Santivanz-Cerebral palsy-(Argentina)

Name:Santivanz Julieta Milagros                    

Sex: Female

Country: Argentina

Age: 2 years and 8 months

Diagnoses: Cerebral palsy and Epilepsy

Before treatment:

The patient was born when her mother was 36 weeks pregnant. She suffered from asphyxia. The weight was 2.4Kg and microcephaly. The patient couldn't suck or swallow. The breathing and heart beat showed no abnormalities. The patient suffered from epileptic seizure when she was 9 months old. He took Kaplan and Depakine for anti-epileptic. At present, he takes Kaplan 450mg q12, Depakine 225mg q12h. The epileptic seizure attacks in irregular pattern. The longest gap is 6 months and the recent seizure is less than 5 months. The patient suffered from abnormal expression and shakes his head in response. There was no grand mal in her whole body. The seizure lasted for 3-4 minutes. The seizure could relieve without medication. After most seizure, the patient fell asleep. The last seizure was 2 days ago before the admission, the seizure lasted for several minutes. The patient started chewing and swallowing when she was 1 year old. She also received rehabilitation for limbs from 1 year old. She exercises 3 times each week. The swallowing exercises, 2 times each week. But the effect was minimal or not at all. At present, the patient has cannot speak. The cry sound was weak, with no shed tears. She also had chewing and swallowing disorders. She has food through nasal feeding. She has a little liquid diet through mouth. The feeding speed was very slow. Her motor development and intellectual development delayed. She had no obvious communication with the outside world. Her sight moved when we call her name. She can raise head for a short time, but couldn't moves around. She couldn't turn over, sit-up, stand or walk. The four limbs had no active movement. From the onset of the disease, the patient had poor diet. The sleep quality was poor. She had defecation each day and the urine was normal. The patient has no familial hereditary disease

Admission PE:

Bp: 85/50mmHg; Hr: 113/min; Temperature: 37.3 degrees. Br: 24/min. Height: 85cm, Weight: 15kg. The skin was normal, with no stained yellow. The respiratory sounds in both lungs were rough, with no dry or moist rales in both lungs. The heart sound was strong and the heart rhythm was regular. There was no murmur in each vales. The abdomen was flat, with no pressing pain or rebound tenderness. The liver and spleen were not palpable under the ribs.

Nervous System Examination:

The patient was alert. She suffered from mental retardation. She was responsive when we asked her name. She couldn't finish the instruction from family members when demanded. She could cry, but the sound was weak. Her speech development delayed. She couldn't speak using words. She had swallowing and chewing difficulty. Both pupils were equal in size; the diameter of both eyes was 3.0mms. Both pupils reacted sensitively to light stimulus. There was no obvious nystagmus. She couldn't cooperate with the examination of vision or visual field. She had poor ability to raise head and control head. She couldn't sit by herself. She couldn't stand or walk by herself. She couldn't grasp objects. She couldn't cooperate with the examination of muscle strength.  Her four limbs had no autonomic activities. She couldn't lift her feet off bed surface. The muscle tone of lower limbs had increased.  The tendon reflex of her four limbs was normal. The sucking reflex was negative. Bilateral palm jaw reflex was negative. Bilateral Hoffmann sign was negative. Bilateral Babinski sign was positive. The ankle clonus was positive. She couldn't cooperate with other examinations.

Treatment:

We gave Santivanz Julieta Milagros a complete examination and she was diagnosed with cerebral palsy and epilepsy. She received treatment for nerve regeneration and to activate stem cells in the body. She received treatment to improve the blood circulation in order to increase the blood supply and nourish the damaged neurons. This was accompanied with daily physical rehabilitation training.

Post treatment:

The patient's cognitive function is better than before. She has more pronunciation. She can call "Mama". The swallowing ability has improved. The muscle strength of neck, back and waist has enhanced. The four limbs can do more exercises now. Both hands have better grasp ability. The muscle tone of her four limbs has reduced than before. At present, his muscle tone is almost normal. The ankle clonus is alleviated significantly. The range of dorsal stretch of ankle joints has improved.
 

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