Turki Hail-Sequelae of brain injury (audi Arabia) Posted on September 13, 2012

Name: Turki Hail                  
Sex: Male
Country: Saudi Arabia
Age: 3 years and 4 months
Diagnoses: 1.Sequelae of brain injury, 2.Secondary epilepsy
Admission Date: May 30, 2012
Days Admitted to Hospital: 32

Before treatment:
Turki was born a breech delivery. The baby's head was lodged in the mother's pelvis for about 30 minutes and the baby had a nosebleed immediately after the birth. He had normal response and was feed normally. The patient suffered from an epileptic seizure when he was 4 months. This presented with right eye close, right slobbering, right upper limb flexion, right lower limb straight. The family member couldn't state clearly when the last attack lasting happened, types of reliever and frequency of attack. He was sent to local hospital and hydrocephalus was found. The patient received hydrocephalus drainage for treatment when he was 6 months. After the operation, the patient took oral carbamazepine 100mg bid for treatment, than the epileptic seizure was not obvious. The family member found that the patient had poor intelligence and motor ability. He could turn over when he was 1 year to 1 year and a half. He only could produce sounds. He could cry when he was hungry or thirsty. He gave no sign when he relieved himself. He could raise his head and often in prone position. He had opisthotonos when he was in other position. He couldn't sit by himself and couldn't stand or walk. With some assistance, he stands with his right foot on tiptoe. The right foot could be laid flat passively.

Nervous System Examination:
The patient was alert. There was cognitive impairment. The deciduous teeth were complete. The patient did not respond when called to by his parents. He couldn't understand his parents when they tried to communicate with him. He could cry and make sounds, but could not speak any words. He couldn't chew. He could swallow food when the food was put into the throat. The right side of the mouth drooled. Both pupils were equal in size, the diameter was 3.0mms. Both pupils reacted normally to light stimulus. There was no nystagmus. The patient couldn't cooperate with the vision or visual field examination. His parents said his eyesight was poor. He could raise his head, turn over and was often in the prone position. He had opisthotonos when in the other positions. He couldn't sit by himself, stand or walk. With some assistance, he could stand with his right foot on the tips of the toes. His right foot could lay flat on the floor passively. He couldn't cooperate with the examination of the muscle strength. The left limbs could flex and stretch actively. The right upper limb was flexed and the right lower limb was outstretched. He couldn't bend or stretch them actively. The tendon reflexes of all four limbs were elicited. The muscle tone of the left limbs was good. The muscle tone of the right limbs was slightly higher than normal when his moods changed. The sucking reflex was negative. The bilateral palm jaw reflex was negative. The bilateral Hoffmann's sign was negative, the bilateral Babinski's sign was positive. He couldn't cooperate with the other examinations.

Treatment:

We initially gave Turki Hail a complete examination, and he was diagnosed with: 1.Sequelae of brain injury, 2. Secondary epilepsy. He was then given treatment in order to nourish the neurons, had the body's resistance improved and had the neurological functioning improved. This was combined with physical rehabilitation training.

Post-treatment:

At present, the patient gain some weight and height. Height: 87.5cm, weight: 11.5 Kg. The epilepsy is under control. The patient responds when others call out to him. And his gaze is able to follow the sound. The right limbs have more flexible movements than before. The movement range of the right upper limb's proximal-end has increased from before. The patient has active outreach and adduction action. Before treatment, the right lower limb was extended straight out. After treatment, the right lower limb was able to flex independently. When the patient stands, the degree of the right foot standing on the tips of the toes has been reduced. The patient could turn over to both sides more flexible. He tries to crawl when he is in the prone position.
Sex: Male
Country: Saudi Arabia
Age: 3 years and 4 months
Diagnoses: 1.Sequelae of brain injury, 2.Secondary epilepsy
Admission Date: May 30, 2012
Days Admitted to Hospital: 32

Before treatment:
Turki was born a breech delivery. The baby's head was lodged in the mother's pelvis for about 30 minutes and the baby had a nosebleed immediately after the birth. He had normal response and was feed normally. The patient suffered from an epileptic seizure when he was 4 months. This presented with right eye close, right slobbering, right upper limb flexion, right lower limb straight. The family member couldn't state clearly when the last attack lasting happened, types of reliever and frequency of attack. He was sent to local hospital and hydrocephalus was found. The patient received hydrocephalus drainage for treatment when he was 6 months. After the operation, the patient took oral carbamazepine 100mg bid for treatment, than the epileptic seizure was not obvious. The family member found that the patient had poor intelligence and motor ability. He could turn over when he was 1 year to 1 year and a half. He only could produce sounds. He could cry when he was hungry or thirsty. He gave no sign when he relieved himself. He could raise his head and often in prone position. He had opisthotonos when he was in other position. He couldn't sit by himself and couldn't stand or walk. With some assistance, he stands with his right foot on tiptoe. The right foot could be laid flat passively.

Nervous System Examination:
The patient was alert. There was cognitive impairment. The deciduous teeth were complete. The patient did not respond when called to by his parents. He couldn't understand his parents when they tried to communicate with him. He could cry and make sounds, but could not speak any words. He couldn't chew. He could swallow food when the food was put into the throat. The right side of the mouth drooled. Both pupils were equal in size, the diameter was 3.0mms. Both pupils reacted normally to light stimulus. There was no nystagmus. The patient couldn't cooperate with the vision or visual field examination. His parents said his eyesight was poor. He could raise his head, turn over and was often in the prone position. He had opisthotonos when in the other positions. He couldn't sit by himself, stand or walk. With some assistance, he could stand with his right foot on the tips of the toes. His right foot could lay flat on the floor passively. He couldn't cooperate with the examination of the muscle strength. The left limbs could flex and stretch actively. The right upper limb was flexed and the right lower limb was outstretched. He couldn't bend or stretch them actively. The tendon reflexes of all four limbs were elicited. The muscle tone of the left limbs was good. The muscle tone of the right limbs was slightly higher than normal when his moods changed. The sucking reflex was negative. The bilateral palm jaw reflex was negative. The bilateral Hoffmann's sign was negative, the bilateral Babinski's sign was positive. He couldn't cooperate with the other examinations.

Treatment:

We initially gave Turki Hail a complete examination, and he was diagnosed with: 1.Sequelae of brain injury, 2. Secondary epilepsy. He was then given treatment in order to nourish the neurons, had the body's resistance improved and had the neurological functioning improved. This was combined with physical rehabilitation training.

Post-treatment:

At present, the patient gain some weight and height. Height: 87.5cm, weight: 11.5 Kg. The epilepsy is under control. The patient responds when others call out to him. And his gaze is able to follow the sound. The right limbs have more flexible movements than before. The movement range of the right upper limb's proximal-end has increased from before. The patient has active outreach and adduction action. Before treatment, the right lower limb was extended straight out. After treatment, the right lower limb was able to flex independently. When the patient stands, the degree of the right foot standing on the tips of the toes has been reduced. The patient could turn over to both sides more flexible. He tries to crawl when he is in the prone position.