Cerebral Palsy Case Jimmy

Case: Jimmy from Kenya

Nationality：

Kenya

Age：

6 years old

Diagnosis：

Cerebral Palsy

Admission Date：

Dec 2014

Background

Jimmy is a term vaginal delivery at 39 weeks, birth weight 3.2 kg. Umbilical cord wrapped around the neck twice at birth. Apgar scores: 5 at 1 minute (deductions for respiration, muscle tone, reflexes) and 8 at 5 minutes (deductions for muscle tone, reflexes). Post-resuscitation transfer to NICU for 48-hour monitoring, diagnosed with neonatal hypoxic-ischemic encephalopathy (HIE) stage I-II. No history of neonatal jaundice or infection.

Pre-Treatment Condition (Before the First Course of Treatment)

1. Non-ambulatory (unable to stand or walk);
2. Dysphagia requiring liquid diet;
3. Dysarthria (unclear speech articulation);
4. Neurogenic bladder/bowel (absent sensation and voluntary control);
5. Bilateral hand hypertonia (restricted extension; incomplete fist formation);
6. Lower limb hypertonia (spastic diplegia pattern).

Treatment Plan

Two weeks of stem cell therapy
Surgical method: Lumbar puncture and Stereotactic brain surgery
Efficacy monitoring plan over 6 to 18 months post-treatment

After the First Course of Treatment(12 months)

1. Independent standing (5 min) and ambulation (2 min);
2. Improved swallowing function; transitioning to semi-solid diet; adequate oral intake;
3. Enhanced speech clarity (marked articulation progress);
4. Emerging bladder/bowel awareness (pre-elimination signaling; volitional control with assistance);
5. Reduced bilateral hand hypertonia; improved grip strength;
6. Increased upper limb mobility; active participation in functional tasks;
7. Decreased lower limb hypertonia (spasticity management gains).

After the First Course of Treatment (18 months)

1.Swallowing function is further improved, can eat vegetables and bread;
2.Walking with walking aid and can drink water independently.

Symptom	Improvement
Dysphagia (liquid diet only)	Improved swallowing; tolerates solids (vegetables, bread)
Non-ambulatory (unable to stand/walk)	Walks with walking aid; independent water intake
Restricted to liquids	Transitioning to semi-solid/solid foods
Bilateral hand hypertonia (unable to extend)	Reduced hand hypertonia; improved grip strength
Neurogenic bladder/bowel (no voluntary control)	Pre-elimination signaling; family-assisted control
Dysarthria (unclear articulation)	Marked improvement in pronunciation

Progress Summary & Future Outlook

Given Jimmy's remarkable progress after the first course of treatment, the future looks promising. With continued physical and occupational therapies, he is likely to enhance his standing and walking abilities. In the coming months, he may be able to walk independently for longer distances and with better stability.

Regarding his self-care skills, with consistent training, he may soon be able to manage urination and defecation completely independently. As his muscle tension continues to decrease and strength increases, he will have more precise control over his hand and limb movements, enabling him to perform more complex daily tasks. Overall, with continuous support and treatment, Jimmy has the potential to lead a more independent and fulfilling life.

治疗前后治疗视频