From Mk Sastry.
This case is a wonderful from Indonesia, proving the efficacy of Nibs non invasive brain stimulation. Patient on bed started walking with support in 3 days 20 mins brain stimulation 2 hours muscle programing . On bed for 15 months.
C/o patient aged 36 years , having large cerebral haemorrhage , and emergency surgery was performed and accordingly and ventriculoperitoneal (VP) shunt programable was placed more likely. Under GA with carinotomy along with Cranioplasty was performed . No documentation was produced before treatment. Patient GCS was below 6 and was in comma for 15 days . Thereby was discharged on advise.
O/E. GCS 11 , upper and Lower Limb flaccid. On bed for 15 months . No physical therapy was performed. Voice aphasia. Disoriented and highly anxious .
DTR and Plantar absent. Pupil dilation +2 ve both eyes .
Chest S1 + S2 no murmur. Spo 96 %
Co-morbid with seizures, essential hypertension , type 2 DM but insulin dependent . Both short acting and long acting was given ..
Strength of affected limb 0/5 both upper and Lower .
History of conservative treatment not known .
Accordingly Sastry NIBS dry needle with SNIT was planned .
Team pak Fitri , ibu Dr Amalyia medical doctor from Indonesia and my self .
Translator Dr yuliawati , kaiysah Malaysia and Mieke .
Three treatment hours was provided along with Muscle traning , brain cortical stimulation was provided for 2o mins in three days.
On third day SNIT principles with injection was provided to reduce spasticity. And there after the patient started walking , 1st change he was able to seat independently , than stand by support , than walked with support .
Able to perform motor moments , strength 3/5 .
After ,20 mins knee got strength .
Clonus was present accepted as good sigh .
Further advise to continue treatment
Advised for endocrinologist or family physician to control sugar.
Excellent case only 20 mins , 20 needles in just 3 hours of 3 days. And 50 ml normal saline with Sastry pen.
Power of zoom classses.
Thankyou so much
Mk Sastry.
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