Abdallah - Cerebral palsy (Oman) Posted on April 2, 2012

Name: Abdallah Ahmad Suood AlSiyabi                   
Sex: Male
Country: Oman
Age: 11
Diagnoses: 1.Cerebral palsy 2. Iron deficiency anemia
Admission Date: March 2, 2012
Days Admitted to Hospital: 28

Medical History:
Abdallah was born with no health issues. There was no cyanosis of the skin or mucous membrane. He was still unable to walk at 1 years old. His parents brought him to their local hospital where it was discovered that he had a deformity in both legs and high muscle tone. Abdallah was given physical rehabilitation training but at 2 years old, there was still no improvement in the deformity of the legs and the muscle tone was still high. Abdallah is able to walk with some assistance but his walking posture is abnormal. The development of both arms as well as the language and cognitive development were normal. Abdallah underwent an MRI at the local hospital which revealed that he had cerebral palsy. At 6 years old, he was able to walk while using a walking aid, but the walking posture remained abnormal. During this time period the language and cognitive development was clearly delayed compared to most children his age. Abdallah began school when he was 7 years old, but his academic performance was not good. Two years ago, Abdallah's parents brought him to Beijing Hongtianji Neuroscience Research Institute for stem cell treatment. After the completion of the stem cell treatment, Abdallah's walking posture showed improvement. Currently, Abdallah still has speech difficulties and the muscle tone in the legs is still high making it difficult for him to move his legs and as a result he still can't walk independently.

Nervous System Examination:
Abdallah was alert. He could only speak simple words and a few whole sentences. He could only communicate with others in a simple way. His language was vague. Both pupils were equal in size and round. Both eyes were positioned properly. Both eyeballs could move freely and the pupils reacted normally to light stimulus. The tongue and the uvula were centered in the mouth. The chewing and swallowing ability were normal. The neck could turn normally to both directions. Abdallah could sit up by himself, but the posture in the sitting position was abnormal. The muscle strength of both upper limbs was almost normal. The muscle strength of both lower limbs was level 4. The muscle tone of both upper limbs was slightly higher than normal. The muscle tone of both lower limbs was also slightly higher than normal, about level 3+. Both feet had varus deformity. Abdullah was able to walk with a walking aid. The lower back was excessively protracted to the rear when he walked and he had a scissors-like gait. The bilateral abdominal reflexes were normal. The bilateral radial periosteal reflex, biceps reflex and triceps reflex were active. The bilateral patellar tendon reflex was not elicited. There was stiffness in both ankle joints. The bilateral ankle clonus was not elicited. The sucking reflex and palm jaw reflex were negative. The bilateral Hoffmann's sign was negative. The left side Babinski's sign was negative; the right side Babinski's sign was neutral. Abdallah was able to finish the rapid rotation test, digit opposition test and the finger-to-nose test, but at a slow pace. He couldn't finish the heel-knee-shin test.

Treatment:
After the admission, Abdallah received the relevant examinations and was diagnosed with Cerebral palsy. He received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves and to nourish the neurons. This was combined with physical rehabilitation training.  

Post-treatment:
Abdallah's condition has improved. His height and weight has increased. Height: 121cms, weight: 25kgs. He has better language ability and speaks more clearly. He can sit up with more flexibility. The posture in the sitting position is better. The muscle strength of both upper limbs is level 4+. The muscle tone of both upper limbs has decreased and is almost at a normal level. The muscle tone of both lower limbs has decreased from before, to about level 3. Abdallah walks with a walking aid and his posture is more upright. The range of rear protraction of the small of the back is not so severe. He is able to finish the rapid rotation test and digit opposition test with more flexibility. The iron deficiency anemia is not as severe as before. HGB96g/L.