Home > Case Analysis & Patient Stories > Stroke > Views

Chris Drummond-Sequelae of Cerebral Infarction(New Zealand)

Author Zhangqi Views Posted at 2015/12/10

Name:Chris Drummond
Sex: Male
Country:New Zealand
Age:71 years
Diagnosis:1.Sequelae of Cerebral Infarction
          2.Mild Anemia
          3.Infection of urinary system
Date of Admission: November 14th, 2015
Treatment Hospital/period:Wu Medical Center/15 days

Before treatment:
Patient had with no obvious reason severe headache 6 years ago (September 2009).  At a local hospital he was suspected to have cerebral vasculitis.  He took immunosuppressive medicine.  One week after that stroke occurred.Cranial MRI indicated: multiple cerebral infarctions. He could not talk. He communicated through writing. He had swallowing difficulty, always had bucking and had to take soft food. He had urine and fecal incontinence and had hemiplegia of left part of his body. He was conscious and was given treatment to improve circulation.He had stomach and urine catheterization.Patient's condition gradually improved. His stomach catheter was then removed but urine catheter maintained. At present, patient cannot speak or walk. His right limbs were very weak and he had bucking when he was eating.

Admission PE:
Bp: 147/83mmHg; Hr: 74/min. Br:20/min. T: 36.6℃. He had a normal figure. The skin and mucosa had no yellow stains or petechia. His lips had no cyanosis.The mouth and throat had no congestion, red or swollen. The thorax was symmetrical. The respiration of both lungs was clear, with no dry or moist rales.His heart rhythm was normal and strong, with no obvious murmur in the valves. The heart rate was 74/min. His abdomen was flat and soft with no pressing pain or rebound tenderness. The liver and spleen were normal under palpation. The lab test showed that he had mild anemia and WBC (white blood cells) in the urine full of screen.

Nervous System Examination:
Chris Drummond was consciousand had a good spirit. Motion aphasia. He could only utter "ah" sound. His memory, calculation and orientation abilities were normal. The diameter of both pupils was 3.0mms, and both pupils were equal in size and round. The pupils reacted normally to light stimulus. The eyeball moved in full range and there was no diplopia. The forehead wrinkle pattern was symmetrical. He could close his eyes with ease. He has a drooling-like face. He cannot blow his cheek and chewing muscle is weak. Bilateral soft palate is difficult to elevate and his uvula leans to left side. The tongue would be at the left side of mouth if he sticks his tongue out. His tonguehad no deflection. The muscle of tongue had atrophy. The muscle of neck is soft and the strength to turn his neck is strong. He cannot shrug the shoulder of his left side while he could shrug his right shoulder with ease. The abductor muscle strength of left arm is at level 2. The muscle strength of flexor and extensor muscle is at level 3-. The pronation strength is at level 3 and the supination strength is at level 3-. The movement of his wrists is limited. His wrists alwaystwisted and fists are clenched.The grip strength of left hand is at level 4. The muscle strength of left leg is at level 3. The muscle strength of right limbs is at level 5. He has varus but could walk slowly with a crutch. The strength to lift his feet is week. The muscle tone of left side is higher than normal and that of right side is normal.Bilateral tendon reflex is active, bilateral sucking reflex is positive, lower-jaw reflex is weakly positive andbilateral palm-jaw reflex is positive.Babinski sign of left side was positive. Bilateral deep and shallow sensation and fine sensation were normal.The rotation test, finger-to-finger test, finger-to-nose test and heel-knee-shin test of left side could not be done and those of right side were normal. The meningeal irritation sign was negative.

Treatment:
We initially completedthe examinations of the patient. Patientdiagnoses of 1.Sequelae of cerebral infarction, 2. Mild anemia,3.Infectionof urinary system were confirmed. He was given 3 times’ injections of neural stem cells and mesenchymal stem cells with the nourishing for stem cells. He also received treatment to improve circulation, activate his own stem cells, and initiate nerve repair and regeneration. The non-invasive ventilator was used to help improve breathing function. This was accompanied with appropriate rehabilitation to improve his speech.

Post-treatment:
After 15 days of treatment, the chewing ability is stronger. There is no bucking when he takes food although bucking happens sometimes when he drinks water. He has less saliva. The movement of tongue is stronger and quicker and he has more vowels. The muscle tone of left leg is normal and that of left arm has been alleviated. The motion function of leftside has been improved. At present, the muscle strength to shrug left shoulder is at level 4. The muscle strength of abduction is at level 3. The muscle strength of pronation is at level 3+. His fingers are more flexible. The muscle strength of left leg is at level 3+. The urine tract infection has been treated as the urine routine reveals.

E-mails:

Date:2015-12-2

Hi Susan  I have finally made it home a long trip. Now  I am here I  have been trying to work out what you have done. The thing that is most notable is being able to eat properly, the first time in 6 years. What I want to know is does thevitalstim help with the vocal chords and would it be any use me getting one. The eating while good is still not perfect. I  look forward to your reply.    

Chris Drummond

Date: 2015-12-14

Hi Susan, I have been having a problem with my legs. The arms and mouth have both improved but my legs feel very heavy and i am  having trouble lifting the left one. Could it be one of the pills I am on? Hope to hear from you soon.

Chris Drummond

-----------------------------------------

Related Information:

    Tel: +86-10-83614932 Fax: +86-10-83614167 Email:  inquiry@wumedicalcenter.com   Contact Us 
    Copyright@2013 Runde Healthcare Consulting Limited. 
    abuse@anti-spam.cn