SIGNIFICANCE OF REHABILITATIVE MANAGEMENT DURING THE CRITICAL PERIOD FOR MOTOR RECOVERY IN INTRACEREBRAL HEMORRHAGE: A CASE REPORT

Title
SIGNIFICANCE OF REHABILITATIVE MANAGEMENT DURING THE CRITICAL PERIOD FOR MOTOR RECOVERY IN INTRACEREBRAL HEMORRHAGE: A CASE REPORT
Author(s)
장성호권혁규
Keywords
DIFFUSION TENSOR TRACTOGRAPHY; DAMAGED CORTICOSPINAL TRACT; STROKE; PATIENT; SKILL; STIMULATION; PROJECTIONS; TRACKING; INFARCT; CORTEX
Issue Date
201203
Publisher
FOUNDATION REHABILITATION INFORMATION
Citation
JOURNAL OF REHABILITATION MEDICINE, v.44, no.3, pp.280 - 284
Abstract
Objective: The majority of motor recovery following stroke is known to occur within 3-6 months after onset; this period is therefore regarded as critical for motor recovery in stroke patients. We report here a case of a patient with intracerebral haemorrhage who showed changes in the affected motor function and in the damaged corticospinal tract (CST) at the primary motor cortex (M1) during rehabilitative management. Case description: A 51-year-old woman underwent decompressive craniectomy and removal of haematoma due to a rupture of an arteriovenous malformation. Brain magnetic resonance imaging revealed a leukomalactic lesion at the fronto-parietal cortex centred on the precentral knob. Diffusion tensor imaging data were acquired 4 times (5, 8, 11 and 18 weeks after onset) and she started rehabilitation for right hemiplegia at 5 weeks after onset. Results: We found close relationships between changes in the CST branch from M1 on diffusion tensor tractography, the state of motor weakness, and the rehabilitative management: the CST branch from M1 was observed concurrently with motor recovery and the process of rehabilitation. Conclusion: This case report indicates the importance of active and comprehensive rehabilitative management during the critical period for motor recovery in stroke patients.
URI
http://hdl.handle.net/YU.REPOSITORY/29598http://dx.doi.org/10.2340/16501977-0931
ISSN
1650-1977
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의과대학 > 재활의학교실 > Articles
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