Amiel Shmuel-Multiple Sclerosis-(Israel)

Name: Amiel Shmuel
Sex: Male
Nationality: Israeli
Age: 57Y
Diagnosis: Multiple Sclerosis
Discharge Date: 2018/06/12

Before treatment:
The patient felt weakness in his legs in 1996. He went to a local hospital and was diagnosed with multiple sclerosis. Seven years later it was hard for him to walk and his arms also became weak. At present he is unable to stand, sit up, walk or turn over his body by himself. He takes  2 drops of hemp oil each night.
His spirit is good, his diet is normal but his sleeping is bad due to the frequency of urination.

Admission PE:
Bp: 122/73mmHg, Hr: 64/min, body temperature: 36 degrees. Nutrition status is normal with normal physical development. There was no skin damage or bleeding spots, no oral mucosa congestion and no tonsil swelling. The chest development was normal, the respiratory sounds in both lungs were clear with no moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was soft and flat with no masses or tenderness. Liver and spleen were normal by touch, there was concavable edema below the knee joint of both legs.

Nervous System Examination:
Patient was alert and his mental status was good with clear speech. Orientation and calculation abilities were normal and his memory was good enough. Both pupils were equal in size and round, diameter of 3.0 mm, react well to light, eyeballs can move freely, there is no visual field loss and no nystagmus. Bilateral forehead wrinkle is symmetrical and the bilateral nasolabial groove depth is the same. He could make his tongue extend out but the tongue was toward right side slightly. There was no tongue muscle atrophy, showing the teeth is normal and the uvula was in middle position. His neck could move freely and the shrug ability was normal. Muscle power of the arms was 4 degrees and of the legs 1 degree. Bilateral arm muscle tone was normal, bilateral leg muscle tone was higher. The superficial sensation decreased by 50% from the lower umbilicus to the inguinal segment, the rest was normal. Tendon reflexes of the arms were normal. Bilateral patellar tendon reflex of the legs was active, mild stimulation of the lower leg and foot could result in a large leg lift reflex. The abdominal wall reflex was not elicited. The bilateral Palm jaw reflection was negative. The bilateral Hoffmann and Babinski signs were positive. The bilateral ankle clonus was negative. The bilateral finger to nose test and finger to finger test were normal, bilateral fast alternate movement was clumsy and he could not perform both sides heel-knee-tibia test because of weakness. He could not perform the single leg stand. The meningeal irritation sign was negative.

Treatment:
After the admission he received 3 nerve regeneration(neural stem cells and mesenchymal stem cells) treatments to active stem cells, repair his damaged nerves, replace dead nerves, nourish nerves and muscle cells, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

Post-treatment:
After 14 days treatment the muscle strength of his arms was improved 20%, to about level 4+. He can move his legs better with the muscle power of his legs increased 2 levels. The edema in the legs was reduced, his skin was becoming more normal and the reflex of his legs was now reduced after stimulation.

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