Home > Patient's Stories > Stroke > Article Content

Won Jonghyuk-Sequel of Storke-(Korea)-Update on April 26th, 2018

Author Zhangqi Views Posted at 2017/03/30

The second round of treatment:

Name: Won Jonghyuk
Sex:
Male
Nationality:
Korean
Age:
58Y
Diagnosis:
1. Stroke 2. Hypertension (2 degree) 3. Diabetes (type 2)
Date of Admission: Oct. 16th, 2017
Treatment hospital/period:
Wu Medical Center/12 days

Before treatment:
The patient felt weak in the right side of his  body one night 2 years ago. When he woke up he found he had right side facial paralysis. He went to a local hospital and the right side of his body was then unable to move after a few hours. He did a brain MRI and CT and  was diagnosed with a stroke. After 2 months treatment he was able to walk slowly but his right hand fingers and right leg were affected still. He did regular rehabilitation training. He went to our hospital 1 year ago and after treatment his right hand and fingers became more flexible and the muscle power of his right side body was increased. However, he now continues to have some problems with the right side of his body, it is hard for him to grasp objects and his walking is abnormal.
His spirit and sleep are normal. His urination and defecation functions are normal. He has diabetes type 2 and hypertension.

Admission PE:
Bp: 131/81mmHg, Hr: 92/min, breathing rate: 19/min, body temperature: 36 degrees. Height: 161cm, weight: 61 Kg. Nutrition status is good with normal physical development. There is no injury or bleeding spots of his skin and mucosa and no blausucht. The chest development is normal, the respiratory sounds in both lungs were clear and there were no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was flat and soft with no masses or tenderness. The liver and spleen were normal, shifting dullness is negative. The spinal column is normal and there was no edema in the legs.

Nervous System Examination:
Patient was alert and his mental status is fine with clear speech. His memory,  orientation and calculation abilities were normal . Both pupils were equal in size and round with a diameter of 3 mm and react well to light. There was right side palpebral fissure broadening, sight in the left eye was slightly blurry, the eyeballs could move freely. The eye convergence was poor, there was no diplopia. Bilateral forehead wrinkle was symmetrical, right side closing the eyes ability was weaker and the left side was powerful. His right side could not bulge the cheek as normal, the soft palate could lift as normal. his swallowing function was normal and there was no choking when he took food. He could make his tongue extend out as normal, showing teeth was to the left side. Neck was soft, he could turn his neck powerfully, the left shoulder could shrug powerfully while the right side was worse. Left arm and leg muscle power was 5 degrees, right arm proximal side muscle power was 3 degrees,  the distal side was 4 degrees. The wrist joint movement was limited, right hand was bent and he had difficulty to grasp with a grip force of 3 degrees. The right leg muscle power was 4 degrees, right ankle movement was limited. plantar flexion and dorsal stretch ability was reduced and when he was walking the right leg was slightly rigid.  Muscle power of the left side of the body and right leg was normal, the right arm was higher. His left body side tendon reflex was normal, right side was slightly active.  Achilles tendon reflex could not be induced, bilateral Palm-jaw reflex was negative, Rossilimo sign, Hoffmann sign of both sides were negative. Bilateral Babinski sign was positive. The right side showed hemihypalgesia while the left side was normal. Co-ordinated movement of the left side was normal. He could not perform the fast alternate movement, finger to nose test or finger opposite movement with the right arm. Right leg heel-knee-tibia test was not stable. The meningeal irritation sign was negative.

Treatment:
After the admission he received related examinations and received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace dead nerves with new injected stem cells, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 12 days treatment his blood sugar control was much better, right hand finger movement was much more flexible, the grip force increased 20% and the right leg muscle power increased 20%. He walked faster and for longer and his walking position was improved.

The first round of treatment: 
Date of Admission: October 31th, 2016
Treatment hospital/period: Wu Medical Center/15days

Before treatment:
On June 8th, 2015, Won Jonghyuk felt weakness in his right arm and leg. It was 2:00 a.m. and the corner of his mouth had drooped. He was taken to the local hospital and several hours later his condition got worse, He was unable to move the right side of his body. They did a brain MRI and CT and the diagnosis was cerebral arterial thrombosis. Won received 2-3 months’ treatment and his right arm and leg became more powerful. He was able to walk slowly but he was unable to move his right fingers and toes. The patient undertook regular rehabilitation training but he couldn’t grasp objects with his right hand and felt too weak to walk. He was unable to take care for himself. He wanted a better life so he came to our hospital.
His mental and emotional state was good but he couldn’t sleep well. His bladder and bowel functions were good.

Admission PE:
Bp: 129/73mmHg; Hr: 85/min. RP: 20/min. Body temperature:36.2 degree. Height:174cm,weight:60kg. His body shape was good. Nutrition was normal. There was no ecchymosis, petechia or yellow stains on skin. There was no cyanosis on his mouth and lips. There was no congestion in pharyngeal area. The thorax was symmetrical. The respiration in both lungs was clear with no dry or moist rales. There was no swelling in the precordium area. The heart beat was strong and the rhythm was regular, with no murmur in each valve. The abdomen was flat and soft, with the absence of tenderness and rebound tenderness. There were no masses. The liver and spleen were not touched under the rib. Shifting dullness was negative. Spine physiological bending exists. There was no swelling in either leg.

Nervous System Examination:
Won Jonghyuk was alert,his spirit was good but his speech was slightly unclear. His memory, orientation and calculation were normal. Both pupils were equal in size and round, the diameter was about 3.0mm. Both pupils were sensitive to light stimulus. The palpebral fissure on the right side of the face was wide,his right eye vision was slightly blurred. Both eyeballs could move freely to each side. There was no diplopia. The forehead wrinkle pattern was symmetrical. The ability to close the right eye was weak but the left eye was strong. Blowing air into the right cheek was not good. Bilateral soft palate lift  was normal and his swallow was normal. The action was normal  when eating. The tongue was in the center of oral cavity. The problem was toward to left side when showing his teeth. His neck was soft and he could turn it strongly. There was difficulty in shrugging his right shoulder. The muscle power of his left arm and leg was level 5. The abductor power of his right arm was level 3-,extensor and flexor muscle strength was level 4. His wrist joint activity was limited. There was difficulty in clasping and holding with his right hand,grip power was level 0. The muscle power of his right leg was level 4. His right ankle activity was limited. Plantar flexion and back stretch was weakened. His right leg displayed stiffness when walking. The muscle tension of his left side was normal. The muscle tension of his right arm was slightly high but the muscle tension of his right leg was normal. The biceps reflex radial periosteal reflex of left arm was normal,patellar tendon reflex of left leg was normal. The biceps reflex,radial periosteal reflex of right arm was active. The patellar tendon reflex of right leg was weak. The left ankle jerk was normal. The right ankle reflex could not be elicited. Bilateral Hoffmann sign, Rossilomo sign, bilateral palm jaw reflex was negative. Bilateral Babinski sign was positive. The right side of the partial body pain remission,the left side was normal. The Rotation test,finger-to-finger,finger-to-nose test of left arm was normal. The heel-knee-tibia test of left leg was normal. The Rotation test,finger-to-finger,finger-to-nose test of right arm could not be completed. The heel-knee-tibia test of right leg was not stable. Meningeal irritation sign was negative.

Treatment:
He was diagnosed with Sequel of Storke. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged brain nerves, replace dead nerves with new injected stem cells, provide nourishment to the neurons and expand the blood vessels in order to improve the blood supply to the brain and stabilize organ function. This was combined with physical rehabilitation training.         

Post-treatment:
After 15 days of treatment, his right side shrugging of the shoulder was better. The right arm could lift up higher than before,he could touch his tip of nose and his arm could lift away from his body. The activity of his right hand was better than before. He could grab with and open  his right hand,the grip power of his right hand was increased to level 3. The right leg muscle strength was increased to level 4+,hip and knee joint bending was more stable than before. The power of acrotarsium had increased. His right foot could lift higher when he walking. He could walk longer and his gait was better than before.

-----------------------------------------

Related Information:

Tel: +86-10-83614168 Fax: +86-10-83614167 Email:  info@wumedicalcenter.com
Add:198 Fengbao Road, Beijing, China Zip:100160  Contact Us 
Copyright@2013 Runde Healthcare Consulting Limited. 
abuse@anti-spam.cn