đột quỵ survivor: 66 years old - đột quỵ Center

bệnh nhân Description:

A 66-year-old female presented with a sudden onset of left-sided yếu, slurred speech, and mouth deviation to the left. She also experienced difficulty in bed khả năng vận động and daily living activities.

 

Case History:

The bệnh nhân has had a history of hypertension for the past three years along with dilated cardiomyopathy. She was admitted to the emergency room due to the sudden onset of symptoms and was intubated because of decreased oxygen saturation. Subsequently, she was transferred to the intensive care unit and treated with a variety of medications.

 

Physical Examination kết quả:

Facial asymmetry was observed with mouth corners deviated to the left. The bệnh nhân was unconscious and not oriented. Left-sided cơ tone was decreased. Superficial, deep, and integrated cortical reflexes were decreased, and plantar reflexes were flexed. Cranial nerve examination showed involvement of the facial nerve (sensory and vận động parts), balance part of the vestibulocochlear nerve, Broca's aphasia, and dysphagia.

 

kết quả of pathological tests and other investigations:

Magnetic resonance imaging (MRI) revealed a distinct wedge-shaped intraaxial hypodensity involving the grey and white matter of the right frontal, parietal, and temporal lobes, suggesting acute infarction corresponding to the bilateral MCA territory, accompanied by an 11-mm midline shift.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

điều trị plan:

Inpatient phục hồi chức năng (1 to 2 weeks): Various điều trị measures were implemented, such as multimodal auditory stimulation, hiệu quả positioning of the hemiplegic posture, thoracic PNF techniques and bed activity training.

Outpatient phục hồi chức năng (3 to 6 weeks): Oropharyngeal retraining, facial exercises, sit-to-stand training, scapular PNF pattern, etc. were carried out using Syrebo phục hồi chức năng các găng tay.

Expected kết quả of the điều trị Plan:

Improved chức năng vận động, reduced complications, and enhanced bệnh nhân's ability to perform các hoạt động sinh hoạt hàng ngày.

 

Actual kết quả:

The Syrebo các găng tay phục hồi chức năng program proved advantageous, featuring notable enhancements in chức năng vận động, facial symmetry, and functional independence. The bệnh nhân's chất lượng cuộc sống improved, and she could be more vigorous in her daily routines. Continuous engagement in home exercises and regular strengthening sessions sustained such improvements over time.