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Stroke

Author Julia Views Posted at 2014/03/04

by Drs. Pearly Liu, Xiaojuan Wang and Like Wu

The patient is a 70-year-old male. He has had limitations to the movement in both right side limbs and speech impediments for more than 1 year.

Diagnosis: Cerebral infarction

Patient has had hypertension for more than 10 years, his highest blood pressure reading was 220/120 mmHg. Two years ago, he contracted cerebral infarction, with the accompanying speech impediments. His condition improved after one month's treatment, does not have sequela, diabetes, or coronary disease.

Admission PE: Bp 150/95 mmHg, HR 90/min. His heart, lungs and abdomen are all ok.

Neural system examination:

Alert, mental status weak, incomplete motor aphasia. His memory, cognition and orientation are all ok. The bilateral pupils are equal and round, diameter is about 2.5mm, has good sensitivity response to light, and ocular movement is flexible. The bilateral grain of the forehead and the condition of the teeth and tongue are good. The uvula is slightly averted to the left; the nasolabial groove on the right side is shallow. The right side of the mouth is lower than the left side. Pharyngeal reflex shows inertia. His neck is soft, and his shrugging ability is strong. The muscle force of the right arm is 3 degrees; the muscle force of the right leg is 4 degrees. The muscle force of the right side is higher than normal. Tendon reflex of all four limbs is low. Abdominal reflex on the right side is nonexistent. Bilateral palmomental reflex is positive, negative Hoffmann sign on the right side, positive Babinski sign on the right side. There was some uncoordinated movement when attempting to point to each side, especially concerning the right arm. Inspection of the tibia is incomplete because of the instability of the right leg.

Auxiliary inspection:

MRI (9.4.15) 1.The left side frontal and basal ganglia area has cerebral infarction. 2. Bilateral sub cortical degeneration multiple foci.

Rapid blood sugar inspection (09.5.7): 12.2mmol/l (limosis).

Electrocardiogram (09.5.7): sinus rhythm, left axis deviation, widespread ST-T is low and level.

Blood-fat (09.5.8): TG1.73mmol/l, LDL3.32mmol/l.

Urine routine (09.5.8): urine sugar, others normal.

Diagnoses: 1.multiple cerebral infarction 2. hypertension 3 grade, extremely high-risk 3. type 2 diabetes 4. hyperlipidemia

Treatment protocols:

1. Plan and implement an appropriate diet, limit the total amount of food intake. 2. Give medication to control blood pressure, blood sugar, and blood-fat levels. 3. Improve blood circulation, give treatment to resist arteriosclerosis. 4. The patient is given four stem cells implantation treatments and self stem cells activation treatments to repair the damage to the neurons. The patient receives treatment for the purpose of nourishing the neurons, together with daily rehabilitation training to promote the recovery of motor functioning, and to improve the overall quality of life. 5. Properly and accurately assess any risk factors and adjust the treatment plan accordingly.

Treatment results:

The patient's condition has shown good improvement after the treatment plant: His diabetic condition has improved, and he is on a low-fat, low-salt diet, blood pressure is under control, blood sugar level is stable, ortholiposis, good recovery of neurological functioning, his mental status has shown a distinct improvement. The patient's speech is more fluent than before. The uvula is now centered. The right side corner of the mouth no longer sags. The pharyngeal reflex is sensitive. His right arm has a muscle force of 4 degrees, his right leg has a muscle force of 5 degrees. He has a steady gait, and can turn much more flexibly.

Case analysis:

Cerebrovascular disease is a type of barrier to the brain's functioning caused by various kinds of vascular encephalopathy. This is a common and frequently-occurring disease. Traditional methods are not effective in the treatment of cerebral infarction. The mortality rate for people suffering from this disease is approximately 10%. After the traditional treatment, 50%-70% of survivors continue to suffer paralysis, aphasia and other serious disabilities. This brings about added burdens to the family members, as well. Stem cell technology has been slowly and meticulously developed, and as a result, the treatment allows a better opportunity for patients to return to society. There are a growing number of patients suffering from cerebrovascular disease who receive this unique treatment and make remarkable progress.

This patient is an elderly male, and his diagnoses were clear upon admission to our medical center. He has cerebral infarction, hypertension, diabetes, and hyperlipidemia. He also has multiple arteriosclerotic risk factors. We treated the patient's neurological malfunctioning which is caused by cerebral infarction, and at the same time we worked on treating the causes of the cerebral infarction.

We focused on the following points:

1. We explained important life style changes the patient needed to make, educated him on the importance of improving his eating habits, and we started from the first-level prevention techniques to fight against the recurrence of cardiovascular and cerebrovascular diseases.

2. Intervene using pathophysiology, control the patient's blood pressure, blood sugar level, blood lipoids and other controllable factors to reverse the progress of arteriosclerosis effectively, and lay a good physiological foundation for the recovery of nerve functioning.

3. According to each patient's individual situation, we conduct a comprehensive and targeted inspection and examination, in order to detect any potential risk factors which will allow early intervention, effectively reducing any risk.

4. Based on the above three points, we use the most advanced stem cell technology to restore the patient's maximum nerve functioning, we combine our unique stem cell technology to promote stem cell growth, as well as specialized recovery training to cause the newly developed stem cells to carry out proper nervous system functioning, that was previously damaged through injury or disease.


 

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