Stroke-Case-Mr. A.Assara

Mr. A.Assara from Lybian

Nationality：Lybian

Age: 71 years old

Diagnosis: Stroke

Admission Date: June 2013

Background

A. Assara, a 71-year-old male from Libya, has been grappling with a complex medical condition. He suffers from the sequelae of a stroke, which has led to left-side hemiplegia, in addition to diabetes and hypertension. His health journey took a significant turn in the summer of 2008. After experiencing a fit of rage, he suddenly developed slurred speech and profound weakness on the left side of his body. Urgent medical attention was sought, and a CT scan of his head revealed an abnormal signal image in the right thalamus.

For over five years since then, he has been severely hampered by the movement dysfunction on the left side of his body, which has had a profound impact on his daily life. Simple tasks like dressing, eating, and walking have become extremely challenging. Due to these persistent and debilitating symptoms, he was admitted to our hospital.

Since the onset of his condition, he has been receiving physical rehabilitation therapy and nerve nutrition medication in an attempt to improve his condition. On June 25th, 2013, he took a new step in his treatment by receiving a round of stem cell treatment in our Beijing hospital, with the hope of achieving more significant improvements in his physical function and quality of life.

Pre-Treatment Condition（Before Stem Cell Treatment）

1. Left-Side Abnormal Muscle Tone:
- Hypertonia (rigidity) or hypotonia (flaccidity) impairing movement and posture.
2. Left-Side Weakness & Motor Deficits:
- Severely reduced strength (grip, leg lift); uncoordinated movements (dragging leg, uncontrolled arm swing).
3. Left-Side Sensory Loss:
- Diminished touch, temperature, and pain perception on left limbs.
4. Speech Impairment:
- Slurred speech (dysarthria) with articulation and pronunciation difficulties.

Treatment Plan

One course of stem cell therapy
Surgical method: Lumber puncture
Efficacy monitoring plan over 6 to 12 months post-treatment

After the First Course ofTreatment (6 months)

1. Left-Side Muscle Tone:
Normalized tension (no rigidity/flaccidity); restored natural movement.
2. Left-Side Strength:
Improved voluntary limb movement; functional grip and independent standing; assisted walking achieved.
3. Left-Side Sensation:
Restored touch, temperature, and pain perception; enhanced proprioception for safer, precise tasks.
4. Speech Clarity:
Reduced slurring; clearer articulation with minor residual pronunciation challenges.
5. Blood Glucose Control:
Stabilized within normal range, supporting overall recovery.

Symptom	Improvement
Hypertonia impairing movement/posture.	Normalized tone with natural movement.
Severe weakness; uncoordinated limb movements.	Improved voluntary movement; functional grip/standing; assisted walking.
Diminished touch/temperature/pain perception.	Restored sensation; enhanced proprioception.
Slurred speech (dysarthria).	Reduced slurring; clearer articulation.
Not documented.	Blood Glucose Control Stabilized within normal range.

Progress Summary & Future Outlook

A.Assara's current progress is a beacon of hope for his future. With normal muscular tension, improved left-side strength, and restored sensation, he's set to achieve greater independence. As his walking ability continues to improve, he may soon stroll unaided. Clearer speech will open doors to better social and medical interactions. Maintaining normal blood glucose and blood pressure will safeguard his overall health. In the coming months, he could return to many of his former activities, fully integrating back into his community, enjoying a life free from the severe limitations that once held him back.