Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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The Outcome of Early and Intensive Inpatient Rehabilitation of Paraplegic Patient Following Meningioma Resection Complicated with Post Surgery Contralateral Intracerebral Haemorrhage

Munerah Mohammed Alissa and Haitham Ben Ali

Aim: This study was conducted to compare the outcome of an early and intensive inpatient rehabilitation of paraplegic patient both sides, the side that affected by brain tumour excision and the side that affected by haemorrhage lesion.

Methodology: The patient was a 43-year-old woman presenting with right parasagittal meningioma attached to the posterior third of the superior sagittal sinus (SSS) and complicated with post-surgery contralateral intracerebral haemorrhage. After that, patient developed a complete paraplegia. She received 8 weeks of intensive inpatient rehabilitation and the intervention was reviewed in 4th week post-surgery and in the 8th week at the time of discharge.

Results: The outcome was variable comparing to the both sides. In the 4th week post-surgery, the body side affected by tumour resection improved with muscles power graded against gravity as follows: hip flexor was 1/5 improved to 3/5, hip adductor was 2-/5 improved to 3/5, hip extensor was 1/5 improved to 3+/5, hip abductor was 0/5 improved to 3-/5, knee flexor was 1/5 improved to 3/5, knee extensor was 1/5 improved to 4-/5, ankle dorsiflexors and plantar flexors were 0/5 improved to 3/5 while the side affected with haemorrhage lesion exhibited slower recovery with muscles power graded with gravity elimination except hip extensor and knee extensor which improved to 3/5, the muscles power as follows: hip flexor was 1/5 improved to 2+/5, hip abductor was 0/5 improved to 2-/5, hip adductor was 2-/5 improved to 2/5, knee flexor was 1/5 improved to 2/5, ankle dorsiflexor was 0/5 improved to 2-/5 and ankle plantar flexor was 0/5 improved to 2/5. In the 8th week at the time of discharge, there were no significant differences in muscles power of both sides except the hip extensors and abductors and knee extensors muscles which found to have minimum differences.

Conclusion: This case report is consistent with previous studies that proven brain tumour patient can achieve a good functional outcome and have short rehabilitation length of stay than stroke patients.