Discussion about the Prognoses of Wilson's Disease with Severe Cortex Structure Impairment--A Case Report of Wilson's Disease (WD) Treated by the Traditional Chinese Medicine and Western Medicine.pdfVIP

Discussion about the Prognoses of Wilson's Disease with Severe Cortex Structure Impairment--A Case Report of Wilson's Disease (WD) Treated by the Traditional Chinese Medicine and Western Medicine.pdf

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Apr.2010,Volume7,No.4(SerialNo.65) JournalofUS.ChinaMedicalScience ISSN 1548—6648,USA 瓣L嚣Hl辩蒜 DiscussionaboutthePrognosesofW ilson。sDisease withSevereCortexStructureImpairmentm A Case ReportofWilson’sDisease(WD)Treatedbythe TraditionalChineseMedicineandWesternMedicine SonglinChen,YingyinLiang,XiangxueZhouandXunhuaLi DepartmentofNeurology,TheFirstAffiliatedHospitalofZhongshanUniversity,Guangzhou,China Abstract:Introduction:Aswcknow,W ilson’sdisease(WD)patientwithseverestructureandfunctionimpairmentwillhaveapoor prognosis.Wemetanexceptionalcaseandmadeareport,thendiscussedsomeviewpointsaboutprognosisofWD patients.Case report:A WDpatientpresentingwithseverecodexstructureandcerebralfunctionimpairmentwasfollowedupfor5years,including histherapeuticregiment-thecombinedtreatmentoftraditionalChinesemedicineandwesternmedicine,clinicalmanifestation,the 24.hrurinecopperoutputandbrainMRI.Byeffectivecopper—excludingtherapy,hisclinicalmanifestationwentonworse1 yearafter diagnosis,andthenwasimprovedinthefollowingyears.Thepatient’ssymptomsalmostcompleterecover3yearsafterwrad.During5 ycars.the24.hrurinecopperexcretedistapered.butitwasstillhigherthannorma1.ThecerebralMR imageofthepattentwasgetting worseat1“year.thenbegantorecover,andimprovedmarkedly5yearsafter.Conclusion:ForWDpatients,treatedwiththetraditional Chinesemedicineandwesternmedicine,eventherapystartinseriousconditionsandinlateadolescent,clinicalmanifestationmayget strikingimprovement. Keywords:W ilson’sDisease(WD),treatingeffect.cranialMR1 1.Introduction pathogenesiscondition,thepharmacotherapyishardto amelioratethesymptoms[2】.Thereisalsoareportthat wD is a rare familiaIinherited disorder as an the necrosis or cystic change in the brain are autosomalrecessive trait

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