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2023, Number 3-4

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Rev Mex Med Fis Rehab 2023; 35 (3-4)

Neurological rehabilitation in a 20-year-old patient with parenchymal hemorrhage in the posterior fossa

Leguizamón NC, Cubillos MC, Salim TY

Language: Spanish
References: 18
Page: 65-70
PDF size: 207.54 Kb.


ABSTRACT

A report of a 20-year-old patient with intraparenchymal hemorrhage in the posterior fossa secondary to cerebral arteriovenous malformation rupture is described below. As a result, the patient experienced an acute functional decline with a catastrophic trajectory, total functional dependence for basic activities of daily living, dysphagia, dysarthria, trunk instability, limited walking due to left hemiparesis, and absent motor patterns in the left upper limb secondary to monoplegia of that extremity. After emergency surgical management, non-pharmacological therapeutic interventions were initiated by an interdisciplinary team consisting of physical therapy, occupational therapy, and speech therapy. They were able to establish compensatory measures for the mentioned functional deficits. As a result, 18 months after the rehabilitation process began, the team has enabled the patient to perform basic activities of daily living with significant improvement in motor control, assisted walking with a Canadian cane, adequate oral intake, improved communication skills, among others. The above allows us to recognize neurorehabilitation as an integral, coordinated process aimed at maintaining optimal functionality through feedback between the nervous system and environmental stimuli to which it is exposed.


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