Mustafa Abdulaziz Massudi-Multiple Sclerosis-(Saudi Arabia)

Name: Mustafa Abdulaziz Massudi
Sex: Male
Nationality: Saudi Arabian
Age: 47Y
Diagnosis: Multiple Sclerosis

Before treatment:
The patient had balance problems in Oct. 2013, he couldn’t walk straight and it was easy for him to fall down, his condition got worse so he went to hospital and did some tests, he was dianogsed with multiple sclerosis, he felt pain in body parts, immune drugs could release his condition. His disease attacked every 6 or 12 months, in recent 2 years, his condition got worse soon, his legs were heavy, it was difficult for him to move around, he could take care of himself.
His spirit is good, his diet and sleep are normal. He has urination and defecation problems.

Admission PE:
Bp: 116/81mmHg, Hr: 84/min, body temperature: 36.3 degrees. Breathing rate is 18/min. height was 171cm, weight was 96.5kg. Nutrition status is normal, normal physical development, slight fat. The respiratory sounds in both lungs were clear, no moist rales. The heart beat is powerful with regular cardiac rhythm, with no obvious murmur in the valves. The abdomen was soft and bulge, with no masses or tenderness.

Nervous System Examination:
Patient was alert and mental status was good, clear speech, orientation and calculation ability were normal, his memory was not good enough. Both pupils were equal in size and round, diameter as 2.5 mm, react well to light, eyeballs can move freely, right eyesight was normal, left side was worse, no nystagmus, his left eye converge was poor. His right ear had hearing ability impairment, the tunning fork test and pallesthesia were weak. Bilateral forehead wrinkle is symmetrical. The bilateral nasolabial groove depth is same, tongue is in middle position, no tongue muscle atrophy, show teeth is normal, the uvula was in middle position. Throat congestion, no obvious tonsil swollen, pharyngeal reflex was normal. his neck could more freely, the 4 limbs muscle tone were normal, upper limbs muscle power was 5 degree, hands grip force was 5 degree, the lower limbs muscle power was 3+ degree. his abdomen reflex reduced, 4 limbs tendon reflex lower than normal, sucking reflex was negative. Right side palm-jaw reflex was positive, left side palm-jaw reflex was negative. Bilateral Hoffmann sign were negative, Babinski sign of both sides were positive. His sensory examination was normal. upper limbs fast alternate movement, finger to nose test and finger opposite movement were stable, he could perform lower limb coordinate movement slowly because of weakness. He could not walk straightly and he could not stand with eyes closing. He could not stand with one leg, the meningeal irritation sign was negative.

Treatment:
After the admission, he received related examinations, 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, with rehabilitation training.     

Post-treatment:
After 14 days’ treatment, his movement endurance improved, his trunk balance control improved, the lower limbs muscle power increased to 4+ degree. Walking stability was better, walking endurance increased than before, the right ear hearing ability recovered, the upper breathing tract infection healed.