《中国康复理论与实践》

《中国康复理论与实践》

• 临床观察 • 上一篇    下一篇

脑性瘫痪并发下丘脑错构瘤康复1例报道①

曾凡勇   

  1. 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，北京市100068。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Rehabilitation for Cerebral Palsy Complicated with Hypothalamic Hamartoma: A Case Report

ZENG Fan-yong   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Published:2016-01-25 Online:2016-05-23

PDF (PC)

摘要： 目的探讨脑瘫并发下丘脑错构瘤患儿的诊治及康复。方法回顾性分析1 例脑瘫并发下丘脑错构瘤患儿4 年多的康复经过，特别是身高、体重、骨龄、激素水平、粗大运动功能测量(GMFM)、0~6 岁小儿神经心理发育检查等各项指标的变化情况。结果经过积极抑制性早熟治疗和合理的康复训练，患儿身长、骨龄、激素水平、GMFM、0~6 岁小儿神经心理发育检查等相关指标均有明显改善。后期并发癫痫，患儿运动能力、对外界反应能力和情绪控制能力下降。结论对类似疾病，需定期复查，积极随访，随时关注可能出现的问题，及时调整治疗和康复训练方案。

关键词: 脑性瘫痪, 下丘脑错构瘤, 康复

Abstract: Objective To study the rehabilitation for cerebral palsy combined with hypothalamic hamartoma. Methods A case accepting rehabilitation over 4 years was reviewed, especially the body length, body mass, bone age, hormone levels, the scores of Gross Motor Function Measure (GMFM) and 0 to 6 Years Old Children's Neuropsychological Examination. Results After treatment of inhibitory precocious puberty and rehabilitation training, the body length, body mass, bone age, hormone levels, scores of GMFM and 0 to 6 Years Old Children's Neuropsychological Examination improved. Since epilepsy at the recent time, her motor, response and emotional control declined. Conclusion For similar cases, it is necessary to regularly review, to find problems and adjust the treatment and rehabilitation program in time.

Key words: cerebral palsy, hypothalamic hamartoma, rehabilitation