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Yaser Al Harbi-Multiple Sclerosis-(Saudi Arabia)-Update on Feb.2nd, 2017

Author Zhangqi Views Posted at 2016/09/13

Name: Yaser Al Harbi 
Sex: Male
Nationality: Saudi Arabian
Age: 38
Diagnosis: Multiple Sclerosis
Date of Admission: July 11th, 2016
Treatment hospital/period: Wu Medical Center/17days

Before treatment:
In 2013, Yaser felt weakness in the left leg without knowing why. This especially happened after a long walk. He didn’t care about it at first, but eventually the condition got worse. His left arm began to become weaker as well. He went to the local hospital and had a CT, MRI and other examinations done. He was diagnosed with multiple sclerosis. At present, the strength of the left leg is weak. The muscle power of the left leg is lower than normal. He limps when he walks. He has decreased sensation. He takes Avonex 30ug,im, once a week. He also takes amantadine hydrochloride 100mg bid. The disease has not been controlled and has progressed slowly.
Yaser has been in good spirits since the onset of the disease.  His sleep and appetite were good. His urination routine and bowel movements were good.

Admission PE:
Bp: 123/80mmHg, Hr: 84/min, body temperature: 36.5 degrees. Height: 186cms, weight: 85kgs. Yaser’s physical condition was normal, his nutritional status was good. The skin and mucosa were normal, with no yellow stains or petechia. There was no congestion in the oropharynx. The thorax was symmetrical. The respiratory sounds in both lungs were normal. There were no dry or moist rales. The heart sounds were strong. The cardiac rhythm was regular, with no obvious murmur in the valves. The abdomen was flat and soft, with no masses or tenderness. The liver and spleen were normal. There was no edema in the lower limbs.

Nervous System Examination:
Yaser Al Harbi was alert and in good spirits. His speech was clear. His memory, orientation and calculation ability were normal. Both pupils were equal in size and round, their diameter was 3mm. Both pupils were insensitive to light stimulus. Both eye fields were normal. There was no nystagmus. The forehead wrinkle pattern was symmetrical. The bilateral nasolabial sulcus was equal in depth. His mouth and teeth were in the right position without deflexion. The tongue was centered in his mouth. The tongue muscle was normal. The uvula was in the right position. His neck could move freely. The muscle tension of all four limbs was normal. The muscle power of the right limbs was at level 5. The left hand gripping power was at level 5-, the right hand gripping power was at level 3. The muscle power of the left upper limb was at level 4, the left lower limb was at level 3-. The tendon reflex of both upper limbs was basically normal. The tendon reflex of both lower limbs was weak. The abdominal reflexes were abnormal. His palm jaw reflex and bilateral Hoffmann sign were negative. The left side Babinski sign was positive. The right side Babinski sign was negative. The bilateral ankle clonus was negative. The cutaneous acupuncture sensation was decreased below the left shoulder. The other sensory examinations were normal. The left side finger-to-nose test was not good. The left side rapid rotation test was uncoordinated. The right side finger-to-nose test and rapid rotation test were normal. The bilateral finger-to-finger test and ankle-knee-tibia test were normal. He was able to stand on the right leg for 3 seconds. He was unable to stand on the left leg. The meningeal irritation sign was negative.

Treatment:
After admission, Yaser was diagnosed with multiple sclerosis. He was given 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his nerves, activate the stem cells in his body, promote the stem cells’ expression of their functions, nourish the nerves, regulate the immune system and improve blood circulation. He also had physical rehabilitation training.    

Post-treatment:
After 17 days of treatment, Yaser’s left limbs were more powerful, the muscle power of the left upper limb was at level 5, the left lower limbs was at level 5-. He was able to stand on one leg for a longer time, the right leg for 5 seconds, the left leg for 3 seconds. He was able to walk longer distances. His energy and spirit were better than before.

 

 

 

 

 


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E-mails:

Date:2017-1-18

Dear Dr. Susan,

Please find attached patient Yaser Al Harbi Month 5 Lab Report.
To let you know:
Patient had improved a lot, his left hand is very good, he can do anything with
it, but his right hand trembles from time to time. Also, his left leg is weak.
waiting for your evaluation.

Regards

Jessica

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