Brain & NeuroRehabilitation最新文献_第4页

Heterogeneous Diffusion Metrics Patterns in Delayed Encephalopathy After Acute Carbon Monoxide Poisoning: A Case Report. 急性一氧化碳中毒后迟发性脑病的异质性扩散指标模式:1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-11-06 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e34

Jeongeun Lee, Gyu Jin Kim, Shahid Bashir, Eunjee Lee, Suk Hoon Ohn, Kwang-Ik Jung, Woo-Kyoung Yoo

引用次数: 0

Borjeson-Forssman-Lehmann Syndrome: Clinical Features and Diagnostic Challenges. Borjeson-Forssman-Lehmann综合征:临床特征和诊断挑战。

Brain & NeuroRehabilitation Pub Date : 2023-11-03 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e32

Marya Hameed, Fatima Siddiqui, Fahad Hassan Sheikh, Muhammad Khuzzaim Khan, Bushra Admani, Prasanna Kumar Gangishetti

{"title":"Borjeson-Forssman-Lehmann Syndrome: Clinical Features and Diagnostic Challenges.","authors":"Marya Hameed, Fatima Siddiqui, Fahad Hassan Sheikh, Muhammad Khuzzaim Khan, Bushra Admani, Prasanna Kumar Gangishetti","doi":"10.12786/bn.2023.16.e32","DOIUrl":"10.12786/bn.2023.16.e32","url":null,"abstract":"Borjeson-Forssman-Lehmann syndrome (BFLS) is an X-linked recessive disorder resulting from mutations in the PHF6 gene. The syndrome is characterized by short stature, obesity, hypogonadism, hypotonia, intellectual disability, distinctive facial features, fleshy ears, and finger and toe abnormalities. However, the diagnostic challenge in identifying BFLS remains a topic of interest. In this case report, we present the clinical characteristics of a proband with BFLS, highlighting the additional features of hypotonia, intellectual disability, and distinctive facial features. While no definitive treatment exists for BFLS, patients benefit from specialized education and ongoing supervision from early childhood through adulthood. Symptomatic treatment, including close follow-up, may be necessary for complications such as seizures and hearing problems. Mastectomy or testosterone replacement therapy may be considered on a case-by-case basis. Genetic counseling for X-linkage should be offered to affected families.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e32"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Cortical Intracerebral Hemorrhage Causing Ipsilateral Hand and Oral Sensory Change Without Motor Deficit: A Case Report. 自发性皮质脑出血引起同侧手部及口腔感觉改变，无运动障碍1例。

Brain & NeuroRehabilitation Pub Date : 2023-11-02 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e30

Minwoo Kim, Donghyun Shin, Songi Han, Jusun Oh

{"title":"Spontaneous Cortical Intracerebral Hemorrhage Causing Ipsilateral Hand and Oral Sensory Change Without Motor Deficit: A Case Report.","authors":"Minwoo Kim, Donghyun Shin, Songi Han, Jusun Oh","doi":"10.12786/bn.2023.16.e30","DOIUrl":"10.12786/bn.2023.16.e30","url":null,"abstract":"Intracerebral hemorrhage (ICH) is the second most common stroke subtype associated with high morbidity and mortality rates. Although various brain regions are susceptible to ICH, putaminal hemorrhage is the most common, whereas cortical ICH is less common. Here, we report the case of a 69-year-old man who developed a parietal cortical ICH. The patient developed hypoesthesia and paresthesia in the right upper lip and hand; however, the weakness was not severe. Twenty-five days after the ICH onset, the manual muscle test results were normal, but he had difficulty eating and shaving because of decreased hand dexterity. The rehabilitation focused on improving fine hand motor function and endurance. On the 94th day after ICH onset, paresthesia remained only in the fingertips, and the upper lip sensory change disappeared. Patients with sensory symptoms in the perioral area, hands, and brain lesions were previously referred to as having cheiro-oral syndrome (COS). With the advancement of neuroimaging, the use of this term has decreased, as cerebrovascular events can explain patient symptoms in correlation with neuroanatomy, etiology, and pathogenesis. We report a patient with cortical ICH, also known as COS, which is a stroke syndrome with a good prognosis.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e30"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Mental Practice on Motor Function in Patients With Stroke: A Systematic Review and Meta-analysis. 心理练习对脑卒中患者运动功能的影响:一项系统综述和荟萃分析。

Brain & NeuroRehabilitation Pub Date : 2023-11-02 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e31

Hyun Seok, Yoon-Hee Choi

{"title":"The Impact of Mental Practice on Motor Function in Patients With Stroke: A Systematic Review and Meta-analysis.","authors":"Hyun Seok, Yoon-Hee Choi","doi":"10.12786/bn.2023.16.e31","DOIUrl":"10.12786/bn.2023.16.e31","url":null,"abstract":"Mental practice (MP), the cognitive rehearsal of physical activities without overt movements, has recently emerged as a promising rehabilitation method for patients with stroke. This paper presents a systematic review and meta-analysis critically evaluating the existing evidence to offer a comprehensive estimate of the overall effect of MP on motor function in stroke patients. A systematic search of 3 international databases (PubMed, Embase, and the Cochrane Library) was conducted for randomized controlled trials. We finally selected 31 randomized clinical trials and conducted meta-analysis to determine the effectiveness of MP on motor recovery of upper extremity, upper extremity function, activities of daily living, and gait velocity in stroke patients. The results of the systematic reviews showed that MP combined with conventional therapy has a positive impact on improving upper extremity motor function, with a moderate quality of evidence. However, the beneficial effect of MP on gait velocity was not demonstrated. It is recommended to treat with MP in addition to conventional rehabilitation therapy to improve the motor outcome of stroke depending on the patient's condition (Recommendation level: Conditional Recommend Evidence certainty: Moderate).","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e31"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Update of Rehabilitation in Huntington's Disease: Narrative Review. 亨廷顿舞蹈病康复的最新进展:叙述性回顾。

Brain & NeuroRehabilitation Pub Date : 2023-10-31 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e28

Ki-Hong Kim, Min-Keun Song

{"title":"Update of Rehabilitation in Huntington's Disease: Narrative Review.","authors":"Ki-Hong Kim, Min-Keun Song","doi":"10.12786/bn.2023.16.e28","DOIUrl":"10.12786/bn.2023.16.e28","url":null,"abstract":"Huntington's disease (HD) is a neurodegenerative disease that has motor dysfunction, predominantly chorea, cognitive impairment, and psychiatric disturbances as symptoms. Treatment is directed to reduce the severity of symptoms, although there are few studies and no clinical guidelines for rehabilitation in HD. Therefore, this review aimed to establish an effective rehabilitation approach for HD according to the stage of the disease. In the early stage of HD, the motor symptoms are mild, and psychological symptoms occur. Treatment in this period should focus on aerobic and resistance exercises, task-specific training, secondary prevention education, cognitive training, and psychological management. In the middle stage of HD, the motor symptoms are more severe. Task-specific rehabilitation approaches, education for the patient and caregiver, functional respiratory exercises, activities of daily living training, multidisciplinary and multimodal daycare rehabilitation are helpful to patients in this stage. At the late stage of HD, most patients need complete support for activity of daily living. Mobility and balance evaluation and prevention strategies should be focused on for safety, and respiratory exercises and physical exercise to prevent complications in patients with severely impaired mobility should be considered based on the patient's condition. Programmed rehabilitation management based on the stage of the disease is effective for patients with HD.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e28"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Elastic Eyelid Band Application on Bilateral Severe Ptosis in a Patient With Bilateral Incomplete Claude's Syndrome: A Case Report. 弹性睑带应用治疗双侧不完全性克劳德综合征双侧重度上睑下垂1例。

Brain & NeuroRehabilitation Pub Date : 2023-10-31 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e29

Cho Rom Ham, Yong Wook Kim, Jong Mi Park

{"title":"The Effect of Elastic Eyelid Band Application on Bilateral Severe Ptosis in a Patient With Bilateral Incomplete Claude's Syndrome: A Case Report.","authors":"Cho Rom Ham, Yong Wook Kim, Jong Mi Park","doi":"10.12786/bn.2023.16.e29","DOIUrl":"10.12786/bn.2023.16.e29","url":null,"abstract":"Patients with brainstem stroke can present with various oculomotor disorders, including ptosis. Neurogenic ptosis, which results from total or partial dysfunction of the third cranial nerve and/or the Müller muscle, can significantly restrict activities of daily living and participation in rehabilitation. Therefore, surgical intervention is an effective therapeutic strategy. However, owing to complications associated with incomplete eyelid closure, such as exposure keratitis and corneal injury, patients with neurogenic ptosis should first be observed, as natural recovery without surgery can be expected despite a poor prognosis. We reported the case of a 66-year-old woman with bilateral Claude syndrome who presented with severe bilateral ptosis, quadriparesis, and cognitive impairment after a bilateral midbrain infarction. After 3 months of intensive rehabilitation using soft elastic eyelid bands, her ptosis improved without the need for eyelid bands and visual field significantly increased, with improved functional level to the point of walking independently without assistance. This report demonstrates the potential advantages of the simple yet effective nonsurgical intervention of a soft elastic eyelid band for ptosis to restore significant functional gains in patients with severe bilateral ptosis after acute stroke.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e29"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cervical Myelopathy Due to Epidural Hematoma at the Cervicomedullary Junction Associated With Ventriculoperitoneal Shunt Overdrainage: A Case Report. 颈髓交界处硬膜外血肿合并脑室-腹膜分流管过引流致颈髓病1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-10-26 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e27

Ji Woong Park, Junwon Park

{"title":"Cervical Myelopathy Due to Epidural Hematoma at the Cervicomedullary Junction Associated With Ventriculoperitoneal Shunt Overdrainage: A Case Report.","authors":"Ji Woong Park, Junwon Park","doi":"10.12786/bn.2023.16.e27","DOIUrl":"10.12786/bn.2023.16.e27","url":null,"abstract":"We present a case of cervical myelopathy caused by epidural hematoma formation due to chronic cerebrospinal fluid overdrainage. A 55-year-old man who underwent ventriculoperitoneal (V-P) shunt surgery for normal pressure hydrocephalus presented with progressive weakness of both the upper and lower extremities. Magnetic resonance imaging (MRI) revealed compressive myelopathy at the cervicomedullary junction at the C1-C2 level caused by epidural hematoma formation due to intracranial hypotension (IH) caused by a complication of V-P shunt. He underwent decompressive laminectomy and hematoma removal at C1-C2 and replacement of the V-P shunt valve. Follow-up cervical spine MRI showed an improved state of severe central spinal stenosis at the C1-C2 level and an improved state of compression-related cord signal intensity change in the spinal cord. After surgical intervention and intensive rehabilitation, the patient showed clinical improvement. If cervical myelopathy is suspected in patients with a shunt, cord compression due to venous engorgement or hematoma caused by over-shunting and IH should be considered.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unveiling the Impact of Outpatient Physiotherapy on Specific Motor Symptoms in Parkinson's Disease: A Prospective Cohort Study. 揭示门诊物理治疗对帕金森病特定运动症状的影响:一项前瞻性队列研究

Brain & NeuroRehabilitation Pub Date : 2023-10-16 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e26

Yuta Terasawa, Koki Ikuno, Shintaro Fujii, Yuki Nishi, Emi Tanizawa, Sachio Nabeshima, Yohei Okada

{"title":"Unveiling the Impact of Outpatient Physiotherapy on Specific Motor Symptoms in Parkinson's Disease: A Prospective Cohort Study.","authors":"Yuta Terasawa, Koki Ikuno, Shintaro Fujii, Yuki Nishi, Emi Tanizawa, Sachio Nabeshima, Yohei Okada","doi":"10.12786/bn.2023.16.e26","DOIUrl":"10.12786/bn.2023.16.e26","url":null,"abstract":"Understanding how outpatient physiotherapy impacts on specific motor symptoms in Parkinson's disease (PD) is important for multidisciplinary care, but these points have not been clarified. We investigated the impact of outpatient physiotherapy on individual motor symptoms in PD patients. Fifty-five PD patients participated in the prospective cohort study, which examined the changes in motor symptoms after 90 min of outpatient physiotherapy program (1×/week for 10 weeks) and at 3 months follow-up. Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) motor score and tremor, rigidity, bradykinesia, and axial scores were assessed and compared pre-intervention, post-intervention, and at follow-up. Significant level was set at 0.05. Their MDS-UPDRS motor score and axial score significantly decreased post-intervention and at the follow-up. In the analysis differentiating effects based on the severity of motor symptoms according to the MDS-UPDRS motor score, only the moderate-severe group showed significant decreases in their MDS-UPDRS motor score, bradykinesia, and axial scores post-intervention, as well as in their MDS-UPDRS motor score, rigidity, bradykinesia, and axial scores at the follow-up. These findings suggest the outpatient physiotherapy might provide benefits, particularly in managing axial symptoms and bradykinesia, for community dwelling PD patients with moderate-severe motor symptoms within a multidisciplinary care framework.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e26"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of Pantothenate-Kinase Neurodegeneration With Baclofen, Botulinum Toxin, and Deferiprone: A Case Report. 巴氯芬、肉毒杆菌毒素和去铁蛋白治疗泛酸激酶神经退行性变一例报告。

Brain & NeuroRehabilitation Pub Date : 2023-09-25 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e25

Marya Hameed, Fatima Siddiqui, Muhammad Khuzzaim Khan, Sindhura Tadisetty, Prasanna Kumar Gangishetti

{"title":"Treatment of Pantothenate-Kinase Neurodegeneration With Baclofen, Botulinum Toxin, and Deferiprone: A Case Report.","authors":"Marya Hameed, Fatima Siddiqui, Muhammad Khuzzaim Khan, Sindhura Tadisetty, Prasanna Kumar Gangishetti","doi":"10.12786/bn.2023.16.e25","DOIUrl":"10.12786/bn.2023.16.e25","url":null,"abstract":"Pantothenate kinase-associated neurodegeneration (PKAN) is a rare autosomal recessive disorder characterized by progressive motor symptoms, such as dystonia and spasticity. Classical PKAN is the most common subtype of neurodegeneration with brain iron accumulation (NBIA). Currently, there is no established treatment for PKAN. However, baclofen and botulinum toxin have been reported to improve motor symptoms and ease care in these patients. Additionally, Deferiprone is a well-tolerated iron chelator that has been shown to be effective in reducing brain iron accumulation. In this case report, we present the case of a seven-year-old boy who presented to our ward with spastic gait and extrapyramidal signs. Brain magnetic resonance imaging was performed, which showed features of neurodegeneration secondary to brain iron accumulation with a specific appearance of the eye-of-the-tiger sign. Genetic testing was positive for a homozygous mutation in PANK2, and the diagnosis of early-stage classical PKAN was made. This case report highlights the potent efficacy of baclofen, botulinum toxin, and deferiprone in slowing down the disease progression at an early stage and improving the severity of symptoms.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient With Crossed Aphasia Undergoing Long-Term Speech Therapy: A Case Report. 长期言语治疗的交叉失语症1例。

Brain & NeuroRehabilitation Pub Date : 2023-09-20 eCollection Date: 2023-11-01 DOI: 10.12786/bn.2023.16.e23

Tae-Hwan Kim, Myeong-Kwon Yoon, Seung-Gue Choi, Jeong-Seob Kim, Jyul-Lee Choi

引用次数: 0