Case Study: Cerebral Palsy

Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy

Patient Information:

• Name: Abdullah Sief Msabah
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: January 27, 2005
• Gender: Male
• Country: Tanzania
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Abdullah Sief Msabah, a 9-year-old boy from Tanzania, had his first seizure at the age of 10 months, which was diagnosed as malaria in a local hospital. By the age of 3 years, Abdullah still required assistance to turn over due to CP-related muscle weakness and impaired movement control. He exhibited special emotional responses towards his parents and lacked head control, making it difficult for him to sit, stand, crawl, or grasp objects. He wascontinent and had difficulty communicating verbally, producing only occasional sounds like "du..du..". Prior to coming to Beijing Puhua International Hospital, Abdullah received physiotherapy in a local hospital with no significant improvements in his speech or movement.

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:

First Treatment (March 2010):

• After stereotactic treatment combined with rehabilitation and traditional Chinese medicine, Abdullah showed improvements in:
  • Head control: He could raise his head for a longer period of time.
  • Mobility: He became capable of turning over independently.
  • Muscle tone: A reduction was observed, leading to decreased drooling.
  • Eye contact and emotional communication: These aspects improved significantly.

Second Treatment (April 2011):

• After the second course of stereotactic treatment combined with rehabilitation and traditional Chinese medicine, Abdullah demonstrated further improvements in:
  • Voluntary sounds and movements
  • Neck and trunk strength: He found it easier to raise his head and straighten his trunk.
  • Head and trunk flexibility: Improved mobility was noted during turning motions.
  • Muscle tone of the lower limbs: A reduction was observed, leading to relief from limb restriction and spasticity.

Case Study: Cerebral Palsy

Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy

Patient Information:

• Name: Abdul Azim
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: January 1, 1990
• Gender: Male
• Country: India
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Abdul Azim was a 19-year-old male patient from India who suffered from Cerebral Palsy when he was admitted to Beijing Puhua International Hospital for CP treatment due to "postnatal speech and growth retardation, and limited mobility in all extremities" since birth.

Mr. Abdul Azim was born prematurely, weighing 1600g (3 lb 8 oz). His delivery became complicated, and he experienced intrauterine asphyxia, resulting in anoxic cerebral palsy due to insufficient oxygen supply during birth.

Medical Condition Prior to Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy:
Before surgery, Abdul Azim suffered from spastic quadriplegia:

• Confined to a wheelchair with limited ability to stand or walk unassisted; required assistance for mobility
• Poor balance even while seated; needed constant support while sitting due to inability to support his torso
• Right foot could not touch the ground when standing upright due to spastic musculature
• Impaired hand coordination, particularly at the wrists, with difficulty rotating them
• Slow speech that was difficult to understand

Minimally Invasive Brain Surgery for Cerebral Palsy:
After admission, Abdul Azim underwent a multidisciplinary treatment protocol including:

• Stereotactic treatment to repair injured neural cells
• Medical improvement of cerebral circulation, nutrition, and metabolism
• Traditional Chinese Medicine (TCM) therapy
• Rehabilitation therapy and symptomatic supportive care

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:
Following the surgery and rehabilitation efforts with the multidisciplinary team at Beijing Puhua International Hospital:

• Muscle tone decreased (improved) in all limbs, leading to increased flexibility
• Upper limb muscle strength improved; Abdul Azim could now lift his hands up to head level
• Grip strength improved, and wrist rotation coordination became more functional
• Able to bend legs and walk with assistance, displaying steadier gait and gradually improving pace
• Torso and knee joints became straighter than before treatment
• Feet touched the ground when standing upright without assistance
• For the first time post-surgery, Abdul Azim could switch from lying down to sitting up independently

Upon discharge, Abdul Azim returned home to India with a tailored physiotherapy plan provided by Puhua International Hospital to continue his recovery and achieve further improvements.

Case Study: Cerebral Palsy

Minimally Invasive Brain Repair for Cerebral Palsy

Patient Information:

• Name: Master Ibrahim Yousuf
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: September 1, 2008
• Gender: Male
• Country: United Arab Emirates
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Master Ibrahim was a healthy child until he accidentally fell into a swimming pool at the age of one. After emergency intervention, he survived but remained in a prolonged coma and became dependent on mechanical ventilation despite having spontaneous respiratory efforts. He could not maintain adequate oxygen saturation without ventilator support.

Medical Condition Prior to Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy:
Upon admission, Master Ibrahim was in a minimally conscious state with occasional spontaneous smiles and mild congestion auscultated in both posterior lungs. Perspiration was evident only on his head and face.

Minimally Invasive Brain Surgery for Cerebral Palsy:
Following admission, the following medical protocols were implemented:

• Stereotactic treatment to repair injured neural cells
• Medical improvement of cerebral circulation, nutrition, and metabolism
• Traditional Chinese medicine (TCM) therapy
• Rehabilitation therapy
• Symptomatic and supportive care

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:
Postoperatively, Master Ibrahim's condition has shown significant improvement:

• Vital signs have normalized, with SO2 maintained between 95-98% without ventilator or oxygen support, except during deep sleep at night
• He responds quickly to verbal stimuli, with eye movements and appropriate smiles; sometimes he responds to sounds and tends to follow them
• Increased sensitivity to pain and touch
• Improved head control in a sitting position, occasionally turning his head independently
• Limb muscle tone improvement with more voluntary limb movements (primarily 'lifting' movements) noted in the left arm
• Normalized body-wide perspiration pattern

His parents are highly satisfied with the treatment outcome. The staff at BPIH looks forward to receiving more positive updates about Master Ibrahim Yousuf's progress.

Case Study: Cerebral Palsy

Minimally Invasive Brain Repair for Cerebral Palsy

Patient Information:

• Name: Tsukimi Watanabe
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: January 3, 2011
• Gender: Female
• Country: Japan
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Soon after birth, Patient Tsukimi experienced occasional involuntary body and limb contractions, followed by cardiac and respiratory arrest within approximately 10 minutes. She recovered following emergency intervention. At around 5 to 6 months old, she could lift her shoulders slightly while pushing with her hands but lacked proper head support. Her left arm was relatively stiff and had limited coordination. She was diagnosed with CP at a local hospital.

Medical Condition Prior to Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy:

• Height: 74.4 cm
• Weight: 8.2 kg
• Poor appetite and feeding difficulties
• Sleep disturbances, difficulty falling asleep and maintaining sleep
• Limited speech; could make simple but meaningless utterances
• Inability to sit independently due to lack of support
• Clumsy grasping with both hands, more so with the left hand

Minimally Invasive Brain Surgery for Cerebral Palsy:
Upon admission, the following medical protocols were implemented:

• Stereotactic treatment to repair injured neural cells
• Medical improvement of cerebral circulation, nutrition, and metabolism
• Traditional Chinese medicine (TCM) therapy
• Rehabilitation therapy
• Symptomatic and supportive care

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:
Following treatments, Tsukimi's condition showed significant improvements:

• Improved eating habits and better sleep patterns; sleeps continuously for 8-9 hours at night
• Current weight: 9 kg; current height: 75 cm
• Increased vocalization; articulates words like "eat"
• Enhanced responsiveness to external stimuli and cooperation during games (hide-and-seek)
• Improved concentration on TV programs up to 1-2 minutes
• Better trunk support using both arms, with improved head control for up to 20 minutes
• Independent sitting for more than ten seconds
• Increased agility and speed in crawling; can take "fast steps" forward with assistance
• Improved hand and finger strength and flexibility; can hold a drinking cup with both hands and feed herself accurately with one hand
• Greater use of the left hand, now used more frequently