Neil Antony Verner-Amyotrophic Lateral Sclerosis-(Britain)-Posted on August 18th, 2017

Name: Neil Antony Verner
Sex: Male
Nationality: British
Age: 49Y
Diagnosis: Amyotrophic Lateral Sclerosis (ALS) 
Date of Admission: March 19th, 2017
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
Patient had no obvious indication of the onset of right lower limb weakness 1 year ago but he was unable to run well 9 months ago. The upper limbs then appeared weaker and his weight dropped significantly. He went to hospital and was diagnosed with "amyotrophic lateral sclerosis" in October 2016. He was given riluzole 50mg twice daily but after taking the pills he felt limb stiffness and difficulty in movement so he stopped taking it. He had muscle tremor, right arm strength decreased significantly, his balance ability was bad and within three months it was difficult for him to go down stairs without assistance. At present the right arm strength of the patient is significantly reduced and the strength of the other limbs are reduced. He has poor balance, needs to be assisted going down stairs but he could take care of himself mostly. He came to our hospital for further treatment.
Patient has good spirit and appetite, he has had shallow sleep patterns for nearly 4 months. It is easy for him to be woken up and he doesn’t use any sleeping pills. He has normal urination and defecation ability. He could swallow well and he has lost 10 kgs already.

Admission PE:
Bp: 126/89mmHg, Hr: 65/min, breathing rate: 19/min, body temperature: 36 degrees. Nutrition status is good with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht. The chest develop is normal, the respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was flat and soft, with no masses or tenderness. The liver and spleen were normal, shifting dullness is negative. The spinal column is normal, there was no edema in either leg.

Nervous System Examination:
Patient was alert and his mental status is good with clear speech. His memory, orientation and calculation ability were normal. Both pupils were equal in size and round, diameter of 3mm, react well to light, eyeballs can move freely. No nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing of teeth is normal. His tongue is in the middle and there is no tongue muscle atrophy, he can move his tongue freely. He can chew food and blow out the cheek as normal. Soft palate lift of both sides is normal, the uvula is in normal position. Neck is soft and he can turn his neck freely. There is obvious muscle atrophy of the interosseous muscle of both hands and the thenar muscles. The muscle volume is not very high. The muscle power of the left arm is 4 degrees, right arm is 4- degrees, the grip force of both hands is 5- degrees, muscle power of the legs is 5- degrees. Muscle tone of all 4 limbs is normal. The tendon reflex of the arms is normal, of the legs is active. The bilateral ankle clonus were positive; the Hoffman sign of both sides were positive; the Palm-jerk reflex of both sides were positive; Babinski sign of both sides were negative. Finger to nose test was stable and the patient can perform the fast alternate movement as normal. Finger opposite movement is normal. The bilateral Heel-knee-tibia test is stable, the meningeal irritation sign is negative.

Treatment:
After the admission, he received related examinations and diagnosed with ALS. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace dead nerves with new injected stem cells, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 14 days treatment he has better spirit and energy, muscle fasciculation is reduced and physical endurance is better. The muscle power of both arms is increased with the left arm increased to level 4+ and the right side increased to level 4. He can now walk longer distances.

E-mails:

Date:2017-9-10

Dear Dr. Wang

All my functions including height and weight remain constant,

Blood pressure is normal, occasionally slightly high but within acceptable tolerance.

Recently I had blood tests and sent them to Evelyn, please review, all were good but my CK was even higher, why would that be?

My General strength is up, BUT MY SHOULDERS ARE GETTING SIGNIFICANTLY WEAKER, please advise what I can do immediately.

I do my exercise daily exactly as prescribed.

My oxygen saturation is between 98-99%

Please see my photo


Kind regards,

Neil

 

 

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