Joern Abel - Autism (Saudi Arabia)

Name: Joern Abel                
Sex: Male
Country: Saudi Arabia
Age:34 years
Diagnosis: Autism
Date:May 11, 2014
Days Admitted to Hospital: 27 days

Before treatment:

Joern Abel was almost a normal boy before 5 years old. He could walk when he was 1 and a half years. He could speak when he was 2 and a half years old. He was an introvert boy. He started school when he was 5 years old. He had difficulty in writing and reading. He had no social communication or friend. He concentrated on cartoon and English movies from childhood. He could remember a lot of fragment in animation. He repeated the fragment day and night. He suffered from maltreatment from his private teacher when he was 10 to 11 years old. His condition was aggravated gradually. The sociability was poor and poor.  He had to leave school for his depression when he was 18 years old. The thinking loud condition was aggravated. And he always enter into role quickly. He could imitate 4-5 role and was diagnosed with schizophrenia by a local doctor. He started to take medication for treatment, the medication were: Zeldox, Abilify, Invega and Haldol. The family members think it had no effect. He went to a hospital in Switzerland in 2013. He was diagnosed with autism and he stopped the medications for antischizophrenia. After he stopped the medications, the patient's daily living ability was increased.

At present, the patient presented like a child (helpless). He always said: "Mamma". He always talked to himself. His speech was clear and only answer simple question. He could take care of himself partly. He could wear clothes, wash and used bathroom. He could express hunger and thirsty. He couldn't express his emotion. From the onset of disease, his spirit was good. The sleep quality was regular and defecation was normal. There was no familial hereditary disease or infection disease. One of his elder sisters and uncles were suffered from schizophrenia.

Admission PE:
Bp: 115/67mmHg; Hr: 76/min. The skin and mucosa were intact, with no stained yellow or petechia. The respiratory sounds in both lungs were clear, with no dry or moist rales. The heart sounds were low; the rhythm of his heartbeat was normal, with no obvious murmur in the valves. The abdomen was flat, with no pressing pain or rebound tenderness. The liver and spleen were not enlarged.

Nervous System Examination:
Joern Abel was alert and his spirit was good. He suffered inattention. His speech was clear and he always talking to himself. His words often imitate the actor in cartoons or film. He was unable to cooperate with the examination of memory, understanding, judgment or orientation abilities. There was no obvious hyperactivity or irritation. Both pupils were equal in size and round, the diameter was 3.0mms, both eyeballs could move freely and the pupils reacted normally to light stimulus. There was no nystagmus. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. He couldn't cooperate with other examination of cranial nerve. The activity of his four limbs was normal. The muscle tone of his four limbs was normal. The tendon reflex of his four limbs was normal. Bilateral abdominal reflexes was normal. Bilateral Hoffmann sign was negative. Bilateral sucking reflex was negative. Bilateral palm jaw reflex were negative. The jaw reflex was negative. Bilateral Babinski sign was negative. He couldn't cooperate with the examination of sensory system. He couldn't cooperate with the examination of coordination movement. There were no signs of meningeal irritation.

Treatment:
After the admission, the patient received the relevant examinations. He received treatment for nerve regeneration and to activate stem cells in vivo. The patient received treatment to improve the blood circulation and also to nourish his neurons. He also received treatment to control his spirit and mood. This was accompanied with neurological rehabilitation.

Post-treatment:
The patient has better cognitive function. He can better focus attentively. He has better imitation, learning ability and can finish the command better. He talks less to himself and can communicate simply with others. The patient can answer questions simply. He can do simple calculation.