Cerebral Palsy, Male, 3 years, June – July 2022

Last Updated on: 4th September 2024, 05:12 pm

Summary

Diagnosis Sex Age Nationality
Cerebral Palsy Male 3 years USA
Injections Cell type Admission date Discharge date
9 UCMSC June 12th 2022 July 4th 2022

Medical history

The patient, a male born in 2017 in California, USA was diagnosed with mild cerebral palsy (CP) on March 23, 2019, after experiencing developmental delays since infancy, including difficulties with speech and motor skills. Initially, his condition was mistaken for autism spectrum disorder, leading to therapy interventions that did not yield significant improvements. Despite therapeutic efforts, including speech and occupational therapy, his speech remained impaired. The patient’s medical history reveals no significant family medical issues, except for a twin sister who did not experience developmental delays.

Condition On Admission

The patient presents with significant speech impairment, characterized by the ability to only speak 3 to 5 words. He also exhibits a lazy left eye, slow motor skills, difficulty grasping objects firmly, and inward-facing toe fingers, affecting his mobility. Despite understanding verbal commands, he struggles with writing and maintaining eye contact for extended periods. The patient finds solace in water activities and enjoys watching cartoons on his iPhone. Although he has learned some sign language for communication, his ability to articulate verbally remains severely limited. The family is hoping for improved speech and overall developmental outcomes.

Treatment Schedule

Patient received 9 packs of umbilical cord derived stem cell (UCMSC) by intravenous (IV) injection and intrathecal injection via lumbar puncture (LP), as per the schedule below:

Number Date Cell Type Delivery Method Side Effects
1 2022-06-16 UCMSC Intrathecal Injection &
Intravenous Injection
none reported
2 2022-06-20 UCMSC Intrathecal Injection none reported
3 2022-06-23 UCMSC Intrathecal Injection &
Intravenous Injection
none reported
4 2022-06-24 UCMSC Intrathecal Injection none reported
5 2022-06-30 UCMSC Intrathecal Injection &
Intravenous Injection
none reported
6 2022-07-04 UCMSC Intrathecal Injection none reported

Condition at discharge

The patient’s stem cell treatment has shown general moderate improvements in physical condition, notably with a little more eye contact and a slightly improved quality of life, as reported by the parents. Although the doctor did not confirm improvements, the family remains satisfied with the treatment outcome. Regarding specific symptoms, there have been small improvements in balance, drooling, involuntary movements, learning disability, limb muscle strength, range of movement, spasticity, speech (babbling for infants), standing up, swallowing, and trunk muscle strength.

Symptom Parents’ Assessment of Improvement
Balance Small improvement
Drooling Small improvement
Involuntary movements Small improvement
Learning disability Small improvement
Limb muscle strength Small improvement
Range of movement Small improvement
Spasticity Small improvement
Speech (babbling for infants) Small improvement
Standing up Small improvement
Swallowing Small improvement
Trunk muscle strength Small improvement

Condition 6 months after treatment

Six months after undergoing stem cell treatment, the patient has shown general moderate improvements in physical condition, with increased activity levels and a moderately improved quality of life, as reported by the parents. The patient appears more alert, follows directions, and engages in running games more frequently. However, the doctor did not confirm these improvements, yet the family remains satisfied with the treatment outcome. Notably, there have been moderate improvements in balance, learning disability, and range of movement, along with small improvements in appetite, drooling, limb muscle strength, mood disorder, spasticity, speech, swallowing, and trunk muscle strength.

Symptom Parents’ Assessment of Improvement
Balance Moderate improvement
Learning disability Moderate improvement
Range of movement Moderate improvement
Appetite Small improvement
Drooling Small improvement
Limb muscle strength Small improvement
Mood disorder Small improvement
Spasticity Small improvement
Speech (babbling for infants) Small improvement
Swallowing Small improvement
Trunk muscle strength Small improvement