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Published on: May 27, 2011
Allogeneic fetal stem cell transplantation to child with psychomotor retardation – A case report
Insights
Fetal stem cell transplantation for psychomotor retardation and epilepsy is not effective and poses serious health risks. This case highlights severe complications like sepsis and pneumonia due to immune imbalance, underscoring the dangers of unproven therapies.
Area of Science:
- Pediatric Hematology and Oncology
- Immunology
- Neuroscience
Background:
- Autologous and allogeneic stem cell transplantation (hematopoietic stem cells) are established treatments for malignant diseases in children and adults.
- The efficacy of fetal stem cell transplantation for neurological conditions like psychomotor retardation and epilepsy remains unproven and poorly understood.
Observation:
- A 9.5-year-old boy received allogeneic fetal stem cells for psychomotor retardation and epilepsy.
- Post-transplantation, the patient developed life-threatening sepsis and severe pleuropneumonia.
- Immune analysis revealed adequate humoral immunity but compromised cellular immunity, with a T-suppressor lymphocyte predominance.
Findings:
- The patient's neurological deficits (psychomotor retardation, dyslalia, epilepsy, strabismus, amblyopia) showed no improvement.
- The immune imbalance was strongly associated with the delayed onset of severe sepsis and pleuropneumonia.
- Fetal stem cell therapy for these unconfirmed indications resulted in severe adverse events.
Implications:
- Using fetal stem cells for unvalidated indications like neurological disorders poses significant risks to patients.
- Such practices can lead to severe infections, immune dysregulation, and failure to improve the underlying condition.
- This case underscores the critical need for evidence-based medicine and cautions against the misuse of stem cell therapies, protecting patients and healthcare systems.
Introduction:
The consequences of autologous and allogeneic stem cell transplantation (stem cells of hematopoiesis), applied in adults and children suffering from leukemia or some other malignant disease, are well-known and sufficiently recognizable in pediatric clinical practice regardless of the indication for the treatment. However, the efficacy of fetal stem cell transplantation is unrecognizable when the indications are psychomotor retardation and epilepsy.
Case Outline:
With the exception of neurological psychiatric problems, a boy aged 9.5 years was in good general health before transplantation with allogeneic fetal stem cells. The main aim of allogeneic fetal stem cell transplantation was treatment of psychomotor retardation and epilepsy. After 13 months of treatment, he was admitted to hospital in a very serious, life-threatening condition due to sepsis and severe pleuropneumonia. The humoral immunity in the boy was adequate, unlike cellular immunity. The immune imbalance in terms of predominance of T-suppressor lymphocytes contributes to delayed and late development of sepsis and severe pleuropneumonia. The boy still shows the same severity of psychomotor retardation, dyslalia, epilepsy, strabismus and amblyopia.
Conclusion:
Implementation of fetal stem cell therapy for unconfirmed indications abuses the therapeutic approach, harms patients, misleads parents, and brings financial harm to the healthcare system of any country, including Serbia.
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