NAME: Celine Lion
Gender: Female                              
Country: France 
AGE: 14 years old
Admission Date: Mar. 1, 2007

REASON FOR TREATMENT: 

Celine suffered spinal cord trauma after diving into a shallow pool nearly 6 months ago.

DIAGNOSIS: Spinal Cord Injury (Cervical segments)  ASIA A ( complete injury )

CONDITION BEFORE THE TREATMENT:
After her injury, Celine could only sit up with the aid of others, and only for ten minutes before feeling faint. She suffered from serious shoulder pain and Algesia in her left thumb. She had no sensation when relieving herself. She had no feeling below chest level.

AFTER TREATMENT:

She only receive cocktail treatment in the first 2 months.Celine’s shoulder pain was significantly relieved and her Algesia disappeared.  She regained feeling when stool and urinate. Superficial feeling improved. Has sense in toes. Her wrists can move and fingers become flexible, so she can use computer now. The biggest improvement is that she can lift her arms. So she can titillate herself, which is very important to her. She can take off her glasses and clean her mouth by herself. She can give handshakes to her friends. Her thenar muscles were flat before treatment, it becomes stronger and plumps up now. She regained feeling in her feet just 3 months after treatment.

All of these improvements have improved her life qualities. Above all, she and her family feel very hopeful. They hope she can walk someday. She plans to stay in PUHUA until 2008.

See Video:move right hand, lift her arms, use computer

2007-07-13

Celine has already received 3 times stem cell injection in Tiantan Puhua Hospital.

Analyse and summary by her mother:

"The First time (a Friday): after operation, she felt very tired and she had a well rest during weekend, so there was no ill reaction

The second time: (a Tuesday) she was inattentive on this time. She joined the rehabilitation treatment lesson on next day. So she felt unwell of her stomach.

The third time: she decided on Friday again, because she wanted a good rest on next few days.

Celine said, there was no obvious reacction for last injection. She got headache, heartbeat was slower than normal in the morning and not very well for her sleep, but all of these were get well on next few days. She gladly said: I can control the movement of my feet on today’s rehabilitation treatment!"

See Video: control the movement of her feet

2007-07-26

When Celine did the rehabilitation lesson on the standing bed, she can hold the columnar toy bricks and putted it back into the hole! That is the first time she can hold things after the stem cells. 

See Video: holding

2007-08-03 

Doctor's medical report for Celine: Contrasting after 5 months treatment

Classification			Before treatment	After treatment
Hypothenar/ the big thenar			muscular atrophy	Her muscle is plumpy than before
Response to exciting			Spasms of the extremities	Her spasms is alleviated than before
Upper limbs	Muscle strength		Right forearm muscle strength  level of flexing is(5); of straighten is (3). Left forearm muscle strength  level of flexing is(4) and muscle strength level of extensor is (2).	Same to before
	Movement		Both hands before wrist cannot flex, her right hand can reach her face, her left upper limb, when straightening, can lift the bed at a angle of 60°.	Her right hand can reach her head easily and her left hand can touch the face. Right wrist can do the movement of endoduction、aboduction and flexing. Right finger can flex and grasp. Left wrist can make a small flexing movement.
	Muscular tension		High tension at the end of bending.	Normal
	Muscular volume		Decreased than normal	Increased after treatment
	Physiological reflex response		Radioperiosteal reflex active in both sides. Biceps femoris reflex of both sides decline. The triceps reflex bilateral were hyperreflexia	The bilateral biceps femoris reflex are normal, others are same to before.
Both lower extremities	Muscle strength		(0) degree	1 degree
	Movement		Naught	Both lower extremities have the movement of intorsion, now she can bend her knees, her big toe in right foot has discontinuous movement.
	Muscular tension		Lower than normal	Not high
	Muscular volume		Lower than normal	Increased
	Physiological reflex response		Patellar tendon reflex in both sides are basically normal. Anklereflex didn’t been induced.	Same to before
Abdominal reflexes		Reflex in middle hypogastrium of left abdominal wall declined, others was not induced		Reflex in both hypogastrium and left middle of abdominal wall are normal, others was not induced.
Pathologic reflex		Hoffmann sign of both side(+) Rossilimo sign of both side(+) Babinski sign and palm-chin reflex in bilateral(－), sucking reflex(－). meningeal irritation sign(－).		Same as before
Shoulder pain		Pain was existence		Obviously relief
Sensation		Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process were disappeared. Area in right upper limb innervated by C5-6 had decreased sensibility. Sense of T1 distribution area had distinctly decline, muscle’s tremor can be observed when needling the part. Hypesthesia in C5-6 distribution area of left upper limb, she has anesthesia in C7-8 and T1 distribution area, hyperesthesia in T1 distribution area and thenar area , muscle’s tremor occurred when needling. Tactile sensations was disappeared below the level of C5, sense of tuning folks’ vibration disappeared in both lower extremities		Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process has been restored a little. Sensibility of her upper limbs were improved. The symptom of hyperaesthesia in C4,C7 area was alleviated. Sense of C8 distribution area is occurred unsteady. Her both lower extremities has superficial sensibility delay. Both big toe had spontaneous pain occasionally, pain in her left thumb was decreased. The pallesthesia was stronger in left leg, in her right knee and foreside of tibia had sense of pallesthesia, she has a response with strong pain stimulus in both lower extremities, there was a sense delay in right leg for about 1-2 seconds.
Esthesia about emiction		Naught		Has a feeling that bladder is empty.
Esthesia about defecation		Naught		Has a sense around the anus, her ani sphincter can contract now
Coordinate movement		Can not cooperate the check

2007-10-11

After 7 months treatment, Celine can move her knee joint slightly, the range of these controllable movement is about 10 degree.