Tomas Gabriel Barrozo-Muscular Dystrophy-(Macedonia)

Name: Tomas Gabriel Barrozo
Sex: Male
Country: Macedonia
Age:13 years
Diagnosis: Muscular Dystrophy
Date: September 08, 2014

Before treatment:

The patient suffered from walking difficulty when he was 7 years old. He always falls down frequently. He received gene test 5 years ago and was diagnosed with Duchenne muscular dystrophy. The patient received rehabilitation training. The disease aggravated gradually. The weakness of both lower limbs was aggravated and it started with weakness of both upper limbs. Before the treatment, the patient could finish simple activities. He was unable to turn over, stand or walk.

From the onset of disease, the patient had good spirit. The sleep and diet were good. The urine and defecation were normal. There was no similar disease in his family.

Admission PE:
BP: 105/60mmHg, Hr 92/min, Br 24/min. The temperature of the patient was 36.5 degree. He had an obese figure. His skin was normal, with no petechia or yellow stains. The respiratory sounds in both lungs were clear, with no obvious dry or moist rales. The sound of his heart was strong and regular, with no obvious murmurs. His abdomen was slightly enlarged and it was soft, with no pressing pain or rebound tenderness. The liver and spleen were not enlarged. Bilateral knee and ankle joint tendon had been contracted. The legs cannot be straightened and knee joints formed a curvature of 120 degree. His ankle did not allow him to unbend. His feet drooped and rotated inwardly. His lumber slightly swayed back.

Nervous System Examination: 
The patient was alert and he spoke fluently. His memory and orientation abilities were normal. The intelligence such as calculation, understanding abilities was lower than children of his age. His pupils were equal in size, the diameter was 3.0mm. Both eyeballs could move normally and the pupils reacted normally to light stimulus. His forehead wrinkle pattern was symmetrical. He was able to close his eyes with ease. His bilateral nasolabial sulcus was equal in depth. His teeth were symmetrical. Her tongue was in the center of oral cavity. He drummed his cheeks and no leakage seen. He could lift his soft palate with ease. The neck muscle is at level 4. He can turn his head with ease; the grip strength of left hand was at level 4, and that of right hand was at level 3; the muscle strength of both arms was at level 2-, that of forearms was at level 3-; the muscle strength of lower limbs was at level 1; the muscle tone of limbs was lower than normal. He was not able turn over, stand or walk. The muscle tendon of four limbs was weakened obviously. Bilateral palm jaw reflex, Hoffmann sign, Rossilimo sign and Babinski sign were negative. His deep or shallow sensation and his fine sense were normal. He could perform or do the finger-to-nose test, digital opposition test and rapid rotation test on both sides normally. He could not perform the heel- knee - shin test. There were no signs of meningeal irritation.

Treatment: 
Tomas Gabriel Barrozo was diagnosed with Duchenne Muscular Dystrophy prior to his coming to China according to the gene detecting result. After the patient was admitted, he was given a completed examination. His aminopherase was much higher than normal. He was diagnosed with Muscular Dystrophy, Hepatic Dysfunction and Hyperuricemia. The patient received treatment for nerve regeneration and to activate stem cells in vivo. He received treatment to promote muscle fiber and nerve regeneration. He received treatment to nourish his neurons, improve blood circulation and restore neural function. He also received treatment to protect his liver function and lower down the level of urine acid. This was accompanied by daily physical rehabilitation.

Post treatment:
At present, the patient's condition is better than before. Now he shows more inclination to communicate with others. Liver function is better than when he was admitted, and the urine acid has been lowered. He can complete turn over with a little bit assistance. The contracture of muscle tendon of knee joint has been alleviated, of which knee joint of left leg has open to an ankle of 130 degree and that of right leg has open to an ankle of 160 degree. The contracture of muscle of tendon of ankle has been alleviated. The muscle strength of neck and four limbs has improved and arms are getting flexible. The muscle strength of left arm is at level 2+, that of left forearm is at level 4+; the muscle strength of right arm is at level 3, that of right forearm is at level 4; the grip strength of both hands has greatly improved, that of left hand is at level 4+ and the grip strength of left hand is at level 4; the muscle strength of legs is at level 2. He can control to some degree of his legs when the legs were in a bended posture. In a small range he can control his legs to move inward and outward freely. He can raise up his knee away from the bed to a small height and he can stretch his knees when they are bent.

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