Case Study: Brain Surgery (Functional Stereotaxy) for Stroke

Minimally Invasive Brain Repair for Stroke Patient

Patient Information

• Name: Walter Smith
• Date of Birth: April 16, 1946
• Gender: Male
• Country of Residence: USA

Medical History:

• Hypertension
• Type 2 Diabetes (DM-2)
• Osteoarthritis
• Chronic joint pain

Stroke Diagnosis:

• Left pontine stroke on March 30, 2014
• Sudden onset of right limb weakness in March 2014
• Calcified aortic valve with mild aortic stenosis

Treatment Plan and Progress:

Mr. Smith, a 73-year-old male, suffered a stroke five years ago, which left him with right limb immobility and concern for his wife's care, as she has Alzheimer's disease. Initially treated at his local hospital, Mr. Smith sought further help due to his mobility issues. He traveled to Beijing Puhua Hospital (BPIH) after learning about their success rate with stroke patients.

Examination Findings:

• Right limb muscle strength: 0/5
• Left limb muscle strength: 5/5 with moderate tension
• Right tendon reflex: +, Left tendon reflex: ++
• Positive Hoffman's sign, Rossolimo's sign, and Babinski's sign on the right side
• Right hand contracture with claw hand presentation
• Significant edema in lower extremities, particularly the right side

Treatment:

1. Minimally invasive unframed brain stereotactic surgery with neural nerve growth factor transplantation
2. Post-operative rehabilitation therapy focusing on limb movement and stability
3. Traditional Chinese Medicine (TCM) to support overall recovery

Post-Treatment Progress:

• Right lower limb muscle strength improved from 1/5 to 3/5
• Able to stand unassisted and walk with stable assistance
• Noticeable improvement in hand strength and movement on both sides