脑干海绵状血管瘤术后继发肥大性下橄榄核变性的康复治疗1例报道

doi:10.3969/j.issn.1006-9771.2021.12.016

Abstract

Abstract:

Objective To summarize the integrative rehabilitation treatment of traditional Chinese medicine (TCM) and Western medicine in hypertrophic olivary degeneration (HOD) secondary to the operation of brain stem cavernous malformation. Methods The clinical data of medication, rehabilitation and follow-up of a patient with HOD secondary to operation on brain stem cavernous malformation was retrospectively analyzed.Results Three months after operation, limb static and motor tremor, dysarthria, palate spasm, eye movement disorder and walking difficulty appeared. The patient was diagnosed as HOD according to clinical features and brain magnetic resonance imaging (MRI). He was treated with pertinence rehabilitation training combined with TCM including acupuncture and herbs. After integrative rehabilitation, he could stand and walk independently, the tremor was alleviated, the balance function improved, the activities of daily living improved, and the dosage of oral western medicine also decreased.Conclusion After intracranial surgery, secondary neurodegeneration and movement disorder may appear, and it could be improved by integrative rehabilitation treatment of TCM and Western medicine

Key words: brain stem cavernous malformation, hypertrophic olivary degeneration, integrative rehabilitation

CLC Number:

R743.4

WANG Nan,ZHAO Qing,HU Qi-long,CHEN Jing-jing,XU Yan,GUO Xin-di. Integrative Rehabilitation for Hypertrophic Olivary Degeneration after Operation of Brain Stem Cavernous Malformation: A Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(12): 1483-1488.

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口服药物	治疗前	治疗后2年	治疗后4年
多巴丝肼	每次62.5 mg,每天3次
盐酸普萘洛尔	每次30 mg,每天3次	每次30 mg,每天3次	每次30 mg,每天3次
盐酸苯海索	每次2 mg,每天2次	每次1 mg,每天2次	每次1 mg,每天2次
托吡酯	每次50 mg,每天2次	每次50 mg,每天2次
盐酸丁螺环酮	每次10 mg,每天3次	每次10 mg,每天3次	每次10 mg,每天3次
氯硝西泮	每次0.5 mg,每天2次	每次0.5 mg,每天2次	每次0.5 mg,每晚1次

症状	量表	满分	治疗前	治疗后2年	治疗后4年
共济失调	ICARS	100分	78.67±2.08	48.33±0.58	40.00±1.00
震颤	TETRAS	64分	42.00±1.00	27.00±1.00	19.00±1.00
平衡	BBS	100分	37.67±0.58	29.00±0.00	13.33±0.58
日常生活能力	MBI	100分	78.67±2.31	70.00±2.00	62.00±2.00

Integrative Rehabilitation for Hypertrophic Olivary Degeneration after Operation of Brain Stem Cavernous Malformation: A Case Report

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[2]	HE Da-lou;SHAO Bei;BO An-bin;et al.. Clinical and Imaging Features of Hypertrophic Olivary Degeneration Secondary to Brainstem Hemorrhage: 1 Case Report [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2013, 19(12): 1191-1193.
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