Jack Kabbli- Ataxia hereditaria (Syria) Posted on December 21, 2012

Name: Jack Kabbli              
Sex: Male
Country: Syria
Age: 20
Diagnoses: Ataxia hereditaria
Admission Date: November 8, 2012
Days Admitted to Hospital: 27 days

Before treatment:
The patient suffered from pain in the back and scoliosis without obvious reason in 2007.  He went to a local hospital and was diagnosed with scoliosis.  He received operation (metal plate to fix).  After the operation, the patient suffered from inflexible in the lower limbs and walking was unstable. The disease progressed gradually. He was clumsy when using both upper limbs, fetching objects is unstable. He had a tremor and went to many hospitals. He received DNA examination in 2009 and was diagnosed with Friedreich ataxia. He took medication for treatment, but the effect was not good. The patient's disease progressed quickly within 5 months. His balance barrier was aggravated obviously. He still could walk independently. Walks with enlarge basement and couldn't climb stairs. His actions with both upper limbs were clumsy. He couldn't fetch an object accurately. This accompanied withHe had intention tremors and unclear speech.

Nervous System Examination:
Jack Kabbli was alert. His speech was ambiguous. The pronunciation was not clear. His memory, calculation ability and orientation were almost normal. Both pupils were equal in size and round. Both eyeballs could move freely and flexibly and the pupils were sensitive to light stimulus. There was no nystagmus. The vision and visual field was normal through rough measurement. The forehead wrinkle pattern was symmetrical. The chew muscle was strong and symmetrical.. He could raise the soft palate normally. There was no air leakage when he drummed the cheeks. The tongue was in the center. The hearing ability was normal. The muscle strength of neck and four limbs was level 5. Bilateral tendon reflex of both upper limbs was normal. The patellar tendon reflex and Achilles tendon reflex of both lower limbs was not disappeared. The abdominal reflex was normal. Bilateral palm jaw reflex was positive. Bilateral Babinski sign was positive. The deep sensation and shallow sensation was normal. His both side done finger-nose test unstable and the left side was worse. Both hands couldn't pinch small objects. He done rapid rotation test in a clumsy manner and the left side was clumsier. The heel-knee test was done in an unstable manner. Romberg's test was positive. The meningeal irritation was negative.

Treatment:
Jack Kabbli received a complete examination and received a clear diagnosis. Then the patient received treatment for nerve regeneration and nerve repair. The patient also received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves, to nourish the neurons and to anti-free radical. He was given daily physical rehabilitation during the treatment. 

Post-treatment:
Jack Kabbli's balance is better than before. He is able to do more stable, sophisticated activities with both hands. He can do the finger-nose test and digital opposition test more stably. Both hands have a better grasp ability and the thumb and forefinger can pinch a small object. The equilibrium function of the trunk is improved. He is able to stand better with eye closure. He is able to finish the heel-knee test is better. He has better balance control ability when he walks. With some assistance, he can climb stairs.