Hong Jong Chul-Stroke-(Korea)
Name: Hong Jong Chul
Sex: Male
Nationality: Korean
Age: 30Y
Diagnoses: 1. Stroke 2. Hypertension (1 degree, high risk)
Date of Admission: Sept. 20th, 2016
Treatment hospital/period: Wu Medical Center/15days
Before treatment:
On February 7th, 2016, Hong Jong Chul became unconsciousness without any reasons, he was taken to hospital immediately, he received brain CT and diagnosed with 1. Stroke 2. Hypertension (1 degree, high risk), he received treatment and woke up 2 weeks later, when he woke up he was unable to speak, his tongue couldn’t move well, it influence his swallowing function and he dribbled a lot. His comprehension was normal. He can’t move his limbs well. He continue to do rehabilitation training in recent months, he was able to do simple daily works, but his mood was unstable, he always cried, his intelligence and spirit were abnormal. He wants a better life so he comes to our hospital.
His mood was unstable, his diet and sleep were normal. He couldn’t control urination or defecation well, he lost 15kgs.
Admission PE:
Bp: 120/80mmHg, Hr: 67/min, breathing rate: 18/min, body temperature: 36.3 degrees. Height: 177 cm, weight: 74Kg. Nutrition status is normal, normal physical development. There is no injury or bleeding spots of her skin and mucosa, the respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm, with no obvious murmur in the valves. The abdomen was soft and plate, with no masses or tenderness. His liver and spleen were normal, no edema in both lower limbs.
Nervous System Examination:
Patient was alert and his mental condition is weak, emotion is not stable, he cried often, patient had motor aphasia, the memory, calculation and orientation ability are normal by examination. Both eyeballs can move freely. Bilateral forehead wrinkle are symmetrical, show teeth is normal. The tongue muscles movement is clumsy, he only can make tongue out to reach his lip, he ha tongue muscle atrophy. The pharyngeal reflex is weaker than normal. Neck is soft, but patient only can turn head and shrug slowly and he cannot do the movement as powerful as normal. Muscle power and grasp force of left arm is 5 degree, of right arm and right hand are 5- degree, muscle power of lower limbs are 4 degree, muscle tone of right lower limb is slightly higher, other limbs muscle tone are normal. Tendon reflex of upper limbs are active, of lower limbs are lower than normal. The abdominal reflexes of both sides are normal, Hoffmann sign of both sides are positive; Babinski sign of both sides are positive, his finger opposite test is nearly normal, fast alternate movement is slightly clumsy, the coordinate movements of lower limbs are nearly normal. Meningeal irritation sign is negative.
Treatment:
He was diagnosed with 1. Stroke 2. Hypertension. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to nourish nerves and improve blood circulation, control the blood pressure combined with rehabilitation training.
Post-treatment:
After 15 days of treatment, his spirit and mood were better, his saliva was reduced, chew and swallow was better, he could open his mouth bigger，and he could extend his tongue longer, he could speak some singer words, he muscle strength of his lower limbs were better, and his walking balance was better.
