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丘脑-内囊血肿合并病灶周围水肿患者的管理:一例报告

Management of a patient with thalamic-capsular hematoma complicated with perilesional edema: a case report.

作者信息

Gandhi Richa, Tikariha Anshu, Dey Shivani, Ladkhedkar Pooja

机构信息

Department of Neurophysiothery, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, India.

出版信息

Front Hum Neurosci. 2025 Jul 2;19:1559631. doi: 10.3389/fnhum.2025.1559631. eCollection 2025.

DOI:10.3389/fnhum.2025.1559631
PMID:40672740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12263673/
Abstract

The patient is a 45-year-old woman who was rehabilitated from perilesional oedema with a right thalamic-capsular hematoma. Functional dependence and left-sided hemiparesis were noted. There was considerable improvement in mobility, strength and independence after providing holistic physiotherapy that consisted of multimodal sensory stimulation, tone management, and functional training. Recovery was further enhanced with cutting-edge treatments, including intermittent theta burst stimulation. Remarkable improvements were evidenced in muscle strength, cognitive orientation, and functional independence measures over the entire course of treatment. The article illustrates how quickly and effectively crucial oriented physical therapy at the right point can help reach the best benefit outcome by using the case scenario of a thalamic patient.

摘要

该患者为一名45岁女性,因右侧丘脑-囊状血肿周围水肿而接受康复治疗。存在功能依赖和左侧偏瘫。在提供包括多模式感觉刺激、肌张力管理和功能训练的整体物理治疗后,患者的活动能力、力量和独立性有了显著改善。通过包括间歇性θ波爆发刺激在内的前沿治疗,恢复情况进一步得到增强。在整个治疗过程中,肌肉力量、认知定向和功能独立性测量均有显著改善。本文通过一名丘脑患者的病例,说明了在正确的时间点进行关键的定向物理治疗能够多么快速且有效地帮助实现最佳治疗效果。

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本文引用的文献

1
Perihematomal Edema After Intracerebral Hemorrhage: An Update on Pathogenesis, Risk Factors, and Therapeutic Advances.脑出血后血肿周围水肿:发病机制、危险因素和治疗进展的更新。
Front Immunol. 2021 Oct 19;12:740632. doi: 10.3389/fimmu.2021.740632. eCollection 2021.
2
Secondary Vulvar Reconstruction Using Bilateral Gluteal Fold Flaps after Radical Vulvectomy with Direct Closure.根治性外阴切除术后直接缝合后使用双侧臀股沟皮瓣进行二期外阴重建。
Plast Reconstr Surg Glob Open. 2021 Apr 20;9(4):e3550. doi: 10.1097/GOX.0000000000003550. eCollection 2021 Apr.
3
Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018).
基于证据的重复经颅磁刺激(rTMS)治疗应用指南:更新(2014-2018)。
Clin Neurophysiol. 2020 Feb;131(2):474-528. doi: 10.1016/j.clinph.2019.11.002. Epub 2020 Jan 1.
4
Hypertensive thalamic hemorrhage: analysis of short-term outcome.高血压性丘脑出血:短期预后分析
Int J Neurosci. 2019 Feb;129(2):189-194. doi: 10.1080/00207454.2018.1518905. Epub 2018 Oct 31.
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Factors necessary for independent walking in patients with thalamic hemorrhage.丘脑出血患者独立行走所需的因素。
BMC Neurol. 2017 Dec 8;17(1):211. doi: 10.1186/s12883-017-0991-2.
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Non-invasive electrical and magnetic stimulation of the brain, spinal cord, roots and peripheral nerves: Basic principles and procedures for routine clinical and research application. An updated report from an I.F.C.N. Committee.经颅磁刺激和电刺激:临床和研究应用的基本原理和操作规范。国际神经电生理学会技术规范委员会更新报告。
Clin Neurophysiol. 2015 Jun;126(6):1071-1107. doi: 10.1016/j.clinph.2015.02.001. Epub 2015 Feb 10.
7
Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke.基于脑机接口的手腕和手部康复机器人末端执行器系统:一项针对慢性中风的三臂随机对照试验结果
Front Neuroeng. 2014 Jul 29;7:30. doi: 10.3389/fneng.2014.00030. eCollection 2014.
8
Thalamic lesions: a radiological review.丘脑病变:影像学综述。
Behav Neurol. 2014;2014:154631. doi: 10.1155/2014/154631. Epub 2014 Jul 2.
9
Physical rehabilitation approaches for the recovery of function and mobility following stroke.中风后功能和活动能力恢复的物理康复方法。
Cochrane Database Syst Rev. 2014 Apr 22;2014(4):CD001920. doi: 10.1002/14651858.CD001920.pub3.
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Stroke rehabilitation.中风康复。
Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.