Mr.Azeem-Muscular Dystrophy-(Pakistan)

Name: Mr.Azeem
Sex: Male
Nationality: Pakistani
Age: 35Y
Diagnosis: 1. Muscular Dystrophy(MD) 2. Type2 diabetes

Before treatment:
The patient walked on his toes 25 years ago so he was taken to the hospital and diagnosed with poliomyelitis. The doctors prescribed some medicines but the patient’s condition was not improved. 22 years ago he felt weakness in his legs and fell a lot, then he was unable to walk 17 years ago. He went to a local hospital and was diagnosed with MD. 1 year ago he coughed a lot and he took some medicines and got better. 6 months ago he got a pulmonary infection and he was unable to lie down. At present he lies in bed and is unable to take care of himself. He is unable to stand, walk or turn his body over. He is able to move his arms and he needs help to eat.
His spirit, sleep and diet are normal. His urination and defecation functions are normal.

Admission PE:
Bp: 131/93mmHg, Hr: 90/min, Br: 20/min, body temperature: 36.0 degrees. Good body type. There is no injury or bleeding spots of his skin and mucosa, the respiratory sounds in both lungs were clear, 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 and there was no edema in his legs.

Nervous System Examination:
Patient was alert and his mental condition is fine, the memory, calculation and orientation abilities are normal by examination. Both pupils were equal in size and round, diameter of 3.0mm, react well to light, eyeballs cannot move freely to look up and to the left side. Bilateral forehead wrinkle is symmetrical, he can close his eyes powerfully, showing the teeth is normal, the tongue is in middle. He can bulge the cheek as normal, soft palate can lift as normal and he can turn his neck to the right side as normal but he is unable to shrug shoulders well. Muscle tension of all  four limbs is normal. His  feet point  to the ground. His biceps reflex and radial periosteal reflex are normal. His patella tendon reflex and ankle reflex are overactive. His left ankle-clonus is positive, right one is negative. Bilateral palm-jaw reflex were positive; Hoffmann sign, Rossilimo sign and Babinski sign of both sides were negative. His fast alternate movement was hard to finish. Bilateral finger to nose test and heel-knee-tibia test are unable to be done. The meningeal irritation sign was negative.

After the admission, he received related examinations and received 3 times cells regeneration treatment to repair his damaged muscle cells, replace dead cells, nourish muscle cells, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

After 14 days treatment his blood sugar level is lower than before, he is able to raise his left arm higher, his right leg is able to move better than before. The adduction and abduction of his legs with bent knees are more flexible. His nausea problem has improved. His blood lipid has improved as well.


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