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Bautista-Epilepsy-(Uruguay)-Posted on July 29th,2015

Author Zhangqi Views Posted at 2015/07/29

Name: Bautista Alberdi Garcia
Sex: Male
Country: Uruguay
Age: 5 years
Diagnosis: 1. Leukodystrophy 2. Epilepsy 3. Slight Anemia
Date: June 23th, 2015
Days Admitted to Hospital: 22 days

Before treatment:  
The patient was born on Sept. 17th, 2015 through C-section. The operation was good and the patient was normal. His weight was 2.85kg.  When he was 13 months old, it was found that his motor function and intelligence were bad compared to other children of the same age. He could walk with other’s help. His muscle tension goes high when he cries. The power for neck and upper limbs’ movement were bad. He couldn’t say “papa” or “mama”. He was taken to a local hospital and was undiagnosed there. He received clonazepam to treat the high muscle tension of lower limbs. After that, the patient’s muscle tension was close to normal. He could say simple words like “papa”, “mama”, but his motor function was worse, he couldn’t walk at all. At the age of 34 months, he went to Cuba and had MRI, he was diagnosed as leukodystrophy and had rehabilitation exercise, but there was less effect. The motor function of lower limbs was totally controlled. His left hand could grasp. His upper limbs could be lifted or moved away from bed for 5 cm. His neck could hardly hold his head. He couldn’t turn over or sit-up, he could only say “ya” and communicate with others in simple words, but his intelligence was worse. He came to our center to have a treatment 2 years ago. After our treatment, he could eat more. His nystagmus was less. The muscle power of neck and back were better. He could sit-up by himself for 3-4 minutes, and he could cross his legs. When he sat, his head was straighter and his grip was better. The upper limbs’ muscle power was better, he could raise his hands over his head, and the movement of both upper limbs was better. He could holds up his body with both upper limbs in prone position. He could bend his knees and hold up his body with both lower limbs. The muscle power of four limbs was lower than before, his lower limbs could do passive activity easier. These improvements achieved and maintained for about 2 years. His condition became worse in half a year ago. He had continuous onsets epilepsy. The disease attacked every day or alternate days. He couldn’t speak or swallow, he couldn’t turn over or raise his head. The movement of four limbs was weaker, his family wanted a better life, so he came to our medical center.

His spirit was bad, his sleep was good. He was fed through his stomach. His urination and defecation were normal.

Admission PE:
Bp: 82/56mmHg. Hr: 112/min. Height: 100cm. Weight: 11.5kgs. His nutrition was bad. There was no yellow stains or petechia on skin and mucosa. The pharynx was not congested. The respiratory sounds in both lungs were clear, with no dry or moist rales. The heart sound was strong. The heart rate was faster than normal. The cardiac rhythm was irregular, with no obvious murmur in the valves. The abdomen was flat, with no pressing pain or rebound tenderness. The liver and spleen were normal. The inferior border of costal arch was bulge, the spinal was bent to left. He had slight anemia, it was microcytic hypochromic anemia. 

Nervous System Examination:
Bautista Alberdi Garcia was always sleepy. He could only say “ah”. His comprehension was bad. He could not cooperate with the orientation, memory and judgment examination. Both pupils were equal in size and round, the diameter was 4.0mm. Right pupils was insensitive to light stimulus. The eyeballs movement was clumsy. The forehead wrinkle pattern was symmetrical. The nasolabial sulcus was equal in depth. He used nasogastric tube to eat and he couldn’t swallow. He couldn’t cooperate with other neurological examination. His neck and back were weak. He couldn’t raise his head even with someone’s help. He couldn’t turn over or sit-up. The muscle power of both upper limbs was at level 2, both lower limbs was at level 1. Both feet were inverse deformed, left foot bent 90 degrees, right foot bent 110 degrees. His motor function was poor, he couldn’t keep sitting. The muscle tension of four limbs was normal. The tender reflex of lower limbs was weak. The abdominal reflex was normal. Bilateral Hoffmann sign, Babinski sign and sucking reflex were negative. Bilateral palm jaw reflex was positive. He couldn’t cooperate with sensing system and coordinate movement examination. The meningeal irritation sign was negative.

Treatment:
After admission, the patient was diagnosed as leukodystrophy, epilepsy and microcytic hypochromic anemia. He received treatment to fix the abnormal nerves and regenerate new normal nerves. He was injected with stem cells and mesenchymal stem cells to correct anemia, improve the blood circulation and immunity, nourish the neurons and neurological rehabilitation.

Post-treatment:
The patient was chocked with water when he was being bathed, and he had a fever. He had epileptic attacked for 20 minutes. After treatment, his condition was better, he had less epilepsy, the seizure occured every 3-5 days, and it lasted 20 seconds. His back had more power. He could swallow. He could say more words. The movement was more. His muscle power was better, the right upper limb’s muscle was at level 3, and the left one was at level 2+. His right hand could hold objects. The muscle power of both lower limbs was at level 2.

 


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