دورية أكاديمية
أعرض في EDS

Motor recovery of hemiparetic leg by improvement of limb-kinetic apraxia in a chronic patient with traumatic brain injury: A case report.

التفاصيل البيبلوغرافية
العنوان: Motor recovery of hemiparetic leg by improvement of limb-kinetic apraxia in a chronic patient with traumatic brain injury: A case report.
المؤلفون: Choi EB; Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Daegu, Republic of Korea., Kim JY, Jang SH
المصدر: Medicine [Medicine (Baltimore)] 2020 May; Vol. 99 (19), pp. e20144.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Apraxia, Ideomotor/*drug therapy , Apraxia, Ideomotor/*etiology , Brain Hemorrhage, Traumatic/*complications , Dopamine Agonists/*therapeutic use , Paresis/*drug therapy , Paresis/*etiology, Adult ; Apraxia, Ideomotor/rehabilitation ; Brain Injuries, Traumatic/complications ; Cerebral Hemorrhage/complications ; Chronic Disease ; Dopamine Agonists/administration & dosage ; Humans ; Male ; Motor Cortex/injuries ; Paresis/rehabilitation ; Recovery of Function ; Subarachnoid Hemorrhage/complications
مستخلص: Rationale: Limb-kinetic apraxia (LKA), a kind of apraxia, means the inability to perform precise and voluntary movements of extremities resulting from injury of the premotor cortex (PMC) or the corticofugal tract (CFT) from the PMC. Diagnosis of LKA is made by observation of movements without specific assessment tools.
Patient Concerns: A 44-year-old male underwent conservative management for traumatic intracerebral hemorrhage in the left basal ganglia and subarachnoid hemorrhage due to a pedestrian-car crash. When he was admitted to the rehabilitation department of a university hospital after 41 months after onset, he presented with right hemiparesis (Medical Research Council (MRC): shoulder abductor; 3, elbow flexor; 3, finger extensor; 0, hip flexor; 2- [range: 30°], knee extensor; 1 and ankle dorsiflexor; 3-). In addition, he exhibited slow, clumsy, and mutilated movements when performing movements of his right ankle.
Diagnoses: The patient was diagnosed as traumatic brain injury (TBI).
Interventions: Clinical assessments and DTI were performed at 41 and 44 months after onset. During three months, rehabilitative therapy was performed including dopaminergic drugs (pramipexole 2.5 mg, ropinirole 2.5 mg, and amantadine 300 mg, and carbidopa/levodopa 75 mg/750 mg).
Outcomes: The right leg weakness slowly recovered during 3 months, until 44 months after the initial injury (MRC: shoulder abductor, 3; elbow flexor, 3; finger extensor, 0; hip flexor, 3; knee extensor, 3; and ankle dorsiflexor, 3+). The fiber number of the right corticospinal tract (CST) was decreased on 44-month diffusion tensor tractography (DTT) (1319) compared with 41-month DTT (1470) and the left CST was not reconstructed on both DTTs. The fiber number of both CRTs were decreased on 44-month DTT (right: 1547, left: 698) than 41-month DTT (right: 3161, left: 1222).
Lessons: A chronic patient with TBI showed motor recovery of the hemiparetic leg by improvement of LKA after rehabilitation. This results have important implications for neurorehabilitation.
References: Neurosci Lett. 2012 Feb 2;508(1):9-12. (PMID: 22197953)
Front Neurol. 2019 Nov 12;10:1188. (PMID: 31803130)
NeuroRehabilitation. 2009;24(4):349-53. (PMID: 19597273)
Clin Neuropharmacol. 1999 Sep-Oct;22(5):292-4. (PMID: 10516881)
Mov Disord. 1998 May;13(3):468-76. (PMID: 9613739)
Medicine (Baltimore). 2018 Feb;97(7):e9063. (PMID: 29443731)
J Rehabil Med. 2014 Mar;46(3):193-9. (PMID: 24531325)
Hum Brain Mapp. 2009 Nov;30(11):3461-74. (PMID: 19370766)
Curr Neurol Neurosci Rep. 2019 Nov 12;19(10):82. (PMID: 31713690)
J Mol Neurosci. 2008;34(1):51-61. (PMID: 18157658)
Brain. 2006 Jul;129(Pt 7):1844-58. (PMID: 16702192)
Curr Neurol Neurosci Rep. 2008 Nov;8(6):490-6. (PMID: 18957186)
Continuum (Minneap Minn). 2010 Aug;16(4 Behavioral Neurology):86-98. (PMID: 22810515)
NeuroRehabilitation. 2013;33(2):195-200. (PMID: 23949047)
Neurology. 2004 Mar 9;62(5):830-1. (PMID: 15007147)
Brain. 2000 May;123 ( Pt 5):860-79. (PMID: 10775533)
Am J Phys Med Rehabil. 2016 Jul;95(7):e115-6. (PMID: 26945225)
J Magn Reson Imaging. 2009 Mar;29(3):529-36. (PMID: 19243034)
Magn Reson Med Sci. 2004 Apr 1;3(1):11-7. (PMID: 16093615)
المشرفين على المادة: 0 (Dopamine Agonists)
تواريخ الأحداث: Date Created: 20200509 Date Completed: 20200601 Latest Revision: 20220414
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7220103
DOI: 10.1097/MD.0000000000020144
PMID: 32384499
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000020144