Mr.Allen-Amyotrophic Lateral Sclerosis-(Israel)

Name: Mr.Allen
Sex: Male
Nationality: Israeli
Age: 47Y
Diagnosis: Amyotrophic Lateral Sclerosis(ALS)

Before treatment:
In 2015 the patient felt weakness in his left arm. Some days before his right arm had felt weak too. He went to a local hospital many times but he was not diagnosed. His left leg became weak later. He went to hospital again in July 2015  where he did EMG and other tests. He was diagnosed with Amyotrophic Lateral Sclerosis(ALS) and the doctor prescribed Riluzole 50mg, twice a day. His condition wasn’t better and his disease progressed fast. He was then unable to walk 6 months ago, he was unable to speak clearly, he chewed slowly, sometimes he had muscles twitch and he was in pain. He had stomach ache 1 month ago so he stopped taking his medicines. The muscle power of his four limbs decreased and the muscle tension of his four limbs was higher than normal. He is unable to put on clothes or eat by himself. He wanted a better treatment so he came to our hospital.
His spirit and diet are good and he sleeps well. His bladder function is normal. He has lost around 5-7 kgs.

Admission PE:
Bp: 138/83mmHg; Hr: 71/min. Br: 19/min. Body temperature: 36.5 degrees. Tip of the finger blood oxygen was 90-95%. His development was normal and he had good nutrition. There were no yellow stains or petechia on the skin or mucous. Pharyngeal was slightly congested. The tonsils were not enlarged. The thorax was in symmetry but the movement range was reduced. The respiratory sounds in both lungs were normal with no obvious moist or dry rales. The heart sounds were strong, the rhythm of his heartbeat was normal and there was no obvious murmur in the valves. His abdomen was soft and flat. There was no pressing pain or rebound tenderness with no masses. The liver and spleen were normal.

Nervous System Examination:
Mr.Allen was alert and his spirit was good. He had dysarthrosis. He was not able to speak clearly. His memory, calculation abilities and orientation were normal. Both pupils were equal in size and round, the diameter was 3 mms. Both eyes had sensitive responses to light stimuli. Both eyeballs could move freely. The nasolabial fold and forehead wrinkle pattern were symmetrical. His tongue was centered in the oral cavity and the tongue muscle was not atrophied. There was air leakage when he blew out his cheeks and the power of his chewing was weak. Both soft palates could be raised weakly. The muscles of his bilateral shoulder girdle, upper limbs,bilateral thenar and hypothenar and interosseus of hands were atrophied. His neck was soft,the power to shrug his shoulders was weak. The proximal muscle strength of the left arm was level 1,the distal end muscle strength was level 2-;the proximal muscle strength of the right arm was level 1,the distal end muscle strength was level 2. It was hard for him to stretch his fingers,the grip power of right hand was level 3,the grip power of the left hand was level 2. The muscle power of the legs were level 3-, the muscular tension of his arms were normal,the muscular tension of his legs were increased. The bilateral bicipital muscle reflex and radioperiosteal reflex was slightly down;The lower limbs patellar tendon reflexes and achilles jerk was hyperreflexia. Bilateral palm jaw reflection was positive,bilateral Babinski sign was positive. He could not finish the test of finger to nose and rapid rotation test. The right side heel-knee-tibia test was normal,he could not finish the left side heel-knee-tibia test. The meningeal irritation sign was negative.

After the admission, he received relevant examinations and was diagnosed with Amyotrophic Lateral Sclerosis. He received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation This was done along with rehabilitation training.     

After 14 days' treatment he could speak clearly, his respiration function is better, the breathing sound of the lower lungs was stronger, the Sat is 95-98%. Both  his spirit and energy are improved. The muscle power of the left arm is at  level 2. The right arm can lift higher and reach his lower jaw. The muscle power of the right arm is at level 2+, the right hand grip power is increased to level 4. The muscle strength of his legs are at level 4. He is now able to stand up and walk 50 meters.

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