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Santino Ramon Azulay Masud - Cerebral palsy and Chorea (Argentina)

Author Julia Views Posted at 2014/01/13

Name: Santino Ramon Azulay Masud
Sex: Male
Country: Argentina
Age: 6 years
Diagnoses: Cerebral palsy
Admission Date: 2013-05-20
Days Admitted to the Hospital: 29

Medical History:
The patient was born full-term and had no abnormalities when he was born. The patient suffered from obvious yellow stain of skin mucous membrane on the second day after birth. The disease was aggravated after 2 weeks treatment. He was sent to ICU for high bilirubin encephalopathy. He also suffered from low blood pressure and shock. He received Dopamine for treatment. He suffered from epileptic attack, so he received EEG examination and the result showed he had sharp wave of sleep and part neuron over discharge. He received antiepileptic drug for treatment, and the examination of the eyes was normal. The examination of throat and swallow system showed: he had a few gastro-oesophageal reflux. He also had chondromalacia. He was diagnosed with cerebral palsy, high neonatal bilirubin encephalopathy, dysarthria and quadriplegia. Before the treatment, the patient could only say "Daddy" and "Mommy". Most of the patient's language was babble. He had some attention to all the things around him. He could express his thoughts through his expressions. The hearing and vision were normal. He had poor control of his head and neck. He couldn't stand, sit or walk. The trunk presented with torsion-spasm. The four limbs suffered from athetosis.

Nervous System Examination:
Santino Ramon Azulay Masud was alert. He had a speech disorder and could only say "Daddy" and "Mommy". He could understand simple sentences and express "Yes" or "No" through facial expression. He wouldn't cooperate with the examination of orientation, memory or calculation. Both pupils were equal in size and round, the diameter was about 4.0mm. Both pupils were sensitive to light stimulus. The eyes' movement was flexible. Both eyes could follow an object. He couldn't cooperate with the cranial nerve examination. The swallow ability was normal. He had a liquid diet, with no cough when he swallows. The muscle strength of the neck was weak. The muscle tone was high. He couldn't cooperate with the examination of muscle strength. He could swivel his head in the horizontal position. He couldn't raise his head. The trunk presented torsion-spasm. The four limbs had activity and he suffered from athetosis. His hands could grasp an object. Both his hands had difficulty with opening fingers. When he grasps an object, the head turns offside. For the torsion of neck, he couldn't see the target. He couldn't turn over, sit up, stand or walk. The muscle tone of the four limbs was increased. He has flat feet. The tendon reflex of the four limbs was not elicited (since the muscle tone was high). The abdominal reflexes were normal. Bilateral sucking reflex was negative. The Babinski sign was positive. He couldn't cooperate with the examination of sensation and coordinate movement examination. The meningeal irritation sign was negative.

Treatment:
After admission, Santino Ramon Azulay Masud received the relevant examinations. He was diagnosed with cerebral palsy. The patient received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves, nerve regeneration, activate autologous stem cell and to nourish the neurons. He also received treatment to strengthen nutrition. This was combined with motor function and speech function rehabilitation training.

Post Treatment:
The patient's weight: 15Kg. The cognitive function has improved. The patient can focus his attention better. The time of staring at an object has extended. The speech function is better than before, and has more pronunciation. He can say single syllable words, such as "Ah", "Oh" and "Wu". He has more autonomous language, such as "Daddy", "Mommy" "Grandma" and "Love you". The muscle tone of the four limbs is more reduced than before. The torsion-spasm of the trunk is alleviated obviously. Athetosis is obvious alleviated too. He has less related action. The action of hyperactivity is reduced obviously. Both upper limbs have more autokinetic movement. The torsion of neck is alleviated obviously when exercising the limbs. He can stare at the object and touch the object. The hold degree of both hands is alleviated. He can grasp and open hands. He can tap a small object, such as a roly-poly. The muscle strength of the neck, four limbs and the trunk has increased more than before. He has better control with his head and spinal column. In relaxed condition, with some assistance, the patient can maintain a sitting position and control the movement of his head in a relaxed condition.

2013-06-20

Santino's family member emailed to us, Santino has significant progress when he returned home. He sit better than before and has good mood.

 

 

Date: Tue, 10 Sep 2013
Lisa/ Susan :
Hola espero est��n todos bien ac�� siempre acord��ndonos de Uds, con mucho afecto .- Les enviamos muchos cariños a todos, enfermeras, medicas y a Tuoya, phebe y TO y Pruzio en especial.-

Todos fueron muy buenos y amables con nosotros.-

Santino mejora todos los d��as un poquito.-

Espero prontamente tu contestaci��n.

 


 

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