves with new injected stem cells, nourish nerves, regulate his immune system and improve blood circulation. This was done along  with rehabilitation training.     

Post-treatment:
After 7 days treatment the spasmodic pain of his legs are less than before. There is visible muscle contraction of the left inner thigh and visible dorsal flexion of the left foot. His blood lipid is better than before.

 

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