Irina Hramtsova-ALS-(Russia)-Posted on Mar.18th, 2015

Name: Irina Hramtsova               
Sex: Female
Country: Russia
Age: 35 years
Diagnosis: Amyotrophic Lateral Sclerosis (ALS)
Date: Feb. 7th, 2015
Days Admitted to Hospital: 19 days

Before treatment:
The patient’s experienced left lower limb weakness without any obvious incentive 2 years ago. She was not diagnosed for any disease. Her four limbs became weak especially both lower limbs and left upper limb. One year ago, she developed walking problem. She could hardly use the stairs and the ability to endure activities decreased. She was not diagnosed for any disease as well. She went to Germany one month ago and was diagnosed with” Amyotrophic Lateral Sclerosis” after full examinations. She took Riluzole 50mg twice per day but the disease persisted. She wants to have a better treatment, so she came to our hospital and was diagnosed with “motor neuron disease”.

She was in good spirit. Her eating, sleeping, urination and excrement, speech and swallowing were good. She breathes well and has stable weight.

Admission PE:
Bp: 116/78mmHg; Hr: 78/min. RP: 19/min. There was no ecchymosis or petechia on skin. There was no pharyngeal congestion. The tonsil was normal. Her thorax was symmetrical. The rate of respiration was normal.  The respiration of both lungs was clear, without dry or moist rales. The heart sound was strong, and the cardiac rhythm was regular, and there was no obvious murmur in the valves. The abdomen was soft and flat, with no tenderness or rebound tenderness. The liver and spleen were normal. There was not dropsy on both lower limbs. 

Nervous System Examination:
Irina Hramtsova was alert and she spoke fluently. Her memory, calculation and orientation abilities were normal. Both pupils were equal in size and round. The diameter was 3.0mms. Both eyeballs could move freely and the pupils reacted normally to light stimulus. The forehead wrinkle pattern was symmetrical. She had strength to close his eyes. Both nasolabials were equal in depth; the tongue was centered in the oral cavity. Muscles of tongue were normal without twitching. The ability to blow cheeks was normal. The teeth were normal and shown without deflection. Her ability to chew was powerful. Both soft palates could be lifted, and the strength was strong. Pharyngeal reflex was normal. The muscles of the neck were normal. The muscle strength to turn around and shrug her shoulder was normal. She couldn’t walk steady and the pace was wider. She could only keep balance with the stick. There was atrophy to the extent of middle degree of the left thenar muscles. The interosseous muscles of left hand and left forearm muscle were mild degree atrophied. The movement endurance was lower. The muscle power of left upper limb was at level 4+. Left hand grip was at level 4. The muscle power of right upper limb was at level 5. Right hand grip was at level 5. The muscle power of both lower limbs was at level 4. The muscle tension of both upper limbs was normal and both lower limbs were lower. The tendon reflex of both upper limbs was normal. The abdominal reflexes and tendon reflex of both lower limbs were abnormal. Both palms jaw reflex, Hoffmann sign, Rossilim and Babinski sign were negative. The rough depth determination of both sides was normal. Finger-to-nose test, rapid rotation test and finger-to-finger test were normal. Both legs’ heel-knee-tibia test was hardly completed. The meningeal irritation sign was negative. 
                 
Treatment:
We diagnosed Irina Hramtsova based on the history of disease and past examination with: Amyotrophic Lateral Sclerosis (ALS). She received treatment to improve circulation and also to provide nutrition to the nerves. Continuous positive airway pressure was used to help her breathe. We also gave her daily physical rehabilitation.

Post-treatment:
After the treatment, her standing-balance ability improved. The movement endurance was improved. Both lower limbs developed more power. She could squat better when assisted. She could control her ankle joints better. She could move her crooked legs more flexibly. She could walk better. The tension in the muscles of both lower limbs was better. The tendon reflex of both lower limbs was normal.

 

E-mail:

Date:2015-4-28

Good evening, dear Susan!

here is a letter from Irina….

"Hi Nick! I'm very lucky to know you!

I'm fine, celebrated the third anniversary of my son. Outside I walk with a cane, at home - without, as before. General condition improved, I feel more power. Now by myself - slowly can take my child to the kindergarden, doing housework, rest, and then heading again to the garden of to take the child home. I am grateful to the doctors for they stopped the disease, but somewhere far away in my heart hope to be able to walk better. My be I need to wait for anything from developing medicine, I hope so. I would like to ask your doctors about whether the following will be bad for growth and life of stem cells:
- Sunbeams (whether is it good to take sunbathe);
- High temperatures (sauna, steam bath);
- Should I do strength exercises for legs or wait until the final cell growth?

Today finally the true spring come to us, bask in the sun. The mood at 5+, I wanted to share with you …"

 


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