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Diana Veeramootoo-Sequela of Stroke(Mauritius)

Author Zhangqi Views Posted at 2017/03/22

Name: Diana Veeramootoo
Sex: Female
Nationality: Mauritians
Age: 43
Diagnoses: 1. Sequela of Stroke, Secondary epilepsy
Date of Admission: Sept. 11th, 2016
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
In 2012, Diana felt her left side body was hard to move, she went to local hospital and did brain CT, she was diagnosed with cerebral hemorrhage, she received cranial decompression surgery, her condition was stable, after that, she did regular rehabilitation training and skull repairing surgery. She had left side hemiplegia, left side muscle tension disorders and part vision problems. In 2014, she had status epilepticus, she used a breathing machine and treated her epilepsy. She did a CT and found left hemisphere cerebral infarction. After that, she lost all of her vision function, she was diagnosed with cortical blindness. She took antiepileptic regular and never had another attack. At present, she has no vision function, it was hard for her to move right body, her right hand can’t grasp objects, she can’t do fine movements or finger to finger test with right hand. She is able to walk with stick. She speaks slowly, it is hard for her to chew, so she eats soft food. She can’t take care of herself. She wants a better life so she comes to our hospital.
Her spirit and sleep are both good. Her urination and defecation are normal.

Admission PE:
Bp: 109/74mmHg; Hr: 65/min. BT: 36.3 degree, RP: 19/min. Her nutrition was normal, her body type was good. There was no yellow stain or bleeding spot on her skin or mucosa. Her respiratory sounds of both lungs were clear, with no dry or moist rales. Her heart sounds were strong and the rhythm was regular. There was no obvious murmur in the valve area. Her abdominal was bulge. The liver and spleen were normal, her lower limbs were not dropsical.

Nervous System Examination:
Diana Veeramootoo was alert and her spirit was good. She was soliloquy more, cognitive function was impairment, intelligent, understanding and response force were poor discontinuously. Often irrelevant answer. She was blind, the diameter of right pupil was 3.0mms, reacted normally to light stimulus, the diameter of left pupil was 2.0mms, pupillary light reflex was slow. The wrinkles on the forehead were equal in deep, her mouth and teeth position were normal, her tongue was in the middle. Her neck was soft, her neck turned stronger. Double upper limbs muscle strength was at level 4 -, grip strength was at level 3 +, double lower limbs muscle strength was at level 4 -. The muscle tension of four limbs was normal. Double upper limb tendon reflex and the left lower limb’s patellar tendon reflex were normal, right lower limb’s patellar tendon reflex reduced. Both side Rossolimo sign and left side Hoffmann sign were positive. Babinski sign was negative. She couldn't cooperate with the whole body deep and superficial sensation examination. She couldn't cooperate with the finger to finger test, rapid rotation test and finger to nose test, and heel-knee-tibia test because of her cognitive function with problems. The meningeal irritation sign was negative.

Treatment:
She was diagnosed with 1. Sequela of Stroke 2. Secondary epilepsy. She received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair her damaged nerves, replace dead nerves with new injected cells, active stem cells in her body, improve the blood circulation in order to increase the blood supply to the damaged nerves and nourish the neurons. We also gave her rehabilitation training.

Post-treatment:
After 14 days of treatment, she had vision function, her eyes appeared after things, she could distinguish family members and clarify its position, and she could turn her eye balls and head following the movement. Her cognitive function got better than before, her language communication got better as well, counting ability raised than before, her hands could grasp objects better, she had no seizures during hospitalization.


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