Felter Cara E, Neuland Erin E, Iuculano Shannon C, Dean Janet
Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, Maryland.
International Center for Spinal Cord Injury, Hugo W. Moser Research Institute at Kennedy Krieger Institute, Baltimore, Maryland.
Top Spinal Cord Inj Rehabil. 2019 Winter;25(1):97-103. doi: 10.1310/sci18-00025. Epub 2018 Dec 12.
Intrauterine spinal cord infarcts (IUSCI) with resulting tetraplegia are extremely rare, and there is minimal evidence describing outcomes in this population. This case describes the functional progress of a 3-year-old girl born with IUSCI who participated in activity-based therapies (ABT). Children have developing nervous systems and are particularly suited to benefit from ABT. Over the course of treatment, the child in this case has demonstrated improvements in developmental milestone achievement including fine and gross motor skills and social/cognitive development. Intense, interdisciplinary ABT should be considered for the treatment of children with IUSCI.
导致四肢瘫痪的宫内脊髓梗死（IUSCI）极为罕见，而且描述该人群预后的证据极少。本病例描述了一名患有IUSCI的3岁女孩在参与基于活动的治疗（ABT）后的功能进展。儿童的神经系统正在发育，特别适合从ABT中获益。在治疗过程中，该病例中的儿童在发育里程碑方面取得了进步，包括精细和粗大运动技能以及社交/认知发展。对于患有IUSCI的儿童，应考虑采用强化、跨学科的ABT进行治疗。
