Mohd-Sequela of stroke-(Saudi Arabia)

Name: Mohd Maghram Al Ghamdi    

Sex: Male

Country: Saudi Arabia

Age: 71

Diagnoses: 1. Sequela of cerebral infarction 2. Hypertension phase 3 (very high risk)

Admission Date: 2010-04-12

Mohd initially had motor dysfunction on the left side of his body and barylalia for the past one and a half years. He was sent to the local hospital for treatment, his blood pressure was 218 mmhg. Mohd received an MRI of the head and it showed that he had ischemic intracranial lesions. He was given appropriate medication, which gradually stabilized his condition. After his discharge, Mohd's speech difficulties and motor functioning improved gradually. He was taking oral antihypertensive medications such as Norvasc. He was also taking anticoagulants, aspirin and clopidogrel.

During the examination of his nervous system, Mohd was alert and his language ability was good, but his intonation was low. His memory, calculation and orientation abilities were all normal. The eyeballs could move freely. The forehead wrinkle pattern was symmetrical. Mohd had strong eye closing ability. The tongue was centered in the oral cavity and the teeth were shown without deflection. The left nasolabial sulcus was shallow. The neck was flexible. Both shoulders had strong shrugging ability. The muscle strength of the left upper limb was level 4-. The muscle strength of the left lower limb was level 3+. The muscle strength of the right upper limb was level 5. The muscle strength of the right lower limb was level 4. The muscle tension of all four limbs was almost normal, the tendon reflexes of all four limbs were normal, and the abdominal reflex was normal. The bilateral palmomental reflex was positive, the Hoffmann's sign of the left side was positive, the Hoffmann's sign of the right side was negative, and the bilateral Babinski's sign was neutral. Mohd had normal sensitivity to pain. For the right upper limb, the finger-nose-test, rapid rotation test and the digital opposition test were not stable. For the left upper limb, Mohd was unable to finish the finger-nose-test, the rapid rotation test or the digital opposition test as well as the heel-knee-shin test. There were no signs of meningeal irritation.

We initially gave Mohd a complete examination. We then gave Mohd the autologous stem cells activation treatment to repair the damage to the neurons. This included improving the blood circulation in order to increase the blood supply to the damaged neurons, nutrition for the neurons and ridding the body of oxygen free radicals. He was also given daily physical rehabilitation training.

After the treatment plan was completed, Mohd was in a good mental state. The HCY decreased to 14 umol/L from the previous reading of 23 umol/L. The pain in the knee-joints had almost disappeared. The strength of the left hand increased, the pronation and supination range of motion of the left forearm has increased. Mohd's left arm can now be raised over his head and his coordination has improved. The muscle strength of both lower limbs has improved, and he can walk without a cane. However, the pathological changes in the knee-joints were severe, and affect Mohd's posture while walking.

Mohd thanked all the staff members at Wu Stem Cells Medical Center and when he left us to return home, he seemed full of hope and optimistic about his future.

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