Reuven Farhi-Myelopathy-(Israel)

Name: Reuven Farhi
Sex: Male
Nationality: Israeli
Age: 8Y
Diagnosis: 1. Muscular Dystrophy 2. Upper breathing tract infection
Discharge Date: 2018/07/05

Before treatment:
The patient was normal when he was born. His elder brother was diagnosed with Muscular Dystrophy so he was taken to hospital when he was found to have unstable walking and he was diagnosed with Muscular Dystrophy too. His condition got worse and worse. At present he is unable to sit or stand up, he is able to walk for a short distance and turn over on the bed, the muscle power in arms is weak.
His spirit, diet and sleep are normal. His urination and defecation functions are normal. His physical development is slower than normal kids.

Admission PE:
Bp: 88/60mmHg, Hr: 96/min, body temperature was 36.2 degree. Height was 117.5cm, weight was 22Kg. There is no injury or bleeding spots of his skin and mucosa and no blausucht. He has mid range tonsil swelling with a cough and sputum. Chest development is normal, he has scoliosis, the respiratory sounds in both lungs were clear and rough and there were no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and 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 trephenopodia, especially his right foot. There was pseudo hypertrophy of his calf and mild lumbar lordosis.

Nervous System Examination:
Patient was alert 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 middle position and he could close his eyes powerfully. His soft palate can lift powerfully, pharyngeal reflex was normal but the power to turn his neck or shrug were weak. Muscle power of the arms was 3+ degrees, grip force was 4- degrees. The extensor muscle power of the legs was 3- degrees, the flexor muscle power was 2+ degrees. His 4 limbs muscle tone were lower than normal. He could not roll over in bed without difficulty, he cannot sit up or stand up by himself. Patient could walk with an abnormal waddling gait, his legs tendon reflex was decreased and the abdominal reflex was weaker than normal. The bilateral Palm-jaw reflex, Hoffmann sign, Rossilimo sign and Babinski sign were all negative. His sensory system was normal by gross measure. Patient could perform the finger to nose test, finger opposite movement and fast alternate movement slowly. He could not complete the examination of heel-knee-tibia test and 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, replace dead muscle cells with new injected stem 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, his back and waist muscle power improved, he could stand up from a sitting position much easier with mild assistance. His leg could now be lifted slightly under one leg support in a supine position and his liver function improved.

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