Mr. 73 year-old, he was diagnosed with diabetes 3 years ago, his condition was
effectively controlled by medications;the patient came to our hospital on Feb 6th
He was hospitalized on September 14th due to Pain behind left ear, hearing
impairment, left side of face appeared to be swollen and lopsided, he could not
close his eyes completely, high-resolution CT scan showed a in the left ear,he
underwent a surgery on October lst,during the surgery there were no found
cholesteatomas nor abscess, with signs of soft tissue inflammation, he was given
analgesics and steroids for 4 weeks, after he stopped the medications, he started to
experience left-sided headache and his facial nerve paralysis symptom did not
improve.The patient started to experience swallowing difficulties, hoarseness.
October 26th, the patient return for pain behind left ear for check-up the eye cannot
close tightly, left tongue hemi- atrophy.
Pathology results revealed paralysis of several pairs of cranial nerves: 7th,8th, 9th,
l0th, 11th and the12th , the patient started to receive treatment 2-3 times a week, the
patient was experiencing left ear pain,tongue/uvula deviation and dysphagia,
diagnoses stand or fall on the symptoms and signs.
Jan 5th, 2009, the pain shifted from behind the ears to top of the head, his condition
revealed far less pronounced treatment effects of the CMT. Jan 23rd, I decided to
change treatment prescription and I increased the 500mw laser treatment time of
10 seconds to 2 minutes, sometimes up to5 minutes, after the treatment was adjusted
his headache, tongue deviation/atrophy,left neck/shoulder weakness symptoms
improved. hoarseness swallowing difficulty symptoms did not improve,
tongue deviation to right side.
The patient went to the hospital Emergency Department on March lst due to
sudden weakness in left arm and leg, the Magnetic resonance imaging (MRI)
revealed inf'Iammation of the fauces and osteomyelitis, the patient checked into
the hospital on March 3rd.
The patient stayed in the hospital for 67days, he discharged from the hospital
on May 9th, and came back for CMT on July 6th with slight improvement on some
of his symptoms.
Signs and symptoms analysis
MRI revealed skull base osteomyelitis with pharyngeal abscess formation
produced neuropore closure and led to regional cranial nerve compression
syndromes, symptoms spread within the innervation territory of the affected
nerves (seventh, eighth, ninth,tenth, eleventh, and twelfth of twelve paired cranial
nerves) 3 important factors of treating diabetes patients.:
(a) compression of the diencephalon caused piluitary and hypothalamic diseases
which led to autonomic instability metabolic disorder.
(b) inflammatory compression of the tenth cranial nerves
(c) inflammation of the L-spinal cord
Spinal palpation was normal and there was no percussion pain, examination
result showed no sign of L-spinal cord inflammation.
Horizontal relationship
(1) Sudden hearing loss in left ear
Aylll ---Ayll
Axlll ---Axll
(2) Right tongue hemi- atrophy/deviation
Aylll -Ayll
Axlll-Axll
Relationship of points
Retro pharyngeal abscess and skull base osteomyelitis led to regional nerve
compression syndrome ( paralysis in N. VII,VIII, IX, X, XI, XII) , atlas spinal cord compression caused (upper neck pain, ear pain and headache).
Enrac CMT prescription
Treatments on Du-meridian c+a and Sub- telencephalon CNS
Treatment result
The patient's tongue atrophy/ deviation was treated, this twelfth cranial nerve
The patient's forehead wrinkles were still not prominent, but he is able to close
his eyes tightly, and corners of his mouth are symmetric, this showed a great
improvement on the seventh cranial nerve.
Conclusion
When treating paralysis caused by damage, compression in nerves, one must
considers the pathophysiology of the disease and diagnose the inflammation and
obstruction within skull base or compression caused by tumor; Enrac CMT is
clinically proven to have therapeutic effects on nerve compression symptoms.
(Case Report by:Li-Yuan Chen M.D)
