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Mohamad Al Rashid-Epilepsy-(The Republic of Lebanon)-Posted on Mar.3rd,2015

Author Zhangqi Views Posted at 2015/06/18

Name: Mohamad Al Rashid
Sex: Male
Country: The Republic of Lebanon
Age: 10 years
Diagnosis: 1.Epilepsy 2.Cerebral palsy
Date: Jan. 31th, 2015
Days Admitted to Hospital: 21 days

 

Before treatment:
Mohamad Al Rashid had asphyxia and neonatal septicemia when he was born. He had been rescued right after he was born and his vital signs were stable. But his left limbs couldn’t move freely and sometimes he had epilepsies. He took antiepileptic from that time. As he grew up he had cognitive dysfunction, and his knowledge and emotion growth were slower compared to other children of the same age. He had hemiplegia on left side and his joints had tendon contracture so he had a surgery in 2010 to improve his condition. After the surgery, his left side joints’ movement was better than before but when he walked there was difference between him and others. He had abnormal gait. He could move by himself. He was quiet and speaks less frequently. His comprehension and reaction was slower. His family wants him to have a better treatment, so he came to our hospital.

He was in good spirit; his sleep, urination and excrement were good. He was in good body shape and condition. His hip joint was painful when he abducted his left lower limb.

Admission PE:
Bp: 122/69mmHg; Hr: 78/min, Height: 140cms, weight: 53kgs. The skin and mucosa were intact with no yellow stains or petechia. The respiratory sounds in both lungs were clear with no dry or moist rales. Through auscultation, the heart sound was strong. He had juvenile arrhythmia. The cardiac rhythm was regular with no obvious murmur in the valves. The abdomen bulged out and soft with no pressing pain or rebound tenderness. The liver and spleen were normal.

 

Nervous System Examination:
Mohamad Al Rashid was alert. He was quiet and speaks less frequently. His spirit and emotion were over active. He had less vocabulary and mainly was phrases and words. He could express his meaning correctly. He could simply communicate with others. His comprehension and coordination were good but his reaction was a little slow. He didn’t cooperate with the examination of orientation and memory. His calculation was not good enough. Both pupils were equal in size and round. The diameter was 3.0mm. Both pupils were sensitive to light stimulus. The eyeballs movement was flexible. There was no nystagmus. The forehead wrinkle pattern was symmetrical. The nasolabial sulcus was equal in depth. The movement of his four limbs was normal but left side was not good enough. His left hand couldn’t move flexible. The muscle power of right side was at level 5- and left side was at level 4. The muscle tension of four limbs was normal. The walking gait was abnormal. He had claudication. The tendon reflex of four limbs was normal. The abdominal reflex of right side was normal, left side was weaker. Bilateral Babinski sign were negative. He didn’t cooperate with sensitivity system. The coordinate movement examination wasn’t good. The meningeal irritation sign was negative.

 

Treatment:
After admission, Mohamad Al Rashid received the relevant examinations and diagnosed as cerebral palsy and epilepsy. The patient received treatment to improve the blood circulation, nourish the neurons and to enhance neurological rehabilitation.

 

Post-treatment:
After treatment, his mental and emotion were stable, he didn’t have seizure. His cognitive function, understanding and judgment were better. He could speak frequently. Left-hand rotation and finger-to-finger were regained. Right-hand rotation and finger-to-finger were more flexible than before. Both lower limbs were stronger than before. His gaits were better.

 

 

E-mail:

 

Date:2015-3-9

 

Dear Dr Susan Chu,

 

It's been such a pleasure & great opportunity to have been in your centre for the last period.
As you well know, my son Mohammed is doing well mith no major change in his health. However, we look forward to seeing more improvement within the next 6 months.

 

I would, please, to have a:

 

1) list of all needed tests & medical procedures for my son supposed to be done after discharge in order to feed you back with them as requested before from Dr Wu & Brit.
2) Any current & future suggestions for the patient.

 

I look forward to recieving this list as soon as possible, please.

 

 

 

Thank you again.........

 


Abdullah Al-Rashid

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