Choo Youngun-Sequel of spinal cord injury-(Korea)-Posted on Feb.24th, 2017

Name: Choo Youngun
Sex: Male
Nationality: Korean
Age: 53Y
Diagnoses: sequel of spinal cord injury
Date of Admission: Sept. 20th, 2016
Treatment hospital/period: Wu Medical Center/15days

Before treatment:
In December 2013, Choo Youngun fell on ground, he felt dizzy and sick, he was support by others to home, at night, he had a high fever, unconscious, he was taken to hospital and did related examinations, he had an arthrodesis of neck 2 days later. He woke up 10 days’ later, but he couldn’t move his limbs, He did rehabilitation training and he could walk slowly with someone’s help 1 year later. His limbs were able to move but stiffness. He couldn’t take care of himself. He wants a better life so he come to our hospital and diagnosed with spinal cord injury.
His spirit, sleep and diet are good. He takes medicines to help defecate once in 3 days. It is hard for him to urinate.

Admission PE:
Bp: 116/76mmHg; Hr: 80/min. Temperature: 36.7 degree. Br: 18/min. Height: 172cm, weight: 72kg.There was no yellow stain or petechia on mucous membrane. There was a 9cm scar on his neck, the scar healed well. His pharyngeal was not congestive, his tonsil was no enlarged. The respiratory sounds in both lungs were clear, with no obvious moist or dry rales. The heart sounds was strong, the rhythm of his heartbeat was normal. There was no obvious murmur in the valves. The abdomen was bulge, his liver and spleen were normal. There was no dropsy of his lower limbs.

Nervous System Examination:
Choo Youngunwas alert and his speech was fluent. His memory, calculation and orientation abilities were normal. Both pupils were equal in size and round, the diameter was 3.0 mms, both eyeballs could move freely. Both eyes had sensitive response to light stimuli. The forehead wrinkle pattern was symmetrical. The tongue was centered in the oral cavity and the teeth were shown without deflection. His neck’s movement was slightly stiffness.His shoulders shrugged normal. The muscle tension of upper limbs as normal, lower limbs was higher, especially his right lower limb.The muscle power of upper limbs was at level 5-, both hands’ grip was at level 4+, it was difficult for him to move wrist, his fingers were malformed. The muscle power of lower limbs’ was at level 4. Right side abdominal reflex could be elicited slightly, left side abdominal reflex was abnormal. Upper limbs’ tendon reflex was active, lower limbs’patella tendon reflex was active. Both side achilles reflex was possive. The superficial sensation and deep sensation above T1 were normal. The superficial sensation below T1 is a little decreased. Lower limbs’graphesthesia was decreased, the other parts’deep sensation and finesensorymodalities were normal. Bilateral Hoffmann sign andRossilimosign were positive, Bilateral Babinski sign was positive. Both side ankle reflex could be elicited slightly. His right hand thumb, index finger and middle finger were able to do finger to finger test, the other side little finger was unable to do it. Rapid rotation test was clumsy, finger to nose test was normal. Lower limbs’coordinate movement examination was clumsy. The rombergs sign was positive. The meningeal irritation sign was negative.

Treatment:
The patient was diagnosed with sequel of spinal cord injury. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair damaged nerves, replace dead nerves with new injected stem cells, active stem cells in his body, nourish neurons, improve circulation, regulate his immune system. We also gave him daily physical rehabilitation.
         
Post-treatment:
After 15 days of treatment, the patient’s myospasm and muscle tension of lower limbs were lower, his wrist joints were more flexible，he could do the finger to finger test to the fourth figure. His control of lift lower limbs away the bed was more stable than before，romberg sign was stable，his control of balance and coordinate movement was better than before，muscle stiff of his left shoulder back was better，his urine control was better.