David Shalom Farhi-Muscular Dystrophy-(Israel)

Name: David Shalom Farhi
Sex: Male
Nationality: Israeli
Age: 12Y
Diagnosis: Muscular dystrophy
Discharge date: 2018/07/05

Before treatment:
The patient was normal when he was born. He moved a little more slowly than other kids at the age of 4 and after that he walked in an unstable manner. He then fell down a lot, was taken to hospital and was diagnosed with muscular dystrophy. His condition became worse  and he was unable to walk at the age of 10. At present he is unable to sit up, stand or walk, he has spine malformation and strephenopodia in both feet.
His spirit, diet and sleep are normal. He can't urinate or defecate by himself and his growth rate is slow.

Admission PE:
Bp: 100/65mmHg, Hr: 82/min, body temperature was 36 degrees, height 140cm, weight 35Kg. There is no injury or bleeding spots of his skin and mucosa and no blausucht. Chest development is normal, there is scoliosis, the respiratory sounds in both lungs were clear and there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was soft and flat, with no masses or tenderness.  His liver and spleen were normal by touch examination. There is Strephenopodia, especially in his right foot. There was pseudo hypertrophy of his calf and mild lumbar lordosis.

Nervous System Examination:
Patient was alert but with slurred speech. The memory, orientation and calculation abilities were normal. Both pupils were equal in size and round, diameter of 3.0 mm, react well to light and the eyeballs can move freely. Bilateral forehead wrinkle is symmetrical, showing teeth is normal, tongue is in the middle position and he could close his eyes powerfully. His soft palate can lift powerfully, pharyngeal reflex was normal and the power to turn his neck or shrug was weak. The muscle power of the arms was 2+ degrees, right hand grip force was 2 degrees, left hand muscle power was 2+ degrees. The leg extensor muscle power was 2- degrees, the flexor muscle power was 1- degree. His 4 limbs muscle tone were lower than normal. He could not roll over in bed, sit up, stand or walk. His leg tendon reflex was decreased and the abdominal reflex was weaker than normal. The bilateral Palm-jaw reflex was positive, the Hoffmann sign, Rossilimo sign and Babinski sign were negative. His sensory system was normal by gross measure. The patient could not perform the finger to nose test, his finger opposite movement and fast alternate movement were done slowly. He could not complete the heel-knee-tibia test, the Meningeal irritation sign was negative.

Treatment:
After the admission he received 3 cell regeneration treatments(neural stem cells and mesenchymal stem cells) to repair his damaged muscle cells and fibers, replace dead cells, nourish muscle cells, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 16 days treatment his arms can lift much better, especially his right arm. The hands grip force increased to 4 degrees and in some special positions he could lift his arms up off the bed. His back and waist muscle power increased and he could now roll over to both sides himself but with some help.

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