Rene P.Guzman - Parkinson disease(Philippines) Posted on May 28, 2010

Name: Rene P. Guzman  
Sex: Male
Country: Philippines
Age: 59
Diagnoses: 1.Parkinson's disease; 2. Sequela of cerebral hemorrhage, secondary epilepsy; 3. Hypertension level 2, (very high danger group) 4. Chronic heart failure

Admission Date: 2010-04-16
Days Admitted to the Hospital: 34

About 15 years ago Rene developed progressive bradykinesia and was diagnosed with Parkinson's disease. He suddenly lost consciousness after accidentally falling and injuring himself in 2007. After going to the hospital he was diagnosed with an intracranial hemorrhage and hypertension. Rene was in the hospital for one month, during which time his condition improved and he was subsequently discharged from the hospital. Rene suffered from hemiplegia of the right side of the body. He had difficulty swallowing, often choked on his food and would cough while trying to drink. Everyday activities like taking a bath, brushing his teeth, as well as turning over in bed or sitting up by himself were very difficult for him. Rene was taking an oral medication called sinemet to treat his condition and this medication was working well. From the onset of his illness, he was on a regular diet. Sometimes his sleep was irregular and he was constantly constipated. He also had occasional urinary incontinence. Rene had no noticeable changes in his weight.

Rene had a friend who was a patient at our medical center and received positive results from his treatment. When Rene later saw his friend, he was surprised to see how well the results turned out and was optimistic that perhaps his condition could also improve. Rene decided to contact our hospital and speak with our medical experts to see what could possibly be done for him. He then made the decision to come here for treatment.

Upon admission to our hospital, Rene was alert but his speech was unclear, his responses slow and he had apathetic facial expressions. He was only able to speak simple words slowly. His memory, calculation abilities, comprehension and orientation were all normal. The movement in both eyeballs was flexible and both pupils were sensitive to light stimulus. Rene's tongue could only extend as far as the lips and there were tremors in the lingualis. The muscles that raise the soft palate were weak. Rene was unable to turn his head flexibly. His right shoulder was not able to shrug and the left shoulder shrugging strength was poor. The muscle strength of the left upper limb was level 4- and the muscle strength of the left lower limb was level 3+. The muscle strength of both right limbs was level 0. The muscle tone of both left limbs was almost normal, and the muscle tone of both right limbs was increased slightly, the right lower limb was more severe. Rene had muscle atrophy in both right limbs. The tendon reflexes of the left limbs were reduced; the tendon reflex of the right upper limb was also reduced. The tendon reflex of the right lower limb was active. The left upper limb was uncoordinated with the finger-nose-test and the digital opposition test. Rene had problems on the right side of his body with coordinated movements.

After Rene received all of the relevant examinations, he was diagnosed with Parkinson's disease, sequela of cerebral hemorrhage, secondary epilepsy, hypertension level 2, (very high danger group), and chronic heart failure. He was given treatment in order to expand the blood vessels, given anti-free radicals, given nourishment for the neurons and we activated the neural stem cells. This was combined with physical rehabilitation training.

Post-treatment, Rene's condition had shown good improvement. He had more facial expressions than before. The excessive salivation and tremors in the muscles of his tongue were alleviated. His speech is now clearer and the speed of his speech has been controlled. Rene can move his left upper limb more easily now. The finger-nose-test and digital opposition test results are more stable and he can complete the digital opposition test of the left thumb and little finger. The strength of the right side of the body has increased, the right upperlimb can parallel move to inside. Rene can now raise his left hand off the bed, extend the left knee straight out, but is unable to lift the foot. When Rene's left leg is being supported, while flexed, he is able to lift his right leg off the bed for about one minute. He can now turn around and move with more agility and his movements are faster. The Romberg's sign has disappeared.

Rene left our hospital with a lot of optimism and said he will come back for the second treatment. Rene's son recently wrote to us: "Thank you all for the endeavor, we are very thankful to the therapists and Julia who works in the international department. Thanks for all your help. You are welcome to visit our family in the Philippines, hope to meet you again."

After the discharge, Rene's family member email to us:

2010-08-12

"Dear Dr.
Julia, we are very well,thanks for asking, although rene can't walk yet. He is happy and is in good mood most of the time.

very truly,
Eileen"

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