Pablo - Cerebral palsy The patient is a premature baby and born through cesarean. The patient suffered from frequently epileptic seizure for oxygen deprivation during his birth process. He received anti-epileptic therapy in a local hospital. About 15 days later, the patients disease was under control. But his growth and development was limited. He also suffered from severe delay in movement and cognitive function. From onset of the disease, the patient took spasmolysis and tranquilizer medications for a long time. He received rehabilitation in a local rehabilitation school. Before the treatment, the patient still had epileptic seizure. He had no speech disorder. He also suffered from cognitive disorder. He couldnt turn over, sit or walk. He was kept in bed. The trunk was presented with torsion-spasm. From onset of the disease, the patient had poor spirit. He had swallowing difficulty. He had diet through gastrointestinal colostomy and feeds 8 times each day. The sleep was ok. He had constipation and used paper diaper for urine. The urine quality and color was almost normal. Admission PE: BP: 110/65mmHg, HB: 99/min, Temperature: 36.5 degree, Weight: 20kg. The thorax was slightly out of shape. The respiratory sounds in both lungs were clear with no signs of dry or moist rales. He had very clear stridor and sometimes has phlegm or other matter in his mouth. The rhythm of heartbeats was regular without obvious murmur in the valves. His abdominal muscles had tension. The liver and spleen were normal with palpable touch. His legs were not swollen. Nervous System Examination: The patient was alert. He could say some syllables, but could not speak or communicate with others. He was slow in response. He could not cooperate with memory, orientation and calculation test. Both pupils were equal in size and round. He could make some sounds but could not speak or communicate. He was slow in reaction. His eyes were flexible to light stimulus. His eyes were not in right position and has nystagmus. He could not cooperate to tongue protrusion. The uvula was in the middle. The tonsil was enlarged and he has difficulty in swallowing. His neck muscle had tension. His head tends to turn to right side due to spasticity. He had difficulty in raising his head. The muscle tone of his arms and legs was higher than normal. His right arm was in flexed posture and his lower limbs were in a straightened posture. He could not cooperate with the exam of muscle strength. His body trunk was weak, and he could not turn over, sit-up or walk. His bilateral abdominal reflex was negative. Bilateral tendon reflex was active. Bilateral ankle clonus reflex was negative. Sucking reflex was positive. Bilateral jaw reflex and Babinski sign were negative. He could not cooperate with other examinations. The laboratory test showed he had abnormal liver function. The glutamic-pyruvic transaminase level was higher than normal. Treatment: After admission, the patient was diagnosed with cerebral palsy and secondary epilepsy and abnormal liver function. He received treatment for nerve regeneration and to activate stem cells in the body. He was given treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves and nourishment for the neurons. He was also given treatment to protect his liver and alleviate the tension of his body. This was combined with daily physical rehabilitation therapy. Post-treatment: The seizure has been under control. The liver function has improved and the level has reach the normal level. He has more facial expression. He has emotional communication with others. The stridor sound is lower than the time he was admitted. The muscle tone of his head, neck and limbs has been alleviated. He can turn to left side more flexibly and keeps a longer time than before. The torsion-spasm in the whole body is alleviated. The movement of his four limbs has increased. He can turn over partly. wumedicalcenter/article/PatientStories/cp/332014519986.html
Posted on: Mon, 09 Jun 2014 01:27:12 +0000
Trending Topics
Recently Viewed Topics
© 2015