Patient Information:

• Name: Mouayad I.A. Khalafalla
• Diagnosis: Hereditary Ataxia
• Date of Birth (D.O.B): May 8, 1986
• Gender: Male
• Country: Sudan

Treatment: Nerve Growth Factor Treatment, Cerebral Metabolism Improving Treatment, Neurotrophic Treatment, Traditional Chinese Medicine (TCM), and Rehabilitation Therapy

Medical History:
Mouayad was admitted to Puhua International Hospital on May 31st, 2011, presenting with a 10-year history of unsteady walking. He was diagnosed with hereditary ataxia.

Medical Condition before Nerve Growth Factor Treatment for Hereditary Ataxia:
Post-admission examinations revealed:

• Cerebellar atrophy and scoliosis
• Poor balance; tendency to fall while walking
• Backward body inclination during gait
• Difficulty climbing stairs without handrail support
• Limited self-control during squat testing
• Clumsy coordinated movements and alternating motions
• Weak muscle strength
• Pronounced fatigue during exercise

Treatment Course:
Mouayad underwent Nerve Growth Factor Treatment, focusing on cerebral metabolism improvement and neurotrophic effects. This was complemented by Traditional Chinese Medicine (TCM) and comprehensive rehabilitation therapy.

Post-Treatment Updates:
Following Nerve Growth Factor Treatment for Hereditary Ataxia:

• Significantly improved condition upon discharge
• Improved gait: No falls; better performance in rehabilitation training, including squatting, ball tossing, coordinated movements, and alternating motions
• Normalized body habitus during walking; able to climb stairs without handrail support
• Enhanced finger flexibility, as reported by his parents with multiple examples
• Tour of the Great Wall (50 steps climbed without undue fatigue)
• Long walk at Tiananmen Square on the day before discharge, feeling much improved compared to pre-treatment condition