Norma Beverley Mcnamara-Parkinson's disease-(UK)

Name: Norma Beverley Mcnamara
Sex: Female
Nationality: UK
Age:71 Years
Diagnosis: 1. Parkinson's disease 2. Hyperlipemia 3. Hypertension level 1.
Date of Admission: October 15, 2015
Treatment hospital/period: Wu Medical Center/17 days

Before treatment:
Norma Beverley Mcnamara was presented with stiffness and Sluggish in action or motion of right lower limb then upper limb for 4 years. She could not walk by herself 6 months ago and easily falls. She had a difficult life. She was diagnosed with idiopathic parkinsonism. She took levodopa, but the effect was not good. She still has stiffness, in her limbs. The right upper limb and left lower limb were worse; she takes Sinemet every 3 and half hours. After she takes the pills, her stiffness decreases, but her motion would still be slow. It is hard for her to initiate walking or stand up. She uses some assistance such as carts. She could turn over. She has no illusion or no vision problems. She wants a better life, so she came to our hospital.

Her spirit and diet are normal. Her sleep is not good. She has frequency of urination without pain. She takes Mirtazapine from the last 6 months, and this has improved her sleep quality. She is able to sleep for about 6-8 hours, she had less urination, and she has excrement once a day. Her change of weight is not clear.

Admission PE:
Bp: 147/79mmHg; Hr: 90/min. Temperature: 36.6 degrees. Br: 19/min. height: 150cm, weight 65kg. There was no yellow stain or petechia on mucous membrane. The color of her lips was normal. There was no congestion of throat. The thorax was symmetrical. The respiratory sounds in both lungs were clear, with no obvious moist or dry rales. The heart sounds were strong and the rhythm of her heartbeat was normal. There was no obvious murmur in the valves. The abdomen was flat and soft, with no pressing pain or rebound tenderness. The liver and spleen were normal. Both of her lower limbs had moderate edema. The blood cholesterol level was higher than normal.

Nervous System Examination:
Norma Beverley Mcnamara was alert and her spirit was normal. Her speech was unclear and slow. Her memory, calculation abilities, and orientation were almost normal. Both pupils were equal in size and round, the diameter was about 3.0mm. Both eyeballs could move freely and both pupils were sensitive to light stimulus. There was no nystagmus. The forehead wrinkle pattern was symmetrical and bilateral nasolabial grooves was symmetrical. The tongue was almost at the center of oral cavity. She had strong muscle to lift her soft palate. Her neck was soft, she could turn her neck with strong muscle. Trapezius muscle on the nape of the neck was inflexible. Her movement was slow; it was hard for her to initiate walking. The muscle power of both upper limbs was at level 5, right lower limb was at level 4, and left lower limb was at level 3. The muscle tension of four limbs was a little higher. The tendon reflex of both upper limbs were over active, so does the right lower limb’s knee reflex. Left lower limb’s knee reflex was a little lower. Both side ankle reflex was negative. Both side palm jaw reflex and Rossolimo sign were positive. Both side Babinski sign was weakly positive. The superficial sensibility of both upper limbs was normal, both lower limbs was lower, right side was better than left side. The deep sensation was normal. Finger to finger test and heel-knee-tibia test were normal. Rotation test was clumsy. Meningeal irritation was negative.

Treatment:
Norma Beverley Mcnamara was diagnosed with 1. Parkinson's disease 2. Hyperlipemia 3. Hypertension level 1. She received received 3 times of neural stem cell injection and 3 times of mesenchymal stem cell injection to activate the cells, nourishes neurons, fix the damaged nerves, improve circulation and immunity, regular her blood lipid and blood pressure. She also had physical rehabilitation.

Post-treatment:
After 17 days of treatment, the patient’s blood pressure has become normal and her blood lipid is lower than before. She felt easy to move her muscles; it was a little easier for her to initiate walking. Her movement was better and the steps she needed to turn around were less. She could stand up and walk by herself, and she walked faster than before. Her body movement was more flexible than before. Her upper limbs could do the rotation test better. The muscle tension of left lower limb was lower. Her lower limbs had less dropsical.