Yaacov Deutsch-Spinal Cord Injury-(Israel)

Name: Yaacov Deutsch
Sex: Male
Nationality: Israeli
Age: 54Y
Diagnosis: 1. Spinal Cord Injury 2. Urinary System Infection  

Before treatment:
The patient fell down 4 years ago, he was unable to move his four limbs but his consciousness ability was normal. He was taken to hospital and diagnosed with a spinal cord injury, had surgery, did rehabilitation training and after discharge he could walk by himself. However, 6 months later his condition got worse, the muscle power of his four limbs was weak, he was unable to move his legs so could not walk and he also had gatism. His arm functions were basically normal but his hands moved poorly, he was able to raise his left leg from the bed but was unable to move the right leg.
His spirit, diet and sleep are normal. He needs medicines to defecate, sometimes he can urinate by himself but other times he needs catheterization.

Admission PE:
Bp: 119/78mmHg, Hr: 67/min, breathing rate: 20/min, body temperature: 36.5 degrees. Nutrition status is good with normal physical development. There is no injury or bleeding spots of his skin and mucosa. The chest development is normal, breathing sounds of both lungs were clear with no obvious dry or moist rales. The heart beat is powerful with regular cardiac rhythm and no obvious murmur in the valves. The abdomen was bulging and soft with no mass or tenderness but percussive tympany. The liver and spleen were normal by touch.

Nervous System Examination:
Patient was alert and had clear speech. His memory, orientation and calculation abilities were normal. Both pupils were equal in size and round, diameter of 3 mm, react well to light and the eyeballs can move freely. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing teeth is normal and his tongue is in middle. His neck can move freely, he can turn his head and shrug powerfully. The  deltoid muscle power of the arms was 5 degrees, distal side adductor muscle power was 4 degrees, abductor muscle power was 3 degrees. The left hand grip force was 3- degrees, right hand grip force was 1 degree. His fingers had contracture and he could not open his hands. The arm muscle power was normal, left leg muscle power was 2- degrees, the right leg muscle power was 1 degree and there are slight movements of his toes. His leg muscle tone was increased. There was  hypaesthesia of his left side below T5 level, right side below T4 level area, the arm tendon reflex was normal. The knee reflex and Achilles tendon reflex were normal, ankle clonus was negative. The abdominal reflex was normal, the Rossilimo sign of both sides were positive, bilateral Hoffmann sign were negative, the Babinski sign of both sides were positive. He could not perform the 4 limbs coordinated movements because of weakness. The meningeal irritation sign was negative.

After the admission he received related examinations and received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

After 14 days treatment his left hand fingers can move with much more  flexibility and the left hand grip force reached 3+ degrees. The muscle power was increased 20%,  proximal side muscle power of the arms and distal side muscle power of the legs increased also. He was able to move his joints from bed and his toes were flexible. His ankle edema reduced and the urinary system infection was controlled.

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