桥小脑角表皮样囊肿的住院康复治疗：3例报告
Inpatient Rehabilitation of Cerebellopontine Angle Epidermoid Cysts: Report of 3 Cases.
作者信息
Fu Jack Brian, Nelson Megan Bale, Bruera Eduardo
机构信息
Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1414, Houston, Texas 77030, Phone (713) 792-6085, Fax (713) 792-6092.
出版信息
Neurosurg Q. 2014 Aug;24(3):197-202. doi: 10.1097/WNQ.0b013e3182a2fac7.
OBJECTIVE
Demonstrate the inpatient rehabilitation potential of cerebellopontine angle epidermoid cyst patients. Due to their location, symptoms may present with a complex combination of headache, cerebellar dysfunction, and cranial nerve deficits affecting functional status.
METHODS
This report describes the cases of 3 patients with cerebellopontine angle epidermoid cysts who underwent neurosurgical resection followed by inpatient rehabilitation. All 3 patients experienced gait instability and cranial nerve deficits before surgery, and 2 of the patients had mild cognitive deficits. A customized rehabilitation program for these patients can address these deficits.
RESULTS
Each patient showed demonstrable gains in function with inpatient rehabilitation and good outcomes at discharge.
CONCLUSION
When rehabilitating epidermoid cyst patients, the clinician must be aware of a higher likelihood of cranial neuropathies, need for increased psychosocial support, and the need for more vigilant long term medical monitoring to detect recurrence.
目的
证明桥小脑角表皮样囊肿患者的住院康复潜力。由于其位置特殊，症状可能表现为头痛、小脑功能障碍和影响功能状态的颅神经缺损的复杂组合。
方法
本报告描述了3例桥小脑角表皮样囊肿患者的病例，这些患者接受了神经外科手术切除，随后进行了住院康复治疗。所有3例患者在手术前均出现步态不稳和颅神经缺损，其中2例患者有轻度认知缺损。针对这些患者的定制康复计划可以解决这些缺损问题。
结果
每位患者通过住院康复治疗均显示出功能上的明显改善，出院时预后良好。
结论
在对表皮样囊肿患者进行康复治疗时，临床医生必须意识到患者发生颅神经病变的可能性更高，需要更多的心理社会支持，以及需要更密切的长期医疗监测以检测复发情况。
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