Name: Cornelius Koch
Diagnosis: Huntington’s disease
Admission Date: October 8, 2012
Days Admitted to Hospital: 26 days
The patient suffered from a balance disorder without obvious reasons 16 years ago. He fell down easily when walking, then gradually had hyperactivity of the upper limbs. And then, he had facial muscle and whole body chorea. The disease worsened. The patient received a gene test 10 years ago and was diagnosed with Huntington’s disease. He didn’t receive any special treatment. Then the patient was gradually reflecting slowly. He also had emotional instability, and his speech articulation was reduced. He had coughing when drinking. The lowest heart rate was 50/min.
The patient was alert. He had normal spirits, but response was slightly slow. The memory, orientation and calculation abilities were almost normal. Both pupils were equal in size, the diameter was 3.0mms. Both pupils reacted normally to light stimulus. Both eyeballs had flexible movement to each side. The forehead wrinkle pattern was symmetrical. The eye close muscle was strong. The nasolabial sulcus was equal in depth. The tongue was in the center of the oral cavity. He could raise the soft palate normally. The uvula was shifted slightly to the left side. The neck had no resistance. The left shoulder was sunken. Both hands, upper limbs and scapular region had involuntary activities. The muscle strength of the four limbs was almost normal. The muscle tone of the four limbs was almost normal. The tendon reflex of the four limbs was normal. The deep and shallow sensation were almost normal. The sucking reflex was positive. The jaw jerk was positive. Left Hoffmann sign was positive, right Hoffmann sign was negative. Bilateral palm jaw reflex was negative. Bilateral Babinski sign was negative. The patient was able to do the rapid rotation test. But he did the finger-to-nose test and digit opposition test in an unstable manner. Bilateral heel-knee-shin test was positive. The Romberg sign was positive. The meningeal irritation was negative. When he walked, he had an abnormal gait. The trunk and scapular region leaned backwards and the waist protruded forward. The step base was enlarged. The wobbling gait was obvious and accompanied with choreatic movement of both upper limbs.
We initially gave Cornelius Koch a complete examination, and he was diagnosed with 1. Huntington’s disease 2. Sinus bradycardia 3. Hyperlipoidemia 4. Hypertrophy of prostate. He received treatment to improve the blood circulation, nourishment for the neurons and to expand the blood vessels. He also received treatment to adjust the heart rate and blood lipids. This was accompanied with rehabilitation training.
The patient’s heart rate is stable between 55-65/min. The neurologic symptom is better than before. The involuntary movement of both upper limbs and shoulders are reduced obviously. Both hands are able to do the rapid rotation test and the finger-to-nose test in a stable manner. He has better fine movement, such as writing and picking up chess pieces. He has better walking posture and gait. The wobbling gait is not obvious. The balance function is better than before.
The patient is satisfied with the treatment. He said: “before treatment, I never expected to have so much improvement.Thanks all the staffs in Wu Stem Cells Medical Center, especially for Julia.” His condition improved significantly and the patient is glad for it.
21 ноября 2012
Condition excellent, my trainig as well.
There Doctor suggests to terminate Wafarin.
Blood results are sent by telefax.
06 декабря 2012
My Doctors indicate, blood status is excellent. I am physically and mentally feeling very good.
PT and OT is doing very well.
I am still cycling around my lake every morning.
Morning 108 77 66
Evening 125 89 60
06 января 2013
Dear Dr. Tian,
happy New Year to you all!
My condition again is perfect. Also in sport I am doing well.