Won Jonghyuk-Sequel of Storke-(Korea)-Posted on March.30th, 2017

Name: Won Jonghyuk
Sex: Male
Nationality: Korean
Age: 57Y
Diagnosis: 1. Sequel of Storke 2.Hypertension level 2 high risk 3. Diabetes type 2
Date of Admission: October 31th, 2016
Treatment hospital/period: Wu Medical Center/15days

Before treatment:
On June 8th, 2015, Won Jonghyuk felt weakness in his right arm and leg. It was 2:00 a.m. and the corner of his mouth had drooped. He was taken to the local hospital and several hours later his condition got worse, He was unable to move the right side of his body. They did a brain MRI and CT and the diagnosis was cerebral arterial thrombosis. Won received 2-3 months’ treatment and his right arm and leg became more powerful. He was able to walk slowly but he was unable to move his right fingers and toes. The patient undertook regular rehabilitation training but he couldn’t grasp objects with his right hand and felt too weak to walk. He was unable to take care for himself. He wanted a better life so he came to our hospital.
His mental and emotional state was good but he couldn’t sleep well. His bladder and bowel functions were good.

Admission PE:
Bp: 129/73mmHg; Hr: 85/min. RP: 20/min. Body temperature：36.2 degree. Height：174cm，weight：60kg. His body shape was good. Nutrition was normal. There was no ecchymosis, petechia or yellow stains on skin. There was no cyanosis on his mouth and lips. There was no congestion in pharyngeal area. The thorax was symmetrical. The respiration in both lungs was clear with no dry or moist rales. There was no swelling in the precordium area. The heart beat was strong and the rhythm was regular, with no murmur in each valve. The abdomen was flat and soft, with the absence of tenderness and rebound tenderness. There were no masses. The liver and spleen were not touched under the rib. Shifting dullness was negative. Spine physiological bending exists. There was no swelling in either leg.

Nervous System Examination:
Won Jonghyuk was alert，his spirit was good but his speech was slightly unclear. His memory, orientation and calculation were normal. Both pupils were equal in size and round, the diameter was about 3.0mm. Both pupils were sensitive to light stimulus. The palpebral fissure on the right side of the face was wide，his right eye vision was slightly blurred. Both eyeballs could move freely to each side. There was no diplopia. The forehead wrinkle pattern was symmetrical. The ability to close the right eye was weak but the left eye was strong. Blowing air into the right cheek was not good. Bilateral soft palate lift  was normal and his swallow was normal. The action was normal  when eating. The tongue was in the center of oral cavity. The problem was toward to left side when showing his teeth. His neck was soft and he could turn it strongly. There was difficulty in shrugging his right shoulder. The muscle power of his left arm and leg was level 5. The abductor power of his right arm was level 3-，extensor and flexor muscle strength was level 4. His wrist joint activity was limited. There was difficulty in clasping and holding with his right hand，grip power was level 0. The muscle power of his right leg was level 4. His right ankle activity was limited. Plantar flexion and back stretch was weakened. His right leg displayed stiffness when walking. The muscle tension of his left side was normal. The muscle tension of his right arm was slightly high but the muscle tension of his right leg was normal. The biceps reflex radial periosteal reflex of left arm was normal，patellar tendon reflex of left leg was normal. The biceps reflex，radial periosteal reflex of right arm was active. The patellar tendon reflex of right leg was weak. The left ankle jerk was normal. The right ankle reflex could not be elicited. Bilateral Hoffmann sign, Rossilomo sign, bilateral palm jaw reflex was negative. Bilateral Babinski sign was positive. The right side of the partial body pain remission，the left side was normal. The Rotation test，finger-to-finger，finger-to-nose test of left arm was normal. The heel-knee-tibia test of left leg was normal. The Rotation test，finger-to-finger，finger-to-nose test of right arm could not be completed. The heel-knee-tibia test of right leg was not stable. Meningeal irritation sign was negative.

Treatment:
He was diagnosed with Sequel of Storke. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged brain nerves, replace dead nerves with new injected stem cells, provide nourishment to the neurons and expand the blood vessels in order to improve the blood supply to the brain and stabilize organ function. This was combined with physical rehabilitation training.         

Post-treatment:
After 15 days of treatment, his right side shrugging of the shoulder was better. The right arm could lift up higher than before，he could touch his tip of nose and his arm could lift away from his body. The activity of his right hand was better than before. He could grab with and open  his right hand，the grip power of his right hand was increased to level 3. The right leg muscle strength was increased to level 4+，hip and knee joint bending was more stable than before. The power of acrotarsium had increased. His right foot could lift higher when he walking. He could walk longer and his gait was better than before.