Rachel-Facioscapulohumeral Muscular Dystrophy-(Israel)
Before treatment: Admission PE: Nervous System Examination: Treatment: Post-treatment: 
Name: Rachel
Sex: Female
Nationality: Israeli
Age: 45Y
Diagnosis: 1. Facioscapulohumeral Muscular Dystrophy (FSHD)2. Hypertension
The patient found her abdominal muscle could not support a fetus when she was pregnant 26 years ago. She felt pain in her shoulder and it was easy for her to feel tired after short walking. 22 years ago she went to a hospital and did some tests, her blood CPK was found to be higher than normal. She did a muscle biopsy and was diagnosed with Facioscapulohumeral Muscular Dystrophy. Her disease got worse day by day, it was hard for her to chew and sometimes she choked when she was drinking. 21 years ago she felt weak in her legs and she was unable to walk well 10 years ago. She was unable to control her urination or defecation functions a couple months ago. At present, she is able to walk with an abnormal gait, she always falls down, she needs help to go up and down stairs, she feels pain when she changes position or does activity events and there is saliva discharge when she is sleeping.
Her spirit and diet are good, she has urination and defecation problems, she has had hypertension for many years.
Bp: 120/70mmHg, Hr: 60/min, body temperature: 36 degrees, height 161cm, weight: 69Kg. Patient had normal physical development and her nutrition status was fine. There was no injury or bleeding spots of her skin and mucosa and no congestion of the throat. The breathing sounds of the lungs was clear but in the lower part it was weaker than normal with no rales. The heart beat was powerful with regular cardiac rhythm and no murmur in the valve areas. The abdomen was bulging and soft with no masses or tenderness. Her liver and spleen were normal with no edema of the legs.
Patient was alert, mental status was fine, speech was clear, the memory, calculation and orientation abilities are normal. Both pupils were equal in size and round, diameter of 3.0 mm, react well to light and both eyeballs can move freely. The bilateral forehead wrinkle and nasolabial groove are symmetrical, she can not close her right eye well, the tongue can stick out to lip side and showing teeth was normal. She cannot bulge her cheeks and her tongue cannot touch the cheek as normal. The bilateral soft palate can lift powerfully, she can turn her neck and shrug powerfully. Her arms cannot lift well when she sits. The left arm proximal side muscle power was 3 degrees, distal side muscle power was 4- degrees. The right arm proximal side muscle power was 3+ degrees, of the distal side it was 4 degrees. The hands grip force were 5 degrees. Patient's leg muscle power was 5- degrees. There is obvious muscle atrophy in her shoulders, back and chest area. 4 limbs muscle tone were basically normal. The arms biceps reflex, radial periosteal reflex and leg patellar tendon reflex and ankle reflex cannot be induced. Her palm-jaw reflex, Hoffmann sign and Rossilimo sign were negative, lower limbs Babinski sign were a doubtful positive. The bilateral finger opposite movement, finger to nose test and heel-knee-tibia test were basically normal. The left side fast alternate movement was clumsy, right side was normal. The meningeal irritation sign was negative.
After the admission she received 3 times cell regeneration treatment(neural stem cells and mesenchymal stem cells) to repair her damaged muscle cells, replace dead cells with new injected stem cells, nourish cells, regulate her immune system and improve blood circulation. This was done with rehabilitation training.
After 14 days treatment she could roll over in bed and sit up in a much more flexible way, she could bulge her cheeks slightly, her tongue moved well and she had less choking. Her arms could now lift much higher, her proximal side muscle power increased 20% and she could walk better and longer. She could now go up and down stairs by herself.
