Kanon Fischer-Motor Neuron Disease-(Germany)

Name: Kanon Fischer
Sex: Male
Nationality: German
Age: 61Y
Diagnosis: 1. Motor Neuron Disease (MND) 2. Hypertension (2 degree)

Before treatment:
The left side of the patient’s body became weak 8 months ago and he also had fasciculation and muscular dystrophy. He went to a hospital and had an EMG test. His condition became worse, his right side became weak and 3 weeks ago he was unable to speak clearly or breathe well.  He went to do the EMG test again and  was diagnosed with MND. At present his limbs are weak, he has fasciculation, he is unable to breathe or speak well and his voice is weak.
His spirit is bad, he sleeps well, he has normal urination and defecation functions. He has coughed and felt dizzy for 2 weeks.

Admission PE:
Bp: 160/100mmHg, Hr: 78/min, breathing rate: 20/min, body temperature: 36.5 degrees. Nutrition status is normal with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht, no throat congestion, and his tonsils do not have swelling. Chest development is normal but chest movement range decreased when he was breathing. He depends on abdominal respiration. The respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was soft and bulging, with no masses or tenderness.  The liver and spleen were normal and there was no edema in the legs.

Nervous System Examination:
Patient was alert but his mental status was weak. His speech was slurred. The memory, orientation and calculation abilities were normal. Both pupils were equal in size and round, diameter of 3 mm, react well to light and the eyeballs can move freely. There is no nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, he could bulge the cheeks but the right side had air leakage. He could make his tongue extend out as normal and there was mild tongue muscle fibrillation. There is no obvious tongue muscle atrophy. The tongue muscle could move freely and the tongue could touch the cheek and isthmus powerfully. Showing the teeth was normal. The soft palate could lift as normal. The uvula was in middle and there was  no choking when he was drinking. The pharyngeal reflex was normal. He could hold his head up, turn the neck and shrug powerfully. The muscle power of the left arm was 3- degrees, left hand grip force was 3- degrees. The right arm muscle power was 5- degrees, right hand grip force was 5- degrees. The muscle power of left leg was 4- degrees, right leg was 4 degrees. There was middle muscle atrophy of the right shoulder girdle, bicipital muscle, triceps muscle, hand finger interosseus muscles, etc. There was mild muscle atrophy of the right arm. All four limbs muscle tone was normal and the tendon reflex was normal. The bilateral ankle reflex were normal, the  ankle clonus on both sides were negative. Abdominal reflex was normal, the bilateral palm-jaw reflex was negative. Sucking reflex was negative. The left side Hoffmann sign was positive, the right side was negative. Both sides Rossilimo sign were negative, bilateral Babinski signs were positive. Sensory examination was normal. Left side finger to nose test, fast alternate movement and finger opposite movement were slow, right side was normal. The heel-knee-tibia test was stable. The meningeal irritation sign was negative.

Treatment:
After the admission he received related examinations and was diagnosed with MND. He received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 16 days treatment his breathing function was better, he did not need to take asthmatic agents to alleviate his breathing symptoms now. The left arm muscle power increased and the grip force increased to 3+ degrees. The left arm abductor muscle power reached 4- degrees and the adductor muscle power was 3+ degrees. The  muscle fasciculation of the arms reduced.