Sevda Rec Rech-Spinal Cord Injury-(Macedonia)

Name: Sevda Rec Rech
Sex: Female
Country: Macedonia
Age: 40 Years
Diagnosis: 1. Sequel of Spinal Cord Injury 2. Hyperlipidemia
Date of Admission: Sept. 25, 2015
Treatment hospital/period: Wu Medical Center/19 days

Before treatment:
17 years ago, the patient had a car accident. She developed motor function and sensory disturbance of her lower limbs. A local hospital diagnosed her with Spinal Cord Injury so she had an operation. After the operation, the patient swam every summer. The patient has not been able to move her legs recently. She can sit up with her arms supporting her. She can turn over with someone’s help. She wants a better life, so she came to our center. From the onset of disease, the patient has been able to maintain a good spirits. She has a normal diet and sleep. She has urine incontinence, and the excrement was normal. Her weight is normal.

Admission PE:
Bp: 124/79mmHg; Hr: 71/min. Temperature: 36.3 degree. Br: 18/min. She was overweight. There was no yellow stain or petechia on mucous membrane. The superficial lymph nodes were normal. Her head type was normal, her eyelid was not dropsically. Her sclera was not yellow. Her neck was flexible. The type and size of thyroid was normal. The thorax was symmetrical. The respiratory sounds in both lungs were clear, with no obvious moist or dry rales. The heart sounds was strong, the rhythm of her heartbeat was normal. There was no obvious murmur in the valves. The abdomen was flat and soft. There was no pressing pain or rebound tenderness. The liver and spleen were normal. The peristaltic sound was normal. The dorsal artery beat of foot was weak. The feet and ankles were dropsically. Her blood lipid level was higher than normal.

Nervous System Examination:
Sevda Rec Rech was alert and her speech was fluent. Her memory, calculation and orientation abilities were normal. Both pupils were equal in size and round, the diameter was 3.0 mms, both eyeballs could move freely. Both eyes had sensitive response to light stimuli. The forehead wrinkle pattern was symmetrical. The tongue was centered in the oral cavity and the teeth were shown without deflection. The neck moved normally. She could shrug her shoulders powerful. The muscle tension of four limbs was normal. The muscle power of upper limbs was at level 5, proximal end of both lower limbs was at level 1, and remote end of both lower limbs was at level 0. The superficial sensation above T12 was normal. Both side L1 was 50%-60% lower than normal, right L2-L4 was 90%-100% lower than normal, under right L4 was absent, left L2-L3 was 90%-100% lower than normal, under left L4 was absent. Both of her lower limbs had strong creeping sensation. The vibration sense of L2-L4 was 90%-100% lower than normal, under L4 was absent. The graphics sensation of right L1-L2 was abnormal, under L2 was absent, left L1 was abnormal, under L1 was absent. Both upper limbs tendon reflex was normal. Left lower abdominal reflexes were abnormal. Both lower limbs knee reflex and right side achilles reflex were abnormal. Both side ankle-clonuses were mildly positive. Bilateral Babinski sign was negative. The examination of coordinate movement of both upper limbs was nromal. But she couldn’t cooperate with the lower limbs’ coordinate movement.

Treatment:
We initially gave her a complete examination and she was diagnosed with 1. Sequel of Spinal Cord Injury 2. Hyperlipidemia. She received 4 times of neural stem cell injections and 4 times of mesenchymal stem cell injections to fix the damaged cells, regenerate new cells, activate the cells, nourishes the neurons, improve circulation, protect her immunity and reduce the blood lipid level. She also had physical rehabilitation.

Post-treatment:
After 17 days of treatment, the patient feels much better. The superficial sensation of left L1 is almost normal; the flat sensation of both L4 is stronger than before. Part of superficial sensation of right knee at level L4 is normal. The vibration sense is better and lower to the toe. The muscle power of both lower limbs is better, left proximal end is at level 3, and right proximal end is at level 2. Both side remote end muscle power was at level 1. In supine position, she could do lower limbs’ translation about 15-40cm. She could also raise her knees 20cm away from bed. In lateral position, she could raise her lower limbs away from the bed. She could turn over her body from supine position to lateral position and prone position.

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