Hikmat El Halabi-Stroke-(Venezuela)-Update on April 18th, 2016
The third round treatment:
Name: Hikmat El Halabi
Sex: Male
Nationality: Venezuelan
Age: 63
Diagnoses: 1. Stroke 2. Old Myocardial Infarction
Date of Admission: Mar.17, 2016
Treatment hospital/period: Wu Medical Center/13 days
Before treatment:
Hikmat had heart surgery 5 years ago as a result of an aortic arch tumor, and the surgery caused an acute subdural hemorrhage. After that, Hikmat had multiple infarctions, especially in the right occipital lobe. He had visual impairment and was not able to move his left side well. He received treatment but he had paralysis on the left side and was not able to walk. Hikmat went to our medical center and received treatment twice in the past 2 years. The upper limbs were able to move better, and he could walk. At present it is difficult for Hikmat to grab things with the left hand. He is able to walk with the assistance of a cane, but his gait is unsteady. He is not able to see objects clearly, and he has trouble differentiating different colors.
Hikmat’s sleep habits were bad. He had bowel movements once or twice daily. He did not have a headache.
Admission PE:
Bp: 127/89mmHg; Hr: 73/min. BT: 36.1 degree, RP: 19/min, Hikmat’s nutrition was normal. The respiratory sounds in both lungs were clear, with no dry or moist rales. The heart sounds were dull and the rhythm was regular. There was no obvious murmur in the valve area. The abdominal area was bulging and soft. The liver and spleen were not enlarged. There was pitting edema in both ankles.
Nervous System Examination:
Hikmat El Halabi was alert. His comprehension was normal. His calculation ability was slow. His memory and orientation abilities were normal. His left lower limb had “step over” gait, but he could walk with the assistance of a cane. He spoke in a plosive and unclear manner. He could close his eyes strongly. The left eye had nasal hemianopia. The right eye had temporal hemianopia. He couldn’t see objects clearly, and could only see the outlines of large objects. There was some loss of color sensation. Both pupils were equal in size and round, the diameter was 2.5mms. Both eyeballs could move freely and the pupils reacted normally to light stimulus. Both eyelids were normal. Hikmat couldn’t move either of his eyes to the right or upwards normally. There was no nystagmus in either eye. The teeth were symmetrical and the tongue was centered. The uvula was centered. He could swallow and chew normally. His hearing was normal. The neck was soft, and could turn to the right side normally, but could only turn to the left side weakly. He was able to shrug the left shoulder but only weakly. The muscle power of the left upper limb was at level 2, he was able to hold some objects but not very strongly. The muscle tension was higher. He couldn’t move the shoulders freely. The muscle power of the left lower limb was at level 4.The left foot was able to do the dorsiflexion movement and the planter flexion movement, slightly, the muscle tension was lower. The muscle power of the right side was at level 5, the muscle tension was normal. The left limbs didn’t have deep or shallow feeling, the deep and epicritic sensations were lower. The right side was normal. The bilateral Achilles tendon reflex was diminished. The tendon reflex of both upper limbs, the patella tendon reflex and abdominal reflexes were normal. The bilateral palm jaw reflex was positive. The Hoffmann’s sign on the left side was positive. The Hoffmann’s sign on the right side was negative. The Rossolimo’s sign on the right side was negative. The Rossolimo’s sign on the left side was positive. The bilateral Babinski’s sign was negative. The meningeal irritation sign was negative. Hikmat was not able to cooperate with the examination of the coordinated movements on the left side. The examination of the coordinated movements on the right side was normal.
Accessory examination: head MRI: Encephalomalacia focus was found in the right temporal lobe and lobus occipitalis.
Treatment:
After admission, we diagnosed Hikmat El Halabi with 1. stroke 2. old myocardial infarction. He was given 3 neural stem cell injections and 3 mesenchymal stem cell injections to increase the number of neurons in the brain, activated the stem cells in his body to repair the damaged nerves and to produce more new normal nerves. We also improved the blood circulation in order to increase the blood supply to the damaged nerves and to nourish the neurons, regulate the immune system, and protect the heart. He also received physical rehabilitation training.
Post-treatment:
After the 2 weeks of treatment, the gripping strength of the left hand was stronger than before, the left foot was able to do the dorsiflexion and planter flexion movements better, and there was no swelling in the legs. Hikmat’s gait improved. His vision was sharper, he was able to see the clock and his sensitivity to color was better. Hikmat’s energy level increased and his mood noticeably improved.
The second round treatment:
Name: Hikmat El Halabi
Sex: Male
Country: Venezuela
Age: 62 years
Diagnosis: 1. Stroke 2. Myocardial infarction
Date of Admission: June 8th, 2015
Treatment Hospital/Period: Wu Medical Center/21 days
Before treatment:
The patient had acute subdural hematomas after he had aortic arch tumor surgery 4 years ago. After that, he developed multiple infarctions. The right occipital lobe was worse. He had visual disturbance and he couldn’t move his left side body flexible. He was diagnosed with stroke when he had head MRI. He had medical treatment. Now the patient can’t move his left side flexibly. He can walk with a stick. His left side has step-over gait. He came to our medical center to have treatment and got better. He wants a better life, so he came to our medical center again.
The patient had poor sleep and defecate 1-2 times each day.
Admission PE:
Bp: 110/76mmHg; Hr: 76/min. BT: 36.5 degrees, RP: 20/min, His nutrition was normal. His respiratory sounds of both lungs were clear, with moist rales. His heart sounds were dull and the rhythm was regular. There was no obvious murmur in the valve area. His abdominal was bulge and soft, it sounds was tympanic. The liver and spleen were not enlarged, both ankles had pitting edema.
Nervous System Examination:
Hikmat El Halabi was alert. His comprehension was normal. His reaction was slow. His calculation ability was slow. Hs memory and orientation abilities were normal. His left lower limb had “step over” gait, he could walk with stick. When he speaks, there was plosive and unclear. He could close his eyes strongly. His left eye had nasal hemianopia. He couldn’t see objects clear, he could only see big object’s outline. He lost some color sensation. Both pupils were equal in size and round, the diameter was 2.5mms. Both eyeballs could move freely and the pupils reacted normally to light stimulus. His palpebrate was normal. He couldn’t move his eyes to right or upward normal. There was no nystagmus in both eyes. His mouth was in the center. His tongue was at the middle. His uvula was at the center. He could swallow and chew normally. His hearing was normal. His neck was soft. His neck rotation at left was weak and rotation to the right was powerful. He couldn’t shrug his left shoulder powerfully. The muscle power of left upper limb was at level 0. The muscle tension was a little higher. He couldn’t move his shoulders freely. The muscle power of left lower limb was at level 4. His left foot couldn’t do dorsiflexion and planter flexion. The muscle tension was lower. The muscle power of right side was at level 5. The muscle tension was normal. His left side had no deep and shallow feeling. Left upper limb and both lower limbs had no tendon reflex. The left side of Rossolimo sign was positive. Left side Babinski sign was positive. The meningeal irritation sign was negative. He could not cooperate with left side coordinate movements. The right side was normal.
The accessory examnation: head MRI: Encephalomalacia focus was found in right temporal lobe and lobus occipitalis.
Treatment:
We diagnosed Hikmat El Halabi with 1. Stroke 2. Myocardial infarction. He received treatment to improve blood circulation in order to increase the blood supply to the damaged nerves and nourish the neurons. He also received treatment to protect his heart and rehabilitation training.
Post-treatment:
After the treatment, his reaction was faster, vision was better, his vision field was wider and he could see object clearer. He could see the clock. His left side could move better, his biceps reflex of left upper limb was normal. The muscle power of left upper limb was at level 2, left lower limb’s muscle power was at level 4+. Both lower limbs was not swollen.
