Case Study: Brain Surgery (Functional Stereotaxy) for Stroke

Minimally Invasive Brain Surgery (Functional Stereotaxy) for Stroke

Patient Information:

• Name: Humoud
• Diagnosis: Post-stroke Sequelae (Left-sided Hemiplegia)
• Date of Birth: March 1, 1952
• Gender: Male
• Country: United Arab Emirates

History and Initial Presentation:
Humoud is a 64-year-old male patient who was admitted to Beijing Puhua International Hospital due to left-side limb movement disorder lasting for approximately ten years. He had been diagnosed with post-stroke sequelae.

Medical Condition before Minimally Invasive Brain Surgery (Functional Stereotaxy) for Stroke:

• Left heel-knee-tibia test showed instability
• Muscle strength:
  • Right limbs: 4/5
  • Left wrist and extensor of fingers: 3-/5
  • Left finger flexor: 2/5
  • Proximal end of left upper limb: 5-/5
  • Proximal end of left lower limb: 4/5
  • Distal end of left lower limb: 5-/5
• Shuffling gait noted in the left foot during walking
• Clumsy alternate movements of the left hand

Treatment Plan:
A multidisciplinary approach was implemented, including:

1. Stereotactic operation with neural growth factor injection
2. Neural nutrition and cerebral metabolism optimization
3. Symptomatic treatment:
   • Blood glucose and blood pressure monitoring
   • Adjustment of oral hypotensive and hypoglycemic medications
4. Combined rehabilitation therapy and Traditional Chinese Medicine (TCM)

Medical Condition after Minimally Invasive Brain Surgery for Stroke:

• Significantly improved general condition compared to pre-surgery status
• Increased flexibility in left upper limb and shoulder joint movements, especially with side-to-side body movements
• Finger flexion remained unchanged from the preoperative status
• Decreased muscular tension of extorsion in the left upper limb
• Improved muscle strength in the left lower limb:
  • Right limbs: 4+/5
  • Left wrist and extensor of fingers: 4/5
  • Left finger flexor: 3/5
  • Proximal end of left upper limb: 5/5
  • Proximal end of left lower limb: 4+/5
• Improved movement in one-legged going down/up test compared to admission status