Trato Jill, Johnson Eric G
Department of Physical Therapy, Long Beach Memorial Medical Center, USA.
J Man Manip Ther. 2010 Sep;18(3):159-65. doi: 10.1179/106698110X12640740712491.
Clinical examination and management of patients with meningiomas is primarily dependent upon appropriate diagnosis of tumor type and surgical intervention. Physical therapists should be able to identify patients presenting with signs and symptoms suggestive of potential central nervous system (CNS) disorders and refer the patient appropriately.
In this case report, a 52-year-old female was referred to physical therapy after 18 months of unresolved dizziness.
Oculomotor examination revealed evidence of peripheral vestibular and potential CNS disorders. The physical therapist referred the patient to a physician who ordered magnetic resonance imaging (MRI).
The patient received five physical therapy sessions while waiting for the MRI which revealed a meningioma. The meningioma was surgically removed and the patient was subsequently relieved of all symptoms.
Despite the presence of the meningioma, the patient reported improved stability during work-related activities and decreased dizziness as a result of physical therapy intervention pre-operatively.
This case report emphasizes the importance of a physical therapists ability to perform and interpret an oculomotor examination in a patient presenting with signs consistent with peripheral vestibular and CNS disorders. It also demonstrates the role of physical therapy in collaboration with physicians in order to provide appropriate patient care management.
脑膜瘤患者的临床检查和管理主要依赖于对肿瘤类型的正确诊断和手术干预。物理治疗师应能够识别出现提示潜在中枢神经系统（CNS）疾病体征和症状的患者，并进行适当转诊。
在本病例报告中，一名52岁女性在持续头晕18个月后被转诊至物理治疗科。
动眼神经检查发现外周前庭和潜在中枢神经系统疾病的迹象。物理治疗师将患者转诊给医生，医生安排了磁共振成像（MRI）检查。
患者在等待MRI检查期间接受了五次物理治疗，MRI检查显示为脑膜瘤。脑膜瘤通过手术切除，患者随后所有症状均缓解。
尽管存在脑膜瘤，但患者报告术前通过物理治疗干预，在工作相关活动中的稳定性有所改善，头晕症状减轻。
本病例报告强调了物理治疗师对出现与外周前庭和中枢神经系统疾病相符体征的患者进行动眼神经检查并解读结果的能力的重要性。它还展示了物理治疗与医生协作在提供适当患者护理管理方面的作用。
