Seyavash Mahvi-Multiple sclerosis-(United States)-Posted on March 15, 2012

Name: Seyavash Mahvi                 
Sex: Male
Country: United States
Age: 51
Diagnoses: Multiple sclerosis, hyperlipidaemia
Admission Date: 2012-01-06
Days Admitted to Hospital: 28

Identifying Information:
Seyavash is a 51 year old male. He has had a progressive equilibrium disorder in all four limbs, stiffness in the legs and dyskinesia for the past 22 years. The symptoms progressed gradually and he received an MRI of the head, blood tests and a cerebrospinal fluid test. He was diagnosed with multiple sclerosis. The local doctors gave him Copaxone through hypodermic injections. The symptoms continued to deteriorate and two years after first visiting his doctor, was unable to walk without the use of crutches and eventually needed to use a different kind of walking aid in 1993. In 2000 he completely lost the use of his legs and required the use of a wheelchair to get around. Four years ago the arms started becoming increasingly weak and the hands severely loss the ability of movement. During this time Seyavash also developed an equilibrium disorder and his body would vacillate to the left and to the right side while in a sitting position. He completely lost the ability to care for himself as a result of these worsening symptoms.

Admission PE:
Bp: 133/88mmHg; Hr: 89/min. Temperature: 36.2 degrees, Br: 19/min. The development was normal. The patient is overweight. The skin and mucosa were normal, with no yellow stains or bleeding. The thorax was symmetrical. There was body stiffness and discomfort. The breathing was shallow. Through auscultation, the respiration in both lungs was clear, with no dry or moist rales. The rhythm of heart was regular, with no obvious murmur in valve auscultation area. The abdomen was distended and bloated. The abdominal muscles were slightly tight. There were no palpable masses. There was obvious edema in both of the lower limbs.

Nervous System Examination:
Seyavash was alert, with fluent speech. His memory, calculation abilities and orientation were all normal. Both pupils were equal in size and round, the diameter was 2.5mms, the eyeballs could move freely and the pupils reacted normally to light stimulus. There was horizontal nystagmus when both eyes looked to the right or to the left. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. The tongue was centered in the oral cavity and the teeth were shown without deflection. There was no atrophy or fibrillation in the tongue. The uvula was centered. The pharyngeal reflex was normal. The neck could move freely. The muscle strength of the torso was weak. Seyavash had difficulty with maintaining a sitting position. The muscle tone of both upper limbs was almost normal. The muscle strength of the left upper limb was level 4+. The grasping strength of the left hand was level 3. The muscle strength of the right upper limb was level 4-. The grasping strength of the right hand was level 2. The muscle tone of both lower limbs was higher than normal. The muscle strength of the right lower limb was level 1; the muscle strength of the left lower limb was level 0. The abdominal reflexes were not elicited. The tendon reflexes of four limbs were not elicited. The sucking reflex was negative. The bilateral palm jaw reflex was negative. The bilateral Hoffmann's sign was negative. The bilateral Babinski's sign was positive. The acupuncture sensation of all four limbs was diminished. The vibration sensation of both upper limbs' distal end and both lower limbs was diminished. Seyavash was able to do the finger-to-nose test and rapid rotation test, but in an unstable manner. He had difficulty with the digit opposition test. He also had difficulty with the coordinated movement examination.

Treatment:
Seyavash received a complete examination after his admission. He was diagnosed with multiple sclerosis and hyperlipidaemia. He was given treatment in order to expand the blood vessels for improved blood circulation and was also given nourishment for the neurons. He also received treatment to adjust the blood lipid level and enhance the body's resistance. This was combined with physical rehabilitation training.

Post-treatment:
Seyavash is in a good mental state. The stiffness and discomfort has been alleviated. The lungs can expand more when breathing. There is no longer obvious edema in the lower limbs. The muscle strength of the torso has improved. He can maintain a sitting position. The muscle strength of all four limbs has increased from before: The muscle strength of the left upper limb is level 5-; the grasping power of the left hand is level 4+. The muscle strength of the right upper limb is level 4+; the grasping power of the right hand is level 2+. The muscle tone of both lower limbs has been reduced. The muscle strength of the right lower limb is level 2-; the muscle strength of the left lower limb is level 1. The acupuncture sensation of the distal-end of all four limbs is almost normal. The vibration sensation of the distal end of both upper limbs and both lower limbs has improved noticeably. Seyavash can do the finger-to-nose test and rapid rotation test in a more stable manner. The thumb on the left hand can point to the forefinger, middle finger and ring finger. The thumb on the right hand can point to the forefinger. He had difficulty with the coordinated movement examination.

Seyavash told our staff: "I was a professional soccer player, but I suffered a serious injury in 1989. So I wasn't able to play soccer for some time because I felt discomfort in my arms and legs. After I was diagnosed with multiple sclerosis, I was prescribed a type of medication that was in its trial period at that time, but is now widely used for the symptoms I had. After researching my options online, I came across your medical center and after the first month of treatment, I began feeling varying degrees of progress in my arms and legs and my balance improved. My back is straighter now. This is the first time that I can feel my feet after more than 10 years in a wheelchair, and I can put my feet on the ground. I can feel my legs getting stronger and my overall strength and coordination are improving."

2012-04-25

"Hi Terri

Thank you for checking upon me. I am improving daily as my daily activities consist of exercises, weight lifting, physical and occupational  therapy.  Yes I am continuing with Stem cell medications that I brought back and I am feeling great.  I can now stand multiple times with assistance and put pressure on my legs/feet in doing so.  IA will keep you posted.

Seyavash Mahvi Head of Human Resource"

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 Second round treatment:   

Seyavash has gain significant improvement from the last therapy. The stiffness and discomfort has been alleviated. The lungs can expand more when breathing. There is no longer obvious edema in the lower limbs. The muscle strength of the torso has improved. He can maintain a sitting position and move around. The muscle strength of all four limbs has increased than before. The acupuncture sensation of the distal-end of all four limbs is almost normal. The vibration sensation of the distal end of both upper limbs and both lower limbs has improved noticeably. Fro further therapy, the patient came to our hospital again.

Admission PE:

Bp: 116/78mmHg; Hr: 89/min. Temperature: 36.2 degrees, Br: 19/min. The development was normal. The patient is overweight. The thorax was symmetrical. The skin and mucosa were normal, with no yellow stains or bleeding. Through auscultation, the respiration in both lungs was clear, with no dry or moist rales. The rhythm of heart was regular, with no obvious murmur in valve auscultation area. The abdomen was distended and bloated. There were no palpable mass. There was obvious edema in the right lower limb, the extremity was severe.

Nervous System Examination:

Seyavash Mahvi was alert, with fluent speech. His memory, calculation abilities and orientation were all normal. Both pupils were equal in size and round, the diameter was 2.5mms, the eyeballs could move freely and the pupils reacted normally to light stimulus. There was no nystagmus. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. The tongue was centered in the oral cavity and the teeth were shown without deflection. There was no atrophy or fibrillation in the tongue. The uvula was centered. The pharyngeal reflex was normal. The neck could move freely. The muscle strength of left upper limb was at level 4. The grasp power of left hand was at level 3. The muscle strength of right upper limb was at level 4-. The grasp power of right hand was at level 2. The muscle strength of both lower limbs was at level 1. The muscle tone of left lower limb was higher than normal. This accompanied with myoclonus. The muscle tone of other limbs was normal. The abdominal reflexes were negative. The sucking reflex was negative. The tendon reflex of four limbs was not elicited. The bilateral palm jaw reflex was negative. The bilateral Hoffmann's sign was negative. The bilateral Babinski's sign was positive. The pain and temperature sensation of right limbs was slow down. Seyavash was able to do the finger-to-nose test, the digit opposition test and rapid rotation test, but in a clumsy manner. He was unable to do coordinate movement of both lower limbs. The balancing ability of both lower limbs was poor when he was in a sitting position.

Treatment:

Seyavash received a complete examination after his admission. He was diagnosed with multiple sclerosis and dysfunction of liver. The patient received nerve regeneration treatment and stem cell activating treatment. He was given treatment in order to expand the blood vessels so as to improve blood circulation and was also given nourishment for the neurons. He also received treatment to protect liver and enhance the body's resistance. This was combined with physical rehabilitation training.

Post-treatment:

Seyavash has a good mental status. The abdominal distension is alleviated. The edema of right limb is alleviated. The muscle strength of trunk is improved. The ability to balance in sitting position has improved too. The muscle strength of four limbs has increased too. The muscle strength of left upper limb is at level 5-. The grasp power of left hand is at level 4. The muscle strength of right upper limb is at level 4+. The grasp power of right hand is at level 2+. The muscle strength of both lower limbs is at level 1+. The pain and temperature sensation of right limbs is improved. Seyavash can do the finger-to-nose test and the rapid rotation test in a more stable manner. He can use his right hand's thumb to touch his forefinger, middle finger and the ring finger. He can use his right hand's thumb to touch his forefinger and middle finger. The muscle strength of both lower limbs was at level 2-. He can raise both knees.