Zbigniew Borowczyk-Amyotrophic Lateral Sclerosis-(Poland)
Name: Zbigniew Borowczyk
Sex: Male
Nationality: Polish
Age: 57Y
Diagnosis: Amyotrophic Lateral Sclerosis(ALS)
Before treatment:
In June 2016 the patient was unable to speak rapidly. In September 2016 he displayed right hand weakness and this gradually progressed to the right arm accompanied by pain when the right shoulder moved. Afterwards the disease gradually progressed and he had muscle tremor. In December 2016, the legs were weak and the patient was treated in the local hospital for a series of tests. The patient was diagnosed with "amyotrophic lateral sclerosis" and treated with "Riluzole" 50mg twice daily. The patient's condition did not improve. A month and a half ago the patient began to have problems with swallowing. At present he has muscle tremor, the right arm strength is significantly diminished, both leg's strength are also decreased. He has slow speech, swallowing is slightly difficult but he could take care of himself. He wanted further treatment so he came to our hospital.
His spirit and diet are normal, he has normal urination and defecation functions. He has lost 2 kgs.
Admission PE:
Bp: 121/73mmHg, Hr: 76/min, breathing rate: 19/min, body temperature: 36.3 degrees. Height 187.5cm, weight 95.5Kg. Nutrition status is normal with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht, no throat congestion, and his tonsils do not have swelling. 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 soft and bulging, with no masses or tenderness. The liver and spleen were normal, shifting dullness test is negative. The spinal column is normal and there was no edema in the legs .
Nervous System Examination:
Patient was alert and mental status was good, some dysarthria, slightly slurred speech and he speaks slowly. The memory, orientation and calculation ability were normal. Both pupils were equal in size and round, diameter of 3 mm, react well to light, eyeballs can move freely. The is no nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, his tongue is in middle with no tongue muscle atrophy. Showing the teeth is normal. Bilateral soft palate can lift as normal. He can chew as normal but the swallowing function is decreased slightly. There is mild muscle atrophy of the right shoulders, right arm distal side, right side thenar muscles, neck is soft, shrug ability of right side is slightly weak and there is movement limitation of the right shoulder joint. Right arm muscle power is 4- degrees, grip force of right hand is 3 degrees, muscle power of right leg is 4 degrees, left side is 5- degrees. Muscle tone of 4 limbs is normal. Tendon reflex of all 4 limbs is normal. Bilateral Palm-jaw reflex are positive; Hoffmann sign of both sides are positive; Babinski sign of both sides are positive. Because of the weakness the patient can only perform the right side finger to nose test, the fast alternate movement test and finger opposite test slowly. The left side coordinate movement ability is normal. The Meningeal irritation sign is negative.
Treatment:
After the admission, he received related examinations and diagnosed with ALS. 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.
Post-treatment:
After 14 days’ treatment his blood oxygen saturation increased and his speech and swallowing function had positive change. The right hand grip force can reach 4 degrees. Right leg muscle power is 4+ degrees. The patient displayed much more energy than before.
