Dave Anandi R, Seth Nikita H, Samal Snehal
Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 14;16(1):e52278. doi: 10.7759/cureus.52278. eCollection 2024 Jan.
This case report presents a 54-year-old male with a history of type-2 diabetes mellitus who experienced sudden unconsciousness and vomiting, leading to aspiration and subsequent diagnosis of a hemorrhagic stroke. The patient underwent an immediate decompressive craniotomy, revealing a sizable intraparenchymal hematoma in the right basal ganglia and corona radiata. Postoperatively, the patient exhibited left-sided weakness, hyporeflexia, and cognitive impairment. A comprehensive neurophysiotherapy intervention addressed impaired mobility, strength, balance, coordination, respiratory complications, pain management, and other associated challenges. The rehabilitation protocol involved diverse strategies such as passive and active exercises, sensory stimulation, and the application of neurophysiotherapeutic approaches. The patient's progress was assessed using various outcome measures. Neurophysiotherapy plays a crucial role in the recovery of decompressive craniotomy.
本病例报告介绍了一名54岁的男性,有2型糖尿病病史,他突然出现意识丧失和呕吐,导致误吸,随后被诊断为出血性中风。患者立即接受了减压开颅手术,发现右侧基底节和放射冠有较大的脑实质内血肿。术后,患者出现左侧肢体无力、反射减退和认知障碍。全面的神经物理治疗干预解决了运动功能受损、力量、平衡、协调、呼吸并发症、疼痛管理及其他相关挑战。康复方案包括被动和主动运动、感觉刺激以及应用神经物理治疗方法等多种策略。使用各种结果指标评估患者的进展。神经物理治疗在减压开颅术后的恢复中起着至关重要的作用。