Mohammed Jamal - Sequelae of trauma to the spinal cord (Oman) Posted on March 2, 2012

Name: Mohammed Jamal                     
Sex: Male
Country: Oman
Age: 25
Diagnoses: Sequelae of trauma to the spinal cord, urinary tract infection
Admission Date: 2012-01-29
Days Admitted to Hospital: 27

Medical History:
Mohammed suffered from injuries received in an accident. There was sensory and motor dysfunction below the hips. Mohammed was diagnosed with sequelae of trauma to the spinal cord. After receiving surgery, the sensation and movement ability in the legs gradually improved. He participated in physical rehabilitation training during the two months after the surgery. Currently, the deep and shallow sensation below the lumbar segment (L3) is reduced. The muscle strength of the lower legs was weak and as a result, Mohammed was unable to stand or walk and couldn't lift either foot off the floor. Mohammed heard Wu Stem Cells Medical Center would help him,so he went to out medical center for treatment.

Nervous System Examination:
The muscle strength of both upper limbs was level 5; the muscle strength of both lower limbs' proximal-end was level 4. He couldn't flex his feet upward or downward. The muscle tone of the upper limbs was normal. The muscle tone of the lower limbs was low. The bilateral biceps reflex, elbow reflex and radial periosteal reflex were normal. The bilateral patellar tendon reflex and ankle reflex of both lower limbs were not elicited. The abdominal reflexes were normal. The bilateral Hoffmann's sign was negative. The bilateral Babinski's sign was negative. The pain, temperature sensation, seismesthesia and joint topesthesia below the bilateral L3 were reduced. Mohammed was able to finish the rapid rotation test and the finger-to-nose-test in a stable manner. His lower limbs couldn't cooperate with the coordinated movement examination because the lower limbs were too weak.

Treatment:
We initially gave Mohammed a complete examination, and he was diagnosed with sequelae of trauma to the spinal cord, and urinary tract infection. After the diagnoses were given, we proceeded with the treatment to improve the blood circulation in order to increase the blood supply to the damaged neurons and to nourish them. Then we proceeded with the anti-infection treatment, improved the nutritional intake and administered other comprehensive treatment. This was combined with daily physical rehabilitation training.

Post-treatment:
The urinary tract infection has been alleviated. The nervous system functioning has been improved. The muscle tone of the quadriceps femoris was reduced when stretched. The angle of the hip joint and knee joint has increased. The muscle strength of the biceps femoris has increased. There is a small range of upward and downward movement with the feet, but the movement is limited, and there is no movement ability when there is some resistance applied.


 

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