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Sara Claudia Tillman-Optic Nerve Injury-(United States)-Posted on October 13th,2015

Author Zhangqi Views Posted at 2015/10/13

Name: Sara Claudia Tillman
Sex: Female
Nationality: United States
Age: 21 Years
Diagnosis: 1. Optic Nerve Injury(Binocular Deprivation) 2. Left Injury of Acoustic Nerve
Date of Admission: Sept. 6, 2015
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
The patient had abscission of tonsil and adenoid on 5th May, 2015, she was narcotic. She leaved the hospital and felt nausea. She slept at 11 o’clock and found her lips was cyanotic at 4 o’clock the next day. Her family member couldn’t wake her up. So she was took to the local hospital. She got a fever and her SaO2 was 70%. Glasgow was 4, she received endotracheal intubation and antibiotic to treat her disease. in 7th May, she was removed the endotracheal intubation but lost her vision and left ear’s hearing. She received hormone therapy and anticoagulant therapy, the result was not well. Both of her eyes don’t have any light sense, her left ear doesn’t have hearing, the right ear was normal. She wants a better life, so she comes to our medical center.

His spirit, sleep, diet, urination, excrement and weight are normal.

Admission PE:
Bp: 118/78mmHg; Hr: 71/min. Br: 18/min. Her nutrition status was normal. Her skin and mucosa were normal, no yellow stains, petechial or bruise. The color of her mouth was normal. No pharyngeal hyperemia, bilateral tonsil with no swollen, there was no enlargement in thyroid gland. The bony thorax was symmetrical. The respiratory sounds in both lungs were clear, with no obvious rales. The precordial region was normal without apophysis, the rhythm of his heartbeat was normal, with no obvious murmur. Her abdomen was soft, with no pressing pain or rebound tenderness. The liver and spleen were normal. There was no edema in both lower limbs.

Nervous System Examination:
Patient was alert, mental status was good, the memory ability, orientation ability
and calculation ability are normal. Both pupils were equal in size, the diameter
was 4.0mms, she didn’t have react to light stimulus she didn’t have any light sense. Her eyeballs had flexible movement. Fundus examination: both retina color was light orange, the A/V: 1:3, artery was thinner than normal. The quantity of peripheral blood vessel was less than normal, the color of optic papilla was pale. The border was not clear, and the macula was depauperated. Right ear Rinner test (+), left otica kept 10 seconds, no air conduction. Rinner test (-), Weber test result: the right one was better. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth with no teeth deflection. The tongue was at the middle position. Her neck could move freely, the muscle tone and muscle power of 4 limbs were normal. The tendon reflex of both upper limbs was normal, the abdomen reflex was weak, the tendon reflex was abnormal. Both side pathological sign was normal. The deep and superficial sensation were normal, patient could finish coordinate movement as normal, meningeal irritation sign was negative.

After her admission, patient had complete detail body examinations, doctors confirm the diagnosis as: 1. Optic Nerve Injury(Binocular Deprivation) 2. Left Injury of Acoustic Nerve. She received 3 times of neural stem cell injection and 3 times of mesenchymal stem cell injection to activate the cells, nourishes neurons, improve circulation and immunity. She also had physical rehabilitation.

After the treatment, her condition was better. Both of her eyes had slight light reflex to light, she coulf feel the light. The blood supply to her fundus was better, her artery was clear to see. The left otica had long time air conduction, about 15 seconds, she could hear light sound at the beginning. 



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