Efficacy of Physiotherapy Rehabilitation for Hemiparesis following Cerebral Venous Sinus Thrombosis: A Rare Case Report
Vaishnavi Sharma
Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Snehal Samal
*
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Shwetambari Morgade
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India.
Rakesh Krishna Kovela
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Ragini Dagal
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Rebecca Thimoty
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Background: In Cerebral Vascular Disease when one or more arteries are thrombosed it results in Cerebral Venous Sinus Thrombosis (CVST) and affects in all ages. This condition is very challenging as it is not diagnosed early due to diverse signs and symptoms and involvement of extensive collateral circulation. Superior sagittal sinus is a large sinus which is commonly affected. Usually, patient comes with clinical presentation of headache with papilledema, to focal deficit, seizures and coma.
Aim: To investigate the efficacy of Physiotherapy Rehabilitation for Hemiparesis following Cerebral Venous Sinus Thrombosis.
Presentation of Case: A 18-year-old male patient presented with a history of severe headache, weakness in his right arm and leg, dizziness upon rising from bed, and a unilateral headache. On investigation CT scan and MRI brain was done. The physiotherapy has started from 2 days after admission in AVBRH.
Discussion: In the cases of cerebral venous sinus thrombosis the management of hemiparesis is shown to enhance the ADL and quality of life of patients.
Conclusion: The rehabilitation protocol planned will help in improving the range of motion and ADL of patient when started as early as possible.
Keywords: Cerebral venous sinus thrombosis (CVST), hemiparesis, Range of Motion (ROM), rehabilitation