Acidente Vascular Cerebral survivor: 66 anos old - Acidente Vascular Cerebral Center

Paciente Description:

A 66-ano-old female presented with a sudden onset of left-sided weakness, slurred speech, and mouth deviation to the left. She also experienced difficulty in bed mobility and daily living activities.

 

Case History:

The paciente has had a history of hypertension for the past three anos 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 Results:

Facial asymmetry was observed with mouth corners deviated to the left. The paciente was unconscious and not oriented. Left-sided muscle 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 motor parts), balance part of the vestibulocochlear nerve, Broca's aphasia, and dysphagia.

 

Results 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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tratamento plan:

Inpatient reabilitação (1 to 2 weeks): Various tratamento measures were implemented, such as multimodal auditory stimulation, eficaz positioning of the hemiplegic posture, thoracic PNF techniques and bed activity training.

Outpatient reabilitação (3 to 6 weeks): Oropharyngeal retraining, facial exercises, sit-to-stand training, scapular PNF pattern, etc. were carried out usando Syrebo reabilitação luvas.

Expected Outcome of the Tratamento Plan:

Melhorado motor função, reduced complications, and enhanced paciente's ability to perform activities of daily living.

 

Actual Outcome:

The Syrebo Luvas reabilitação program proved advantageous, featuring notable enhancements in motor função, facial symmetry, and funcional independence. The paciente's quality of life melhorado, and she poderia be more vigorous in her daily routines. Continuous engagement in home exercises and regular strengthening sessions sustained such melhorias over time.