Brian Eman - Cerebral palsy (Argentina) Posted on April 16, 2013

Name: Brian Eman         
Sex:Male
Country: Argentina
Age: 7
Diagnosis: Cerebral palsy
Admission Date: 2013-03-11
Days Admitted to Hospital: 28 day

Before treatment:
The patient was normal and born through caesarean birth when his mother was 38 weeks pregnant. There were no obvious abnormalities when he was born. There were no abnormalities in daily life after the birth, such as sucking and sleeping. The parents found the muscle strength of his trunk was weak when he was 5 months. He could turn over, but the strength was poor. He couldn't maintain a sitting position even with some assistance. He was unable to sit, crawl or walk independently when he was 1 year old. He received rehabilitation training in local hospital. The patient could stand for a short while with some assistance. He was diagnosed with Cerebral palsy (Spastic form quadriplegia and late-blooming chronic progressive encephalopathy). The patient continued the rehabilitation. The motor function was slightly better than before. Before the treatment, the patient's intellectual development and motor development was abnormal. He had a speech disorder and could only speak simple words, such as "daddy" "mommy" and "fork's name". He had poor comprehension and only communicated simply with his parents. He could understand simple words and express defecation. He had better control of his head. He could move the limbs, but the muscle strength was weak and the coordination was poor. He could turn over by himself. But he couldn't sit up or maintain a sitting position by himself. He couldn't stand or walk.

Nervous System Examination:
Brian Eman was alert and cooperated partly with the examination. He couldn't cooperate with the examination of orientation, memory or calculation. He had speech disorders. He could only speak simple words, such as "daddy" "mommy" and "fork's name". He had poor comprehension and could only communicate simply with his parents. Both pupils were equal in size and round, the diameter was about 3.5mms. Both pupils were sensitive to light stimuli. The forehead wrinkle pattern was symmetrical. The nasolabial sulcus was equal in depth. He couldn't cooperate with the examination of showing the tongue. He had strong muscle to raise soft palate. The chew ability was weak. The swallow ability was weak. There was occasionally coughing when drinking water. The movement of the neck was normal. The shrug muscle was weak. The muscle strength of both upper limbs was level 3. The hold power of both hands was level 2. The muscle strength of both lower limbs was level 1+. The muscle tone of the four limbs was increased. There were too many association in limbs . The lower limbs presented as scissors gait when he does exercises. Bilateral radial periosteal reflex, biceps reflex and triceps reflex were active. The bilateral abdominal reflexes were normal. The ankle clonus was positive. Bilateral Babinski sign was positive. The patient couldn't cooperate with the deep or shallow sensation examination. He couldn't cooperate with the rapid rotation test and the finger-to-nose test, the heel-knee-shin test, digital opposition test and Romberg sign. There were no signs of meningeal irritation.

Treatment:
The patient received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves, to nourish the neurons and strengthen immunity. He also received treatment for nerve repair and nerve regeneration. This was combined with neurological rehabilitation treatment. 

Post Treatment:
His weight has increased 0.5 Kg. The articulation abilities are improved and the swallow ability is improved too. The muscle tone in the four limbs was reduced. The associated action of the limbs is reduced, too. The muscle strength of the upper limbs has increased. He has better balance control of upper limbs. Both hands can grasp and let go. Both hands can hold and free. The hold power has increased. The muscle strength of the trunk has increased. He has better control of the neck and trunk in sitting position. With some assistance, the patient can stand a while and step forward.

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Date: Thu, 12 Sep 2013
Hello dear friend Lisa!!!!!!!!!

I hope you remember me, I am Carolina, Brian's mother from Argentina. Sorry I didn't write before but it was a bit difficult for me start again when we came back from your country. I have several problems, nothing without solution but that requieres my time.
Fortunately, Brai is being better and we are very happy. Now he can say more words, now he calls me, mama (mother) since we came back from China. He uses the Ipad and he does it better than me, he is an expert. He calls Maria Paz and Robert by Skype.
Let me tell you that whenever I think of China, I feel nostalgic because I knew so kind and lovely people that perhaps I will never see again. Apart from that your country is so interesting that I would like visit more places from it.
Well I hope you are ok, remember that here in Argentina we always remember you. You were so kind and special for us. Hope some day we meet again!!!!

Love,
Caro