Muzafer Fehratovic-Sequel of Spinal Cord Injury-(Holland)-Posted on June 1st, 2017

Name: Muzafer Fehratovic
Sex: Male
Nationality: Dutch
Age: 43Y
Diagnosis: Sequel of Spinal Cord Injury
Date of Admission: December 2nd, 2016
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
On July 27th, 2012, Muzafer Fehratovic was shot. He was unable to move his legs and lost feeling below his waist. He was taken to hospital and diagnosed with spinal cord injury. He received surgery and did rehabilitation training after that but he didn’t have any improvement. He wanted a better life so he came to our hospital.
His spirit, diet and sleep are good, he had catheterization and nurses will help him to urinate 5 times a day. He needs medicines to defecate.

Admission PE:
Bp: 123/72mmHg; Hr: 71/min. Temperature: 36.2 degree. Br: 20/min. His body shape was strong. There was no yellow stain or petechia on mucous membrane. The thorax was in symmetry. The respiratory sounds in both lungs were clear, with no obvious moist or dry rales. The heart sounds were strong, the rhythm of his heartbeat was normal. There was no obvious murmur in the valves. His abdomen was bulging and soft but with absence of tenderness.. There was a fluid buildup around his ankle. 

Nervous System Examination:
Muzafer Fehratovic was alert and his speech was fluent. His memory, calculation and orientation abilities were normal. Both pupils were equal in size, round, the diameter was 3.0 mms and 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 movement was flexible and he could shrug his shoulders normally. The muscle power of his arms was level 5. The muscle tension of the arms was normal. The muscle power of his legs was level 0，the muscle tension tests were slightly higher. There was spasm in the legs sometimes. The tendon reflex of the arms was normal but the tendon reflex of the legs was slightly lower. Ankle clonus on both sides  was negative. The abdominal reflexes of both sides could not be elicited. The deep and superficial sensory was reduced from T8 to T11，There was no deep and superficial sensory below T12. Bilateral Hoffmann sign was negative. Bilateral Palm jaw reflection and sucking reflex was negative. Bilateral Babinski sign was positive. The meningeal irritation sign was negative. The test of finger-to-nose was normal. Rapid rotation test was normal. He could not finish the heel-knee-tibia test. The meningeal irritation sign was negative.

Treatment:
After admission, he received related examinations and was diagnosed with sequel of spinal cord injury. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged spinal nerves, replace dead nerves with new injected stem cells, nourish nerve, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

Post-treatment:
After 14 days of treatment, he has greater feeling and the touch sensation is more sensitive than before in his left leg. There is a slight feeling of the crissum when he defecates. Superficial sensation reaches to L2. The pain of his lower limbs has reduced. The muscle power of both legs has increased from level 1 to level 2. His left knee-joint can now lift away from the bed.