This case involved intraparenchymal intraventricular hemorrhage – Spetzler Martin Grade IV arteriovenous malformation of the left temporal lobe. On June 11th 2016, I had an appointment with the mother and sister of a 13year old female patient. They asked me to help the other daughter who was in a coma after recurrent cerebral hemorrhage.
The relatives explained that it was the second incident of hemorrhage and it happened on June 02, 2016. The first one occurred on February 29, 2016 at 11:00 pm, In February, the girl had complained about sudden severe headache and faintness. The diagnosis was not determined immediately and her state had become progressively worse during the 48-hour period. Uncontrollable vomiting, weakness in arms and legs, double mydriasis and confused mental state had appeared. After answering questions, she fell into slumber again. After that, a more detailed examination had been organized in medical settings with the following diagnosis obtained-Arteriovenous malformation (AVM) of left thalamencephalon. Subarachnoid cerebral hemorrhage.
After medical treatment, the girl fully recovered within 1.5 months and in May 2016 she was referred to the Nikolay NilovichBurdenko Neurosurgery Institute (Moscow). Radiotherapy was recommended for AVM after 6 months. Seven days after her recovery (that coincided with onset of menarche) on June 02, 2016 the second incident happened. In the morning the girl felt severe headache, faintness with nausea and bilious vomiting. Before arrival of the emergency medical service team, she stayed conscious, but on the way to the hospital she started losing her vision and ended up in coma.
She was admitted in Pediatric Neurosurgical Department of Berzon City Hospital # 20 (Krasnoyarsk). Multi-layer spiral CT as of 02.06.16 revealed the zone of parenchymal hemorrhage in the left side of thalamencephalonof about 2.5 cm with breakthrough into the ventricular system where the last one was asymmetrically dilated(right<left). There was acute occlusive internal hydrocephalus with compression of subarachnoid cavities and axial midline shift. Closed external drainage of the left lateral ventricle was conducted.
According to the patient’s mother, further medical treatment had not given any positive changes. The girl was still unconscious. Her relatives tried to find alternative solutions and eventually decided on a homeopathic approach. On
June 13, I visited the patient in the Pediatric Neurosurgical Department to evaluate her state and my real potential in this case.
The doctor in charge considered her state as critically ill with dismal prognosis. Body temperature remained stable within 38.6-39.4 and wasn’t lowered by anti-febrile drugs or the whole emergency treatment. Both pupils were dilated equally, reaction to light was retarded. The was girl breathing by using artificial ventilation. During examination she did not react on irritative stimulation and calling her. She did not make any movements – conscious or unconscious. Skin surfaces were pale pink and hot to the touch. Ventilation was accomplished by all fields with singular sonorous ronchi. Nutrition came through nasogastral tube, diuresis was adequate.
The number of symptoms was extremely low! Repertorization in the expert system Vithoulkas Compass enabled me to select only 4 symptoms:
Taking into account that Arnica is the main medicine used for internal hemorrhage with constriction injury of surrounding tissues, and is prescribed for patients in coma that stay unconscious and mostly make no involuntary movements (head shaking or masticatory movements, moaning, like Helleborusniger) and snoring as opposed to Opium-prescribed patients,АrnicaС30 was prescribed. 7-10 globules were blended in 30 ml of drinking water, 10 ml medical syringes were filled, one was used and the other two were stored in the locker away from direct light and electrical appliances and telephones. The medication was distributed by 1-2 drops into certain nasal passages every 4 hours. The patient was given the first dose on June 18.
The response was unbelievable even for the resuscitation team.By the end of the first day the girl started to open her eyes when her name was called out; the second day she started smiling when her mother was in sight and stretched her hands. The awakening period was growing rapidly. On the 4th day the patient was able to breathe normally on her own so she was taken off the artificial lung ventilation with tracheostomy left in, just in case. On the 5th day she was transferred from the resuscitation ward into a regular one. Daily positive improvement was in progress as I was informed by her relatives. I could visit her on the 14th day – her face was anxious, symmetrical with pupils dilated, her eyes seemed to fill with horror when someone was approaching or touching her as the anxiety was growing very fast (that fact greatly confirms the initial idea of Arnica). Her limbs were periodically occupied with tension and tremor stretching, left side less susceptible. Arterial blood pressure was increasing to 170/90, which is why she was taking antihypertensive drugs. Tracheostomy was removed on the 21st day.
Then, there was a quota waiting period for AVM fractional embolization on the basis of Research Institute for Circulation Pathology n.a. academician E.N. Meshalkin (Novosibirsk) and radiation therapy. The period lasted until September 2016. The whole period the girl stayed in hospital and kept on taking liquid АrnicaС30 as 1-2 drops orally each 4 hours, except for the period of sleep. Her state had stabilized at this time, emotions and desires had appeared, controlled movements in limbs and body.She could eat independently and the ability to speak had returned (she could speak quietly), sight had improved, muscle strength had intensified. It allowed us to transport the girl to Novosibirsk and arrange for surgical measures.
The girl was successfully operated on 19.09.16. The operation was organized in two steps. The second step took place on March 2017, after that, in April, she went through three radiation regimens. She tolerated post-operational and post-radiation periods well. Treatment by Аrnica 30 continued until November 2016 in accordance with the initial schedule.
Now she is receiving homeopathic treatment in combination with rehabilitation therapy but it’s a different story.At the present moment, she is on her way to recovery; motion activities and capabilities have almost returned and she is fully taking care of herself and is eagerly driven to learn and progress.
While the AVM is a structural pathology that requires surgery, Аrnica’s effect was extremely impressive for those who got a chance to observe it. It occurred within a matter of hours after 16 days of being in a deep coma. It’s hard to imagine how the girl’s life would be, if she hadn’t taken Arnica. The girl’s case once again shows us the scale of opportunities and uniqueness of the homeopathic approach even in difficult straits on the borders of death.