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外侧延髓综合征急性病例的康复与物理治疗行动策略:一例报告

Rehabilitation and Physiotherapy Action Strategy for an Acute Case of Lateral Medullary Syndrome: A Case Report.

作者信息

Kariya Gauri, Singh Rajat M, Sheikh Taj Afreen

机构信息

Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 26;16(9):e70242. doi: 10.7759/cureus.70242. eCollection 2024 Sep.

Abstract

Lateral medullary syndrome (LMS) may result from a failure in either the vertebral artery or the posterior inferior cerebellar artery. Stroke is the most common cause of LMS. To achieve bronchial hygiene and improve the patient's condition, chest physiotherapy was initiated due to his confined condition during the acute stage. As a result, a four-week physiotherapy program was established and administered twice daily to the patient, with noticeable results. A physical examination revealed that the patient exhibited tachycardia, dyspnea, intracranial nerve palsies on the left side, thermoanesthesia on the right, horizontal nystagmus, and ptosis and miosis in the left eye associated with Horner syndrome. After receiving appropriate conservative care, the patient was discharged from the hospital with the fewest possible disabilities.

摘要

延髓外侧综合征(LMS)可能由椎动脉或小脑后下动脉供血不足引起。中风是LMS最常见的病因。由于患者在急性期行动受限,为实现支气管清洁并改善其病情,遂开始进行胸部物理治疗。结果,制定了一个为期四周的物理治疗方案,每天对患者实施两次,效果显著。体格检查发现,患者出现心动过速、呼吸困难、左侧颅内神经麻痹、右侧温度觉缺失、水平性眼球震颤以及与霍纳综合征相关的左眼上睑下垂和瞳孔缩小。在接受适当的保守治疗后,患者出院时遗留的残疾尽可能少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/535b/11512658/5283cf4399b9/cureus-0016-00000070242-i01.jpg

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