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Treatment of Cerebral Palsy with Stem Cells: A Report of 17 Cases
Nassim H Abi Chahine1, Tarek W Wehbe2, Ramzi A Hilal3
1Neurosurgery, The Lebanese-Canadian Hospital, Beirut, Lebanon.
Insights
Bone Marrow Mononuclear Cells (BMMC) show promise for treating Cerebral Palsy (CP). Intrathecal BMMC administration in 17 children with CP resulted in significant motor and cognitive improvements in most patients.
Area of Science:
- Neurology
- Regenerative Medicine
- Pediatrics
Background:
- Cerebral Palsy (CP) is a non-progressive neurological disorder causing motor and cognitive disabilities.
- Current treatments for CP focus on supportive care, with no established cures or restorative therapies.
- CP arises from diverse causes, including prenatal hypoxia, genetic factors, and infections, leading to heterogeneous patient populations.
Purpose of the Study:
- To evaluate the safety and efficacy of intrathecal administration of Bone Marrow Mononuclear Cells (BMMC) in children with Cerebral Palsy.
- To assess the impact of BMMC therapy on motor function and cognitive abilities in CP patients.
Main Methods:
- Seventeen sequential patients diagnosed with Cerebral Palsy (CP) underwent intrathecal administration of Bone Marrow Mononuclear Cells (BMMC).
- Patient outcomes were assessed using the Gross Motor Function Classification System (GMFCS) to evaluate motor function.
- Safety was monitored through the post-injection course, and cognitive improvements were also noted.
Main Results:
- The intrathecal BMMC administration procedure was well-tolerated, with an uneventful post-injection course in all patients.
- 73% of evaluable patients demonstrated a good response to the treatment, as measured by the GMFCS.
- An average improvement of 1.3 GMFCS levels was observed, alongside notable cognitive enhancements.
Conclusions:
- Intrathecal BMMC therapy presents a potentially effective and safe treatment option for children with Cerebral Palsy.
- BMMC treatment demonstrated significant improvements in motor function and cognitive abilities, offering a new therapeutic avenue for CP.
- Further research is warranted to confirm these findings and optimize BMMC therapy protocols for CP management.
Abstract:
Cerebral Palsy (CP) is a disabling condition that affects a child's life and his/her family irreversibly. It is usually a non-progressive condition but improvement over time is rarely seen. The condition can be due to prenatal hypoxia, metabolic, genetic, infectious, traumatic or other causes. It is therefore a heterogeneous group that results in functional motor disability associated with different degrees of cognitive abnormalities. There are no treatments that can cure or even improve CP and the best available approach aims at functional, social and nutritional supportive care and counseling. In this paper, we report 17 sequential patients with CP treated with intrathecal administration of Bone Marrow Mononuclear Cells (BMMC). All patients had an uneventful post-injection course with 73% of the evaluable patients treated having a good response using the Gross Motor Function Classification System (GMFCS). The average improvement was 1.3 levels on the GMFCS with cognitive improvements as well.
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