目的 探讨脑干出血继发肥大性下橄榄核变性(HOD)的临床表现和康复治疗。方法 回顾性分析1例脑桥出血继发HOD患者的临床资料。本例患者除原发病所致功能障碍外,逐渐出现右侧肢体不自主抖动并逐渐加重。给予理学疗法、作业疗法、针灸、水疗等综合康复治疗。结果 经过1.5个月康复训练和药物治疗,患者从病情最严重时站立不稳,不能行走,Berg平衡量表评分28分,改良Barthel指数70分,改善至可以独立站立和行走,Berg平衡量表评分38分,改良Barthel指数80分。右侧肢体不自主抖动减轻。结论 脑桥出血继发HOD患者经过药物治疗和综合康复后,症状缓解,障碍减轻,日常生活活动能力有所改善。
Objective To investigate the clinical and rehabilitation treatment of hypertrophic olivary degeneration (HOD) secondary to brainstem hemorrhage. Methods The clinical data of one patient with HOD secondary to pontine hemorrhage was retrospectively analyzed. In addition to the disability of the primary disease, involuntary jitter of the right limb gradually presented and aggravated. The patient received physical therapy, occupational therapy, acupuncture, hydrotherapy and medication. Results After one and a half -month rehabilitation and treatment, the patient improved from standing unsteadily and unable to walk to standing and walking independently. The score of Berg Balance Scale improved from 28 to 38, and the score of modified Barthel Index improved from 70 to 80. The involuntary jitter of the right limb was relieved. Conclusion The symptoms and disabilities of HOD secondary to pontine hemorrhage can be relieved by medication and rehabilitation, and the activities of daily living can be improved.
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