Case Study: Cerebral Palsy

Nikola and Victor's Treatment for Cerebral Palsy at Beijing Puhua International Hospital

Patient Information:

• Names: Nikola and Victor
• Diagnosis: Cerebral Palsy
• Date of Birth: June 20, 2023
• Gender: Male (twins)
• Country: Serbia

Initial Presentation and Diagnosis:
Nikola and Victor were born with breathing difficulties and other symptoms, requiring immediate care in the ICU. Although their condition stabilized, developmental delays became apparent soon after. They were diagnosed with cerebral palsy by local medical professionals.

Parents' Initiative for Treatment:
The twins' parents explored various treatment options before learning about Beijing Puhua International Hospital's (BPIH) relevant treatments for Cerebral Palsy. They consulted with Dr. Yang Xiuqing, Director of the Neurology Department at Beijing Tiantan Puhua Hospital, via an online consultation app. After a preliminary assessment, surgery was suggested as a potential treatment option.

Treatment Decision and Travel:
Impressed by BPIH's neurology department and its professional doctors, the parents decided to travel from Serbia with Nikola, Victor, their grandparents, and other family members for the twins' treatment in China.

Admission and Preoperative Assessment:
Upon admission, the neurology team conducted a detailed examination, revealing delayed motor and language development, increased muscle tone, and MRI findings of brain atrophy, white matter dysplasia, and ventricle enlargement. A multidisciplinary MDT consultation was held to discuss and communicate the surgical plan with the parents.

Stereotactic Surgery:
After careful preoperative preparation, the neurology team performed stereotactic surgery on both twins under general anesthesia. The procedure was successful, with postoperative CT scans showing no significant bleeding and accurate target placement.

Postoperative Care and Recovery:
The twins recovered well under the care of the medical staff post-surgery. Before treatment, they had difficulty sitting and standing; however, they were able to sit alone just four days after the operation. Their eye reactions also improved significantly, and their overall condition showed signs of development.

Discharge and Follow-up:
Nikola and Victor were discharged from the hospital and returned home to Serbia. BPIH continues to follow up on the twins' progress.

Case Study: Cerebral Palsy

Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy

Patient Information:

• Name: Renad Alotaibi
• Diagnosis: Cerebral Palsy
• Date of Birth: January 1, 2007
• Gender: Female
• Country: Saudi Arabia
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Renad Alotaibi was admitted at Beijing Puhua International Hospital at the age of five for Minimally Invasive Brain Surgery for Cerebral Palsy. At admission, she had a history of postnatal retardation of speech, movement, and motor disorder of limbs for over five years.

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

Pre-operative assessment:

• Speech development: Delays in pronunciation; could say "Mom" and "I"
• Motor function:
  • Increased muscle tone ('hypertonic'), more pronounced on the left side
  • Athetosis in the left arm and hand, with involuntary movements in limbs, particularly lower limbs
  • Limited fine motor skills: unable to grasp and hold objects tightly or attempt writing
  • Postural instability: unable to stand independently; hip joints failed to extend appropriately
  • Foot posture: mild chronic intortion

Minimally Invasive Brain Surgery for Cerebral Palsy:

Treatment protocols:

1. Stereotactic treatment to repair injured neural cells
2. Medical improvement of cerebral circulation, nutrition, and metabolism
3. Traditional Chinese Medicine (TCM) therapy
4. Comprehensive rehabilitation focusing on:
   • Head and torso control
   • Limb movement regulation and coordination
   • Active responses and sensitivity enhancement
   • Communication skills development
5. Symptomatic and supportive care

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:

Post-operative assessment:

• Improved head and torso control, with diminished involuntary movements in limbs, especially upper limbs
• Reduced involuntary movement during rest; no significant involuntary movement noted
• Enhanced upper limb movement control and coordination
• Increased active responses and sensitivity to stimuli
• Improved communication skills, enabling Renad to express needs more clearly to her mother
• Better limb coordination and clearer pronunciation of words such as "Dad", "Mom", and "Auntie"

Case Study: Cerebral Palsy

Minimally Invasive Brain Repair for Cerebral Palsy

Patient Information:

• Name: Waleed Ibrahim Alandas
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: January 1, 2007
• Gender: Male
• Country: Saudi Arabia
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Patient Waleed Alandas exhibited delayed motor development shortly after birth, with subnormal limb movement, limb spasms, and nystagmus (involuntary eye fluttering). He did not walk until the age of 2 years and experienced difficulties in speech. He was diagnosed with cerebral palsy at a local hospital in Saudi Arabia.

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

Pre-operative assessment:

• Attention and concentration: Difficulties focusing on TV or movies
• Mood: Irritable, inpatient
• Motor function:
  • Limited intentional movement control leading to failures in dexterous tasks
  • Unsteady gait with side-to-side body swaying and frequent falls
  • Compromised vision due to involuntary nystagmus

Minimally Invasive Brain Surgery for Cerebral Palsy:

Treatment protocols:

1. Stereotactic treatment to repair injured neural cells
2. Medical improvement of cerebral circulation, nutrition, and metabolism
3. Traditional Chinese Medicine (TCM) therapy
4. Rehabilitation therapy focusing on motor skills, balance, and coordination
5. Symptomatic and supportive care

Medical Condition after Minimally Invasive Brain Surgery for Cerebral Palsy:

Post-operative assessment:

• Overall condition: Significantly improved
• Ophthalmic symptoms:
  • Marked reduction in nystagmus; eyes appeared calmer and steadier
• Motor function:
  • Enhanced balance and movement control with reduced frequency of falls
  • Improved grasp and manipulation of objects
  • Easier transitions from sitting to standing position
• Cognitive function:
  • Increased attention span and ability to concentrate for longer periods
  • Reduced irritability and improved mood stability

Case Study: Cerebral Palsy

Minimally Invasive Brain Surgery (Functional Stereotaxy) for Cerebral Palsy

Patient Information:

• Name: Yousuf Ismail
• Diagnosis: Cerebral Palsy (CP)
• Date of Birth: January 27, 2007
• Gender: Male
• Country: Oman
• Treatment: Stereotactic brain repair treatment, Traditional Chinese Medicine (TCM), and physical therapy

History:
Yousuf was first admitted to Beijing Puhua International Hospital in early 2010 due to postnatal delays in speech development and motor abilities, as well as recurrent convulsive episodes. His initial treatment yielded excellent results.

Four years later, on September 15, 2014, Patient Yousuf returned to the hospital for further treatment of his Cerebral Palsy.

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

Pre-operative assessment:

• Verbal communication: Limited to producing sounds like 'hum, ah.'
• Visual tracking: Blink reflex present when hearing sounds, but no obvious visual tracking.
• Emotional responses: Occasional smiling upon hearing relatives' voices.
• Muscle tension: High in all extremities.
• Spontaneous movement: Modest lift movements observed in all four limbs.
• Pain response: Avoidance response to painful stimuli.

Minimally Invasive Brain Surgery for Cerebral Palsy:

Treatment protocols:

1. Stereotactic treatment to repair injured neural cells
2. Medical treatment to enhance cerebral circulation, nutrition, and metabolism
3. Traditional Chinese Medicine (TCM) therapy
4. Rehabilitation training

Medical Condition after Minimally Invasive Brain Repair Treatment for Cerebral Palsy:

Post-operative assessment:

• General condition: Improved after Stereotactic Therapy
• Visual tracking: Enhanced ability to track movements towards sound or moving objects
• Sensitivity to external stimuli: Increased, with better emotional responses and reactions to other stimuli
• Muscle tension: Decreased, with more normal tone in hands and extremities
• Spontaneous movement: Increased in limb movements; also able to hold head upright longer while sitting up