Ms. Patinkin-Parkinson Disease-(Russia)-Posted on June 13th, 2017
Name: Ms. Patinkin
Sex: Female
Nationality: Russian
Age: 44Y
Diagnosis: Parkinson disease
Date of Admission: Feb. 11th, 2017
Treatment hospital/period: Wu Medical Center/5 days
Before treatment:
The patient felt stiffness in her left shoulder 5 years ago but she didn’t care about it too much. After that her left arm became stiff and she was unable to move it well. She was diagnosed with Parkinson's disease by a local hospital and she took some medicines but the effect was not very high. Her condition became worse, she was unable to walk well and her walking position was abnormal. She spoke faster, was unable to write well, had pain in her legs and back and couldn’t sleep well managing just 4-6 hours each day. She takes Levodopa 125mg, twice a day, Rasagiline 1mg, once a day, Pramipexole 3mg once a day. She is able to take care of herself but her movement is slow and her balance function is bad so she came to our hospital.
Her appetite is normal, she is unable to sleep well, her urination and defecation abilities are normal.
Admission PE:
Bp: 126/84mmHg, Hr: 75/min. Breathing sounds of both lungs are clear with no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and no obvious murmur in the valves. The abdomen was bulging and soft but with no masses or tenderness. Liver and spleen are in the normal position and there is no edema of the legs.
Nervous System Examination:
Patient was alert but her facial expression was reduced. Speech was clear but rapid. Her memory, orientation and calculation ability were normal. Both pupils were equal in size and round, diameter as 3.0mm, react well to light, eyeballs can move freely. Her tongue is in the middle with no tremor. The bilateral soft palate lift is normal and the uvula is in normal position. She can shrug her left shoulder slowly, muscle power of left arm is 5-, the right arm is 5 degrees. Muscle power of the legs is 5 degrees. Muscle tone of the 4 limbs is normal and tendon reflex is normal. Abdominal reflex is normal, the bilateral Hoffmann signs are negative, Rossilimo signs are negative, sucking reflex of both sides is negative, the bilateral Palm-jerk reflex is negative. Babinski sign of the left side is a doubtful positive, the deep and superficial sensitivity are normal. Fingers to nose test, fingers opposite test and fast alternate movement are basically normal. Patient can perform the Heel-knee-tibia test in a stable manner but slowly, she has an abnormal gait when she is walking. This is a festinating gait and she had bad balance control when she wants to turn around. The Romberg's sign is negative, the Meningeal irritation sign is negative.
Treatment:
After the admission the patient received a detailed medical examination and was diagnosed as 1.Parkinson disease 2. Chronic thyroiditis. She received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair her damaged nerves, replace dead nerves with new injected stem cells, nourish nerves, regulate her immune system and improve blood circulation, This was done along with rehabilitation training.
Post-treatment:
After 5 days’ treatment, her back pain has reduced and her night sleep is better. The four limbs are more flexible. Her balance has improved and she is now able to turn around in a normal manner. Both her energy and spirit are better and her exercise tolerance is much better.
