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Hendrik Pieter Kroonenburg-Stroke-(Germany)-Posted on Sept.4th,2015

Author Zhangqi Views Posted at 2015/09/04

Name: Hendrik Pieter Kroonenburg
Sex: Male
Nationality: Germany
Age: 35 Years
Diagnosis: 1. Stroke 2. Secondary Epilepsy 3. Hypertension 4. Hyperlipemia
Date of Admission: July 21, 2015
Treatment hospital/period: Wu Medical Center/22 days

Before treatment:
The patient had headache and he couldn’t move his left body very well 7 years ago. He was sane and didn’t have puke, so he went to the local hospital and had CT, MRI, the local hospital diagnosed as stroke and hypertension. He received DSA treatment, during his treatment, he had disturbance of consciousness and twitch, the doctor considered him as secondary epilepsy, so he had medical treatment. After the treatment, his spirit was better, the muscle power of his left side was higher, he kept the rehabilitation training, but he still felt weak of his left body, his left hand couldn’t move very well, he couldn’t open his left fingers, either. He couldn’t do finger to finger test. The lower limb’s range of motion recovered to 95%, he wants a better life, so he comes to our medical center.

His spirit was good, his diet and sleep were normal. His urination and defecation were normal. His weight was normal.

Admission PE:
Bp: 138/95mmHg; Hr: 79/min. BT: 36.4 degree, RP: 18/min, height: 178cm, weight: 84kg. His body type was good and his nutrition was normal. The skin and mucosa were normal, with no yellow stains or petechia. His respiratory sounds of both lungs were clear, without dry or moist rales. His heart sounds were strong, there was no obvious murmur in the valve area. His abdominal was bulge, the liver and spleen were not enlarged, both of his lower limbs was normal.

Nervous System Examination:
Hendrik Pieter Kroonenburg was alert and good spirit. His speech was good. His calculation, memory and orientation abilities were normal. Both pupils were equal in size and round, the diameter was 3.0mms, both eyeballs could move freely and the pupils reacted normally to light stimulus. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. the tongue was centered in the oral cavity with no teeth deflection. His tongue was in the middle. His neck was soft, he couldn’t shrug his left shoulder powerful. The muscle power of right side was at level 5, the left  abductor muscles power was at level 5-,  the left extensor and flexor muscle power was at level 5-. The left wrist power was at 5-. The left grip was at level 3-. It was difficult for him to extend his inflective left hand. The muscle power of left lower limb was at level 5-. Both side muscle tension was normal. The abdominal reflexes was normal. The tendon reflex of both side was normal. The left side Hoffmann sign, Babinski sign and Rossolimo sign were positive. Both side palm jaw reflex was positive. His left side had 40% hemihypalgesia, his left side partial body diapason vibration sensation decreased 60%. Left side complex of sensation was normal, right side sense examinations were normal. His left side couldn’t do finger to finger test, left side did the rapid rotation slowly. Left side finger to nose test was normal. Right side coordinated movements was normal. The meningeal irritation sign was negative

Treatment:
Hendrik Pieter Kroonenburg was diagnosed as 1. Stroke 2. Secondary Epilepsy 3. Hypertension 4. Hyperlipemia. He received four times of neural stem cell injection and four times of mesenchymal stem cell injection. He also received treatment to initiate nerve repair and regeneration. He had medicines to nourish neurons, improve circulation and adjust immune function. We gave him daily physical rehabilitation to improve the movement function. He was also given treatment to control hyperthyroidism and lower his blood lipid.

Post-treatment:
After 3 weeks treatment, his blood pressure was stable, he didn’t have epileptic attack, his blood lipid was normal. His left side body was more powerful.
his left hand grip was at level 5-, he could extend his inflective left hand easier. His left hand could do the finger to finger test slowly, and the rapid rotation test was flexible. The muscle power of left lower limb was at level 5. Left side Hoffmann sign was negative. Left side Rossolimo sign’s positive index was lower. Both side palm jaw reflex was negative. Left side Babinski sign was negative. Left side pain sensation decreased 20%. His left side partial body diapason vibration sensation decreased 30%.


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