Zoltan Szegedi-Sequela of cerebral infarction-(USA)

Name: Zoltan Szegedi
Sex: Male
Nationality: USA
Age: 67
Diagnoses: 1. Sequela of cerebral infarction 2. Hypertension level 2
3. Hyperlipemia
Date of Admission: September 2, 2016

Before treatment:
In April 2013, Zoltan developed a sensory-motor disorder on the right side of his body., it was hard for him to swallow and speak, he went to the local hospital, and had a brain CT and MRI, he was diagnosed with cerebral arterial thrombosis, he was hospitalized and received treatment, after that, his symptoms improved. He began to do rehabilitation training for his limbs and speech. Four months later, he went home and did the rehabilitation training by himself. Currently, he has a sensory-motor disorder on the right side of his body. It is hard for him to move the right upper limb or grasp objects with his right hand. He can’t do fine movements. He is able to walk with crutches. He is unable to speak, and it is hard for him to swallow, and sometimes he chokes. He can’t take care of himself. He wants a better life, so he came to our hospital and was diagnosed with sequela of cerebral infarction.
His spirits and sleep were good. His urination and bowel movements were normal.

Admission PE:
Bp: 140/79mmHg; Hr: 76/min. Br: 20/min. Temperature: 36℃. Height: 180cm. Weight 83Kg. Zoltan’s nutrition was normal. The respiratory sounds of both lungs were clear, with no dry or moist rales. The heart sounds were dull and the rhythm was regular. The body figure was normal and the nutrition was good. The body skin was intact with no ulcerations or bleeding points. The lips had no cyanosis and there was no pharyngeal conestion. The thorax was symmetrical. The The precordium had no protrusions. The heart beat was strong and regular, 74/min. The auscultatory valve area had no obvious murmur. The abdomen was flat and soft, without pressing pain or rebound tenderness. The liver and spleen were normal. The legs had no edema.

Nervous System Examination:
Zoltan was alert. He had mixed aphasia. He had hypomnesis. His calculation ability was poor. The bilateral pupils were equal in size and round, and their diameter was 3mm. The light reflex was sensitive but the converging of the eyeballs was bad. There was no diplopia. The bilateral forehead wrinkles were symmetrical and he could close his eye with ease. The cheeks could be expanded easily. The bilateral soft palate could be raised up normally. The swallowing was difficult and he had bucking when he ate food. The tongue was in the middle and there was no deflection of the teeth. The neck was soft and the turning neck ability was strong. He could shrug his shoulders strongly on the left side, but the right side was weak. The muscle strength of left arm and leg was level 5. The right side muscle abduction strength was level ;, the flexor and extensor were level 4. The movement of the wrist joints was limited. The right hand had difficulty opening up. The gripping strength of the right hand was level 3. The muscle strength of the right leg was level 4. The movement of the right ankle was limited. The right ankle could not do adduction/abduction. The ability to bend and stretch the foot was decreased. He could walk with the use of crutches. The ability to raise the right foot was weak. Right side: muscle tone of the right upper limb was higher, the lower limb was normal. Right side: patellar tendon reflex was active. The bilateral palm-jaw reflex was positive. The Hoffmann sign and Babinski sign were positive. The deep and superficial sensation was normal. Right side: rapid rotation and finger-to-nose test were not able to be performed; only the forefinger and middle finger could do the finger-to-finger test; knee-shin-heel test was performed in an uncoordinated way. The meningeal irritation sign was negative.

Treatment:
Zoltan had a complete examination and the diagnosis was clear. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace the dead cells with new injected cells, activate stem cells in his body, regulate his immune system, improve his blood circulation and nourish the neurons. This was accompanied with rehabilitation therapies.          

Post-treatment:
After 15 days of treatment, Zoltan’s energy, sprits and speech functioning were improved. The muscle tone of his right arm has been alleviated. The accompanying movement of his right side when he shrugs his shoulders is less than before. The right hand can stretch more easily. The gripping is more flexible. His gait is better and he can walk longer.