Bindra Umrawsingh-Alzheimer's Disease-(Trinidad and Tobago)
Name: Bindra Umrawsingh
Sex: Female
Nationality: Trinidad and Tobago
Age: 72Y
Diagnosis: 1. Alzheimer's Disease 2. Hypertension 2 degree 3. Diabetes (type2)
Before treatment:
Patient had no obvious indication of memory loss 3 years ago but she often forgot to bring her keys as the condition progressively increased. She went to a local hospital and did head CT, EEG, EMG and a series of checks and was diagnosed with "Alzheimer's disease". She took oral "donepezil, vinpocetine, coenzyme Q10" and other drugs without any good effect. Her condition was still progressing gradually with her memory loss becoming more and more serious. The calculation ability and other cognitive ability levels were obviously declining, and it was difficult to communicate with the family. At present the patient’s active language is very low. She could only answer with some single words in the morning, she is unable to eat or wash her hands, she is unable to control her urination or defecation ability. She came to our hospital for further treatment. Since the onset of the disease she has had normal diet and sleep patterns, incontinence of urination and defecation but weight changes are not obvious.
Admission PE:
Bp: 143/97mmHg, Hr: 75/min, body temperature: 36.7. The respiratory sounds in both lungs were clear, there was 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 soft and bulging with no masses or tenderness. Her liver and spleen cannot be found easily by touch examination. There was no edema of the lower limbs.
Nervous System Examination:
Patient was alert but her mental status was weak with low facial expression. Her eyes open and do not respond when we try to communicate with her. She could not complete the examinations of memory, calculation ability, insight or orientation ability. The pupils were equal in size and round, diameter of 3.0 mm, react well to light but she could not complete the eyeball movement examinations. The forehead wrinkle and nasolabial groove are symmetrical, she cannot compete the tongue out and lift the soft palate tests. She can move her 4 limbs, cannot complete the muscle power exam, the muscle tone of all 4 limbs are basically normal. Arm tendon reflex is normal, bilateral patellar tendon reflex cannot be induced, Achilles tendon reflex of both sides is normal. Abdominal reflex cannot be induced, sucking reflex is positive. Hoffmman sign and Rossilimo sign of left side are positive, the right side Hoffmann sign and Rossilimo sign are negative. Bilateral Palm-jerk reflex is positive, Babinski sign of both sides is negative. She cannot compete the examination of the 4 limbs coordinate movement function. The Meningeal irritation sign is negative.
Treatment:
After the admission, she received related examinations and was diagnosed with 1. Alzheimer's disease 2. Hypertension 2 degree 3. Diabetes (type2). She received 3 times nerve regeneration treatment to improve the brain blood supply, nourish nerves and control the blood pressure and blood sugar level, repair her damaged nerves, replace dead nerves, regulate her immune system and improve blood circulation. This was done with rehabilitation training.
Post-treatment:
After 14 days treatment her condition was better. Her emotional response was higher than before, her comprehension ability was improved and she responded with speech or action when other people talked to her. She was able to say hello in the morning and her hands activity was better than before.
