Yaakov Green-Churg-Strause Syndrome-(Israel)

Name: Yaakov Green
Sex: Male
Nationality: Israeli
Age: 63Y
Diagnosis: Churg-Strause Syndrome  

Before treatment:
The patient found he had foot drop 3 years ago. He did MRI and EMG tests at a local hospital where he was diagnosed with churg-strause syndrome. He also had lung problems due to this disease so he used hormonotherapy. He had microthrombus plantar as well.  2 years ago it became hard for him to go up and down stairs, his balance function was bad and he fell down a lot. At present he feels difficulty in standing, his step base is wider than normal and he can only walk a few steps.
His spirit is normal, his diet, urination and defecation functions are normal.

Admission PE:
Bp: 136/83mmHg, Hr: 70/min, body temperature: 36.2 degrees. Breathing rate: 18/min. weight: 20Kg. There is no broken or bleeding spots of his skin and mucosa, no lymph nodes swollen and no tonsil swelling. The chest development was normal with decreased chest movement when he takes a breath, the respiratory sounds in both lungs were clear with no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and no obvious murmur in the valves. The abdomen was flat and soft with no masses or tenderness. There was no edema of the legs.

Nervous System Examination:
Patient was alert and had clear speech. His orientation, cognitive function and calculation abilities were decreased by around 50%. Both pupils were equal and round, diameter of 4.0 mm, react well to light, eyeballs can move freely and there was no nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing the teeth was normal, he could bulge his cheeks as normal and the uvula was in middle position. The neck was soft and he can move his head freely, the shrug ability was normal and he can stand by himself while his balance control was poor. When his condition was fine he could walk with some support. The distal side muscle volume of the legs was lower than normal, muscle power of the arms was 5- degrees, both hands grip force was 5- degrees and the muscle power of the legs was 4 degrees. His right foot cannot make the dorsal stretch and left foot also had limitation, 4 limbs muscle tone were normal, tendon reflex of the 4 limbs could not be induced. Abdominal reflex could not be induced, sensory tests of the 4 limbs were normal, bilateral Hoffmann sign and Rossilimo sign were negative. The Palm-jaw reflex of both sides was positive, the left side Babiski sign was positive, right side Babinski sign was neutral, the ankle clonus on both sides were negative. The patient can perform fast alternate arm movement and finger opposite movements as normal, the bilateral heel-knee-tibia test were normal. The Romberg's sign was positive and the meningeal irritation sign was negative.

Treatment:
After the admission he received 3 times cell regeneration(neural stem cells and mesenchymal stem cells) treatment to active stem cells, repair his damaged cells, replace dead cells, nourish cells, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

Post-treatment:
After 16 days treatment his muscle strength in the legs is better than before and his walking gait is more stable than before.

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