认知康复在边缘叶脑炎中的作用：一例报告。
The role of cognitive rehabilitation in limbic encephalitis: A case report.
作者信息
Corallo Francesco, Lo Buono Viviana, Di Cara Marcella, De Salvo Simona, Formica Caterina, Morabito Rosa, Floridia Daniela, Pastura Concetta, Rifici Carmela, D'Aleo Giangaetano, Sessa Edoardo, Bramanti Placido, Marino Silvia
机构信息
IRCCS Centro Neurolesi "Bonino-Pulejo," Messina.
Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.
出版信息
Medicine (Baltimore). 2018 Nov;97(48):e13223. doi: 10.1097/MD.0000000000013223.
RATIONALE
Limbic encephalitis is a parenchymal inflammation caused by viral, bacterial, or other microbial and postinfectious agents, which is usually expressed by multifocal neurological signs and cognitive impairment.
PATIENT CONCERNS
A 50-year-old female was admitted in postacute phase, at our rehabilitative Center, to undertake neuro-motor treatment for a period of 4 months.
DIAGNOSES
The patient was affected by limbic encephalitis. Clinical presentation revealed attention, memory and executive dysfunctions, as well as behavioral changes, emotional dysregulation and reduction of self-awareness.
INTERVENTIONS
The patients received an intensive cognitive and motor rehabilitation training.
OUTCOMES
Neuropsychological assessment and magnetic resonance imaging were performed before and after rehabilitative training to evaluate the cognitive and cerebral changes induced by treatment. The patient showed an improvement in cognitive performances and behavioral aspects.
LESSONS
The reducing cognitive deficits, especially memory deficits, could improve quality of life by using available cognitive resources.
理论依据
边缘叶脑炎是由病毒、细菌或其他微生物及感染后因素引起的实质性炎症，通常表现为多灶性神经体征和认知障碍。
患者情况
一名50岁女性在急性期后入住我们的康复中心，接受为期4个月的神经运动治疗。
诊断
该患者患有边缘叶脑炎。临床表现为注意力、记忆力和执行功能障碍，以及行为改变、情绪失调和自我意识减退。
干预措施
患者接受了强化认知和运动康复训练。
结果
在康复训练前后进行了神经心理学评估和磁共振成像，以评估治疗引起的认知和脑部变化。患者在认知表现和行为方面有所改善。
经验教训
通过利用现有的认知资源减少认知缺陷，尤其是记忆缺陷，可以提高生活质量。
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