顶叶出血后Pusher综合征的康复1例报道

doi:10.3969/j.issn.1006-9771.2021.05.016

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (5): 615-620.doi: 10.3969/j.issn.1006-9771.2021.05.016

• 临床观察 • 上一篇

顶叶出血后Pusher综合征的康复1例报道

杜晓霞^1,²,何静杰^1,²(),林煜凡¹,王晓伶³

^1.首都医科大学康复医学院，北京市 100068
^2.中国康复研究中心北京博爱医院神经康复二科，北京市 100068
^3.北京市回民医院康复科，北京市 100053

收稿日期:2020-08-12 修回日期:2020-10-15 出版日期:2021-05-25 发布日期:2021-05-26
通讯作者: 何静杰 E-mail:hejingjie@126.com
作者简介:杜晓霞(1975-)，女，汉族，陕西延安市人，博士，主任医师、副教授，硕士研究生导师，主要研究方向：神经康复|何静杰(1963-)，女，吉林通化市人，主任医师，主要研究方向：脑血管病康复治疗。
基金资助:
中国康复研究中心课题(2019ZX-01)

Features and Rehabilitation of Pusher Syndrome after Parietal Lobe Hemorrhage: A Case Report

Xiao-xia DU^1,²,Jing-jie HE^1,²(),Yu-fan LIN¹,Xiao-ling WANG³

^1.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
^2.Neurorehabilitation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
^3.Rehabilitation Department, Beijing Huimin Hospital, Beijing 100053, China

Received:2020-08-12 Revised:2020-10-15 Published:2021-05-25 Online:2021-05-26
Contact: Jing-jie HE E-mail:hejingjie@126.com
Supported by:
China Rehabilitation Research Center Project(2019ZX-01)

摘要/Abstract

摘要： 目的

探讨Pusher综合征的临床特点、康复评定和治疗。

方法

报道1例女性患者并进行文献综述。

结果

患者存在中度同侧深感觉障碍，左侧空间忽略和失用。白质病变迅速发展。康复4周后，对侧倾斜量表评分从2.5分降为0.75分；手功能恢复为辅助手。

结论

Pusher综合征患者脑白质变性发展较快，身体运动功能恢复较慢，需要更长时间接受全面、早期、规范康复治疗。正确的运动疗法和体感刺激等对于患者功能恢复非常重要。

关键词: 脑卒中, Pusher综合征, 知觉, 姿势控制, 平衡, 单侧空间忽视

Abstract: Objective

To explore the features and rehabilitation of Pusher syndrome (PS).

Methods

A female patient was reported and the literatures were reviewed.

Results

The patient presented moderate ipsilateral, deep sensory disturbance, left spatial neglect and disuse. White matter degeneration was found. After four-week rehabilitation, the score of Scale for Contraversive Pushing decreased from 2.5 to 0.75, and her hand function recovered to assistant hand.

Conclusion

The degeneration of white matter develops rapidly in PS patient, while the recovery of motor function is relatively slow, and need longer and comprehensive rehabilitation, especially the exercise therapy and somatosensory stimulation.

Key words: stroke, Pusher syndrome, perception, posture control, balance, unilateral spatial neglect

中图分类号:

R743.34

杜晓霞,何静杰,林煜凡,王晓伶. 顶叶出血后Pusher综合征的康复1例报道[J]. 《中国康复理论与实践》, 2021, 27(5): 615-620.

Xiao-xia DU,Jing-jie HE,Yu-fan LIN,Xiao-ling WANG. Features and Rehabilitation of Pusher Syndrome after Parietal Lobe Hemorrhage: A Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 615-620.

图/表 2

参考文献 30

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顶叶出血后Pusher综合征的康复1例报道

Features and Rehabilitation of Pusher Syndrome after Parietal Lobe Hemorrhage: A Case Report

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