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Alfrid Steward Marcano-CP(Venezuela)

Author Tracy Views Posted at 2014/12/15

Name: Alfrid Steward Marcano
Sex: Male
Country: Venezuela
Age: 14years
Diagnoses: Cerebral Palsy
Date: November 16, 2014
Days Admitted to Hospital: 21 days

Before treatment:
      Alfrid was born at seventh month of pregnancy. He suffered from retardation of movement, language and cognition growth. He could not raise his head, sit independently even when he was half a year old. He was diagnose with Cerebral Palsy by a local hospital. At the age of 12 years old, his speech function was obviously retarded. He could only repeat some simple words and had little autonomous words. He was unable to express the desire to eat, pee or defecate. He could not count numbers or do calculation. He had poor understanding ability. He could only follow some simple instructions like “lie down, sit-up” which were trained many times. He could focus on the music and toys he liked. His arms could move but not very flexibly. He could not control them well. The muscle tone of his legs was high. He was able to turn over, sit-up and keep a sitting posture independently. He could stand up with assistance but he could not stand or walk independently. One year ago, patient had come to our medical center. With the treatment, his legs were able to move more flexibly and muscle tone were lowered. He could walk a short distance with assistance. His cognition and speech functions were better than before. He could repeat more words and had a better understanding.
He had a history of asthma. He had regularly taken Montelukast and controlled his asthma well. He had no history of trauma or blood transfusion. He had surgery for hip joint (to relieve muscle tendon). He was allergic to Hidrocotizona.
He was spirited and had a good sleep and diet. He urinated normally and needed assistance to defecate.

Admission PE:
      Temperature: 36.7; Br: 23/min. Bp: 111/79mmHg; Hr: 117/min. Height: 135cms, weight: 36kgs. There was a scar well-healed post operation in bilateral hips joints. The skin and mucosa was normal with no yellow stains or petechia. There was no yellow stains in sclera. There was no congestion in conjunctiva. The thorax was symmetrical. The respiratory sounds in both lungs were clear, with no dry or moist rales. The heart sound was strong. The cardiac rhythm was regular, with no obvious murmur in the valves. The abdomen was flat and soft, with no masses. The liver and spleen were normal during palpation. His legs had no swollen.

Nervous System Examination:
      Alfrid Steward Marcano was not very alerted. He could not cooperate with the examination of comprehension, orientation, memory or calculation. He could only repeat some words and had few autonomous words which were limited to Papa Mama Ciao Number 1-20 in Spanish. He could follow simple instructions and he could express hunger, thirst or defecation via body language. His comprehension ability was retarded comparing to children of the same age. He could focus on the things he was interested in. Both pupils were equal in size and round, and the diameter was about 3.0mms. Both pupils were sensitive to light stimulus. The movement of both eyeballs was flexible. There was no nystagmus observed. The chewing and swallowing ability were normal. He had good control of his head. He couldn’t cooperate with the examination of muscle strength. Four limbs had autonomic ability. He could grasp and pinch objects. The muscle strength of right upper limb was normal. The movement of right hand was flexible. The muscle strength of left upper limb was about level 4. The movement of left hand was not as flexible as his right. He could take food by himself. He was able to turn over, sit-up and keep a sitting position. He was unable to kneel down. He could stand up by himself with assistance. His knees joints could not straighten up and form an angle of 150°. The muscle tone of both upper limbs was normal. The muscle tone of both lower limbs was slightly higher than normal. The tendon reflex of four limbs was normal. The abdominal reflex could not be elicited. Bilateral palm jaw reflex was positive. Bilateral Hoffmann sign was negative. Bilateral Babinski sign was negative. The ankle clonus test had positive result. He couldn’t cooperate with other examinations.

Treatment:
      After admission, Alfrid Steward Marcano received the relevant examinations. He was given mild treatment of neural restoration and regeneration. He also received treatment to activate his own stem cells and improve immune system. He also received treatment to nourish neural cells, improve the blood circulation in order to increase the blood supply to the nerves. He also received treatment to stabilize his emotion and mood. This was combined with neurological rehabilitation treatment. 

Post-treatment:
      The patient’s motional function and intelligence have improved. 1. Motion: the ankle spasm of lower limbs has been alleviated. The muscle tone of lower limbs lowered than before. The knee joints angle has been extended. His four limbs are able to support him to crawl. He can crawl a few steps independently. He can walk with assistance.  2. Intelligence: he can cooperate better in rehabilitation training. The self-control ability had reduced and aggressive behavior has reduced greatly. He can cooperate with most of the training; the language ability has increased. He has more autonomous words, sometimes he sings or counts numbers. He repeats more of others’ words; sometimes he tries to attract others’ attention through speaking of words or phrases.

 E-mail:

Date: 2015-5-13

Hi , I hope you are all well , and 5 months after the last treatment Steward, have seen little improvement , cognitively always been developed more , walking is still a bit difficult because the child refuses to cooperate, is loose and even cries at the time of making their exercise routine. However the child shows happiness when he does something that you like , go to the beach , go to the park , walk , go swimming , go to children's parties , travel, etc .

I need your guidance .

I also want to know if you think the child Steward requires the 3rd treatment with stem cells .

 

No more to say and much to thank.


 

I say goodbye


Andreina Marcano

 

 

 


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