Example of the recovery atrophy of brain at the breast age after neuroinfection

 

 Patient D., 9 months old. Pregnancy in mother and childbirths took a normal course. without the complications. The first days of life in child took a normal course. The twenty seventh day of life rose the temperature, that by district pediatrician was diagnosed as аcute respiratory disease, next day against the background high temperature appeared spasms and meningeal symptoms, in connection with which the child was hospitalized into infectious department of one of the children's hospitals of Moscow city, and then, because of the comatose state - in the resuscitation of infectious department. In retention time in this clinic (more than month) the child was three times transferred into the resuscitation unit because of the coma, with a prolonged stay there. In the cerebro-spinal fluid enteroviruses and herpes were revealed. At the contemporary level of diagnostics were established total oedema of both hemispheres, expressed atrophy of all structures of brain, hydrocephalus. In the clinic to boy was conducted complex treatment including the antipyretic, anti-convulsive, dehydrating and detoxification therapy, after which in the heavy state he was extracted home. Next day afterward extraction child on the fast medical aid was hospitalized into the infectious department of another hospital, from where after 5 weekly treatment he was transferred into the psychoneurological department. In this clinic the child during three weeks was situated in the comatose state, he did not come into contact, was absent the sucking and swallowing reflexes (they fed through the probe), strongly he lost in the weight, the temperature of body was 34OC. Аfter 2 weeks the patient was extracted from the psychoneurological department without the dynamics, with the uncomforting forecast (doctors they advised to parents to forego the child). The state is heavy with the inspection on neurologic status; the child does not come into contact, he is excited, always cries, he cannot lie on the spin (because of the high intracranial pressure), the arm and the leg in the strong hyper-tone, hands holds forward at the level of breast (symptom “pose of fencer”), muscle of neck rigid, head is discarded to the right, they feed in that reclining position, frequently he choke and he is suppressed during the feeding, that also frequently concludes with belch with of  the recently taken food. After choke(because of the entry of food into the trachea) in child is strengthened the bubbling sound from the trachea (of type of grunting), which never completely passes. Sleep is very surface (maximum 0,5 hour), strongly he reacts to the insignificant sounds he is spilled with the cry and the weeping, and after this for long it is impossible to quiet his. He cannot stand on the feet, feet immediately are bent in the knee joints, because of the hyper-tone, to make step is impossible and actually, they drag by dragging over his horizontal surface. Feet are diverted in outside, toes are bent in the interphalangeal and the metatarsus - phalanx joints. According to the data of the biochemical analysis of the blood is a disturbance of the function of the liver and kidneys, with the analysis of feces - more than half of food is not overcooked in the gastrointestinal tract. The child was conducted acupuncture in the course of 2,5 months (5 courses), without the drugs, in parallel with the massage and gymnastics. Already after the first course (10 sessions) of acupuncture positive dynamics was noted. After 5 course treatment by acupuncture are obtained the following results. From the side of internal organs; - the food completely is overcooked with the analysis of feces. with the biochemical analysis of the blood - hepatic and nephritic tests within the standard. From the side of  the peripheral nervous system the hyper-tone of hands it decreased by 30%, feet -80%, hands holds along the body (there is no “pose of fencer”), appeared seizing reflex, talipes and involuntary flexure was finger stop they do not have place, without the outside aid he can retain himself in the vertical position on 5-7 seconds, with the aid of the parents, without leisure he walks 3-4 meters, placing foot normally without cranking,it was added the muscular mass of arms, legs and body, he became considerably strong, he rises on the elbows and the knees, the attempts to creep are made, he holds the head along the center line at rest and with the weeping - frequency and angle of deflection of neck to the right decreased by 50%, he independently turns head to the left at rest, with raising position lying the angle of precipitation of head forward decreased by 50%, he sits exactly, sitting he holds head exactly, for 2,5 months (in the time of treatment by acupuncture) the circle of head increased on 1 cm, and in the previous 6,5 months in all 0,5 sm. The swallowing reflex was normalized, he chokes very rarely and that when he capricious and he does not want to swallow contents of mouth they despite the fact that now feed only sitting and the mass of that proposed food considerably larger than earlier . Completely there is no belch. Because of an improvement in the ingestion disappeared the noise from the trachea with respiration. From the side of central nervous system; clearly always he answers to his name, sleep became relatively deep and prolonged (earlier the largest duration it was 30 minutes, and now-5-7 of hours), he is not spilled because of the insignificant sounds and even if he is spilled, he does not cry and rapidly again he fills up, the tremor of arms and legs and quivering in the sleep became very rare phenomena. Earlier compulsorily he was spilled with the weeping, and he is now spilled quietly, without the weeping, for a while awaits, and if attention is not given to him, only then he begins to cry, i.e., appeared the desire to associate. Sometimes mimicry of the type of tender emotion appears at face. He is sufficient at the toys and tries to play with them a little. The development of central nervous system would be considerably more strongly, if child would be the sighted (during meningoencephalitis, unfortunately, it occurred the exudative scaling of retina from both sides and child  losts sight by both eyes). Now it is planned with surgical way, as far as possible, to restore the sight of child. With the positive outcome of this attempt, we are assured that he will be accelerated psychical and mental development.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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