Patient Condition
MSA-C, progressive cerebellar ataxia for 12 months with severe constipation, erectile dysfunction, and RBD. UMSARS-I 15, UMSARS-II 18, SCOPA-AUT 15. Brain MRI showed middle cerebellar peduncle and pontine atrophy.
Treatment Timeline
| Phase | Details | Date |
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| Diagnosis and multi-system evaluation of MSA-C type | | |
| IVIG Immunomodulation + Autonomic Nerve Symptom Management | | |
| Autologous stem cell therapy + intensive rehabilitation | | |
| Maintenance treatment and functional retention | | |
Treatment Outcome
| before | UMSARS-I 15 points, UMSARS-II 18 points, gait instability requiring walking aid, RBD more than 5 episodes per week |
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| after | UMSARS-I stabilized at 16 points, UMSARS-II improved to 16 points, can walk independently indoors, and RBD reduced to 1-2 times per week |
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| highlight | Levodopa combined with clonazepam effectively controlled RBD symptoms, and rTMS combined with special rehabilitation training significantly improved cerebellar ataxia |
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