Neurology · Stroke aftermath
丁先生 (Mr. Ding)· 35 male
- Country
- China
- Diagnosis date
- 2004-11
- Treatment start
- 2023-11-04
Anamnesis
Mr. Ding, age 35. In November 2004 — spontaneous intracerebral hemorrhage; restricted right-sided motor function, altered consciousness, right central facial palsy, dysarthria. In February 2005 — intracranial hematoma evacuation surgery. At age 21, diagnosed with secondary epilepsy, prescribed anticonvulsant therapy. As of 2023-10-30, status at Hans Union admission: conscious, limited right upper limb motion, right hand cannot make a fist, right hand strength reduced, cannot pick up objects. Right lower limb walks slower than left, cannot walk in a straight line. Left-sided muscle tone normal. Speech slow but able to converse.
Treatment plan
- 2023-11-04: umbilical cord mesenchymal stem cells (UC-MSC) 3U — lumbar puncture
- 2023-12-04: UC-MSC 3U — lumbar puncture + 5U — intravenous
- Therapy
- UC-MSC (umbilical cord MSC)
- Delivery route
- Lumbar puncture (LP)Intravenous (IV)
Video follow-up
Outcome
After 2 mesenchymal stem cell infusions, right upper limb strength increased, hand can make a fist, picks up objects easily, can walk in a straight line, right leg walks faster. Overall recovery is significant; speech recovery is slower, requires continued speech training.
Physician conclusion
Mesenchymal stem cell transplantation in the recovery phase after intracerebral hemorrhage shows good safety and efficacy.
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