右侧桥脑出血性中风导致的偏肌张力障碍的康复治疗

Melanie Aing, Craig Ditommaso
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引用次数: 0

摘要

肌张力障碍是一种运动障碍,其特征是不自主的重复性扭动。从历史上看,肌张力障碍是一种基底神经节疾病。然而,最近有研究报告称肌张力障碍与脑干疾病有关。虽然提出了许多理论,但该疾病的病理机制尚不确定。此外,有效的治疗方案也寥寥无几。本病例研究报告了一例急性桥脑出血性卒中导致的肌张力障碍病例,患者通过药物治疗和强化住院康复治疗获得了成功。患者来到我们的住院康复中心,接受了巴氯芬和强化康复治疗。出院时,他的功能有所改善,基本能够独立进行日常生活活动。
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Rehabilitation of hemidystonia as a result of right pontine hemorrhagic stroke
Dystonia is a movement disorder characterized by involuntary, repetitive writhing movements. Historically, dystonia is a disorder of the basal ganglia. However, recent studies have reported cases of dystonia associated with brainstem disorders. Although many theories have been proposed, the pathologic mechanism of the disorder is uncertain. Furthermore, few effective treatment options have been proposed. This case study reports a case of hemidystonia resulting from acute pontine hemorrhagic stroke successfully treated with pharmacotherapy and intensive inpatient rehabilitation. The patient presented to our inpatient rehabilitation facility, where baclofen was administered with intensive rehabilitation. On discharge, his functionality improved to mostly independent with activities of daily living.
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