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Ramiro Ezequiel Fraga - Cerebral palsy (Argentina)

Author Admin Views Posted at 2012/09/13

Name: Ramiro Ezequiel Fraga         
Sex: Male
Country: Argentina
Age: 3
Diagnoses: 1.Cerebral palsy 2. Upper respiratory tract infection 3. Mild anemia
Admission Date: 2012-07-24
Days Admitted to Hospital: 30

Before treatment:
The patient was a cesarean section delivery at 34 weeks of his mother pregnancy. The operation went well. The patient was 2 Kg when he was born. The Apgar scoring was 9-10 scores. The patient suffered from a breathing disorder when he was 2 weeks old. The local hospital gave the patient a ventilator for breathing. 3 days later, the patient breathing was restored to normal. When he was 9 months old, the parents found the patient had poor supporting capacity and couldn't maintain a sitting position. He also had poor hold power. He went to the local hospital and local hospital took an MRI of his head. The result showed brain atrophy. He was diagnosed with cerebral palsy. The patient received rehabilitation training and the muscle strength was increased after the rehabilitation. When he was 2 years old, he could maintain sitting position with the support of both hands. The hold power of both hands increased too. But he had poor linguistic competence and only said "Papa" "mama" and a kind of object's name. He couldn't say consecutive sentences. The patient had poor movement ability of four limbs. He couldn't turn over and sit up by himself. He couldn't walk by himself. The walking gait present scissors gait with some assistance. The muscle strength of wait and back was poor. He had language function disorder and only could speak simple words. The comprehension ability was normal.

Nervous System Examination:
Ramiro Ezequiel Fraga was alert. He could make simple sounds, such as "daday" "mama" and "T.V.". He couldn't cooperate with the examination of orientation or memory. He had normal judgment-ability. Both pupils were equal in size and round, the diameter was about 3.0mms. Both pupils were sensitive to light stimuli. The movement of the eyeballs was not flexible. There was no nystagmus. He had dull eyes and showed a short eye contact time. The forehead wrinkle pattern was symmetrical. The nasolabial sulcus was equal in depth. The patient couldn't cooperate with the other cranial nerve examinations. There was movement disturbance in all four limbs. The grip strength of both hands was weak. With some assistance in the lower limbs, the patient could stand and walk. The walking gait presented scissors gait. The muscle tone of both lower limbs was higher than normal. He had difficulty with active movement. The muscle strength of waist and back was weak. He could turn over and sit up independently. He couldn't maintain sitting position without the support of both hands and the sitting position was abnormal. The tendon reflexes of both upper limbs was normal. The tendon reflexes of both lower limbs was active. Bilateral abdominal reflexes were normal. The bilateral Babinski's sign was positive. The patient couldn't cooperate with the examination of the sensory system. He could do the finger-to-nose test and the digit opposition test, but in a slow manner. He was unable to do the rapid rotation test. He couldn't cooperate with other coordinated movements examination. There were no signs of meningeal irritation.

Treatment:
After admission, Ramiro Ezequiel Fraga received the relevant examinations and was diagnosed with Cerebral palsy. The patient received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves and to nourish the neurons. This was combined with neurological rehabilitation treatment. 

Post Treatment:
The patient's growth and development is more rapid. Height: 111cms, Weight: 22kgs. The patient has better attention and the contact time with others has extended. The movement of both eyes is more flexible than before. Both eyes show more spirit than before. He has better environmental adaptation ability. He has no fear and is not crying when meeting strangers. The patient has more vocabulary. His speech is clearer and fluent. He can speak a sentence with 5-6 words. He can cooperate better with rehabilitation. The muscle strength of the patient's whole body is improved, including anchorage force of neck, hold power of both hands, strength of trunk and both lower limbs' muscle strength. The muscle tone of both lower limbs is obviously reduced. The patient can maintain sitting position for several minutes independently. Both lower limbs show autonomous activity. With some assistance, the patient can walk over ten meters. The scissors gait is not so severe.

Ramiro's family member email to us:

2012-10-23

Dear:

Ramiro's condition is fine, he has improved his language and he can still be sitting for a few moments but not permanently, he still is unable to walk but he is taking a few steps with someone holding it with hands and he has learned to do this separating his legs in each steps.
He is very happy and strong to keep on improving.

His blood's results has been attached on this e-mail please let me know that everything is ok and you were able to open the zip file.
Globlal condition ((including blood pressure\ heart rate\) is normal.

Thank you

Mariela

2012-11-27

Hello Doctor

I am sending you the results of the blood test. The cognition development is progressing, he is speaking phrases and says dificult words, the physical condition is going slow, at the beginning we could see changes but now are less frequent.

Please let me know if everything is ok with the results.

Thank you very much
Mariela

2013-01-12

Dear:

Here you have the 4th blood Ramiro's test, on February I will send you another test and let me know if I keep on giving him the same medication as far as now
Ramiro have a few seconds that he can stay stand up just reclining his back on my legs without holding his hands on anywhere (without leaflets) but he keeps on having a lot of hypertonu on his legs (hardy) but his feets are more flexible.

Best Regards!
Mariela

Date: 2013-02-27


Hi Doctor:


It's been 6 month since I returned to Argentina after Ramiro's treatment in China and also it's been 6 months that Ramiro is taking his medicine that you provided him. How should I go on now?

Ramiro is fine, I have changed his kinesiologist, he was stuck in drive but this new kinegiologist is giving Ramiro the most similar exercises that you gave him.

Can you please let me know what is the next step? How should I go on?

Thanks Mariela

Date: 2013-06-27

Hi all

I am sending the blood test results for Ramiro Fraga, sorry I couldn't send them before!

Ramiro is getting better, he is speaking very well and is learning quickly, what is most difficult for him is to stand up , he is afraid and he did not stand up alone so he can not walk yet, but we keep on working on that since he has a new kinesiology and is getting well.

Should I continue with the medicine you have provided?

Should I send you the blood test the next month?

Thank you and have a great day!

Mariela

Date: 2013-07-04

Hi,
I couldn't understand very well your answer because Ramiro can't stand up for his own means. Really, he have progressed since he is working with a new kinesology; but he still can not stand up slowly. His problem is that he has a high musclar tone and for this reason he can't walk and stand up for his own. In spite of this, he has assured that his posture be straight. And it is because of the stem cell's help.

If someone help him to stay stand up, he can be like that fore some minutes but with the help of a support. I think that is very important to know if he should do another treatment. I tell you that because when we gone to China, the Dr. Wu said me that he dind'y believe that it was neccesary another treatment and  if he  had any problem with the evolution of motor skills, he would send me some exercices to work with Ramiro. And if it didn't work, the doctor would evaluate if he has to return for a new treatment.
Sincerely, I need to know if it is certain that he will develope his motor skills function with a new treatment. That being the case, I need to know your answer because I have to start to raise the money.

On the other hand, it is very important the development that he had in the speech and intelligence. He has almost  attained to the kid of the same age.
 
Best wishes, Mariela

 

 

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