Volume : 1, Issue : 1, OCT 2017

NEUROSURGICAL REHABILITATION SCHEME AFTER SUBARACHNOID HEMORRHAGE: ACUTE POST-ACUTE AND CHRONIC

Ioan S. Stratulat, Alexandru Chiriac, Roxana M. Căuneac

Abstract

A subarachnoid hemorrhage can occur spontaneously, usually from a ruptured cerebral aneurysm. Treatment is by prompt neurosurgery or radiologically guided interventions with medications and other treatments to help prevent both recurrence of the bleeding and complications. Only a fifth of the patients have no residual symptoms. We present the case of a 33-years old male patient that was referred in the Neurosurgery Department of the Clinic Emergency Hospital “N Prof. N. Oblu” Iasi, Romania with severe headache, nausea and photophobia. The CT and angiogram performed revealed a subarachnoid hemorrhage emerged from a ruptured aneurysm. The patient underwent endovascular neurosurgery with minimal neurological complications. The rehabilitation protocol included psychological support, dietary regime with restriction of psycho-stimulants and avoidance of psycho-active drugs, physiotherapy to gain muscle strength, patient education concerning the reduction of stress and lifestyle changes. The symptoms were diminished during hospitalization, muscle strength was increased. In this case, the outcome was excellent, the patient recovered 100% his motor function and neurological deficits. Common problems faced by patients following brain injury include physical limitations and difficulties with thinking and memory. Recovery and prognosis are highly variable and largely dependent on the severity of the initial status.

Keywords

subarachnoid hemorrhage, physical medicine and rehabilitation, cerebral aneurysm.

Article : Download PDF

Cite This Article

Article No : 4

Number of Downloads : 83

References

1. Svensson E, Starmark J-E (2002): Evaluation of individual and group changes in social outcome after aneurysmal subarachnoid haemorrhage: a long-term follow-up study. J Rehabil Med; 34: p. 251-259
2. Drake CG (1988): Report of World Federation of Neurosurgical Societies Committee on a universal subarachnoid haemorrhage grading scale. J Neurosurg; 68: p. 985–986
3. Foxx-Orestein A, Kolakowsky-Hayner S, Marwitz JH, et al (2003): Incidence, risk factors, and outcomes of fecal incontinence after acute brain injury: findings from the Traumatic Brain Injury Model Systems national database, Arch Phys Med Rehabil 84: p. 231-237
4. Bogner J, Corrigan JD (1995): Epidemiology of agitation following brain injury, Neurorehabilitation 5: p. 293-297
5. Coll P, Erikson RV (1989): Mood disorders associated with stroke, Phys Med Rehabil State Art Rev 3: p. 619-628
6. Turner-Stokes L, Nyein K, Turner-Stokes T et al (1999): The UK FIM+FAM: development and evaluation. Clin Rehabil.; 13: p. 277–87
7. Fedoroff JP, Starkenstein SE, Forrester AW, et al (1992): Depression in patients with acute traumatic brain injury, Am J Psychiatry 149: p. 918-923
8. Rogers JM, Read CA (2007): Psychiatric comorbidity following traumatic brain injury, Brain Inj 21: p. 1321-1333
9. Binder LM (1984): Emotional problems after stroke, Stroke 15: p. 174-177.