A case report of a hemorrhagic stroke with right hemiparesis
DOI:
https://doi.org/10.26641/2307-0404.2025.1.325477Keywords:
hemiparesis, ataxia, neurology, neuromuscularAbstract
Cardiovascular diseases and dyslipidemia lead to complications such as cerebrovascular accidents and severe sequelae such as neurological deficits in different presentations depending on the affected area. The objective is to describe the clinical case of a patient with hemorrhagic cerebrovascular disease, presenting with right-sided hemiparesis and ataxia, as well as the therapeutic options employed in their rehabilitation process to improve their quality of life. The present investigation deals with a case report that provides relevant information before the implementation of a personalized interdisciplinary treatment, corresponding to a 53-year-old male patient with a history of hypertension and dyslipidemia. Outcome – the case reflects a patient with a neurological condition presenting challenges in communication and mobility, requiring a comprehensive approach to treatment and follow-up to address both acute symptoms and possible underlying impairments. The emergent approach in patients with stroke is determinant to reduce possible sequelae, a personalized comprehensive care involving an interdisciplinary team is essential to improve the prognosis on the patient's quality of life and functionality.
References
Potenza A, Gorla G, Carrozzini T, Bersano A, Gatti L, et al. Lipidomic Approaches in Common and Rare Cerebrovascular Diseases: The Discovery of Unconventional Li¬pids as Novel Biomarkers. Int J Mol Sci. 2023;24(16):12744. doi: https://doi.org/10.3390/ijms241612744
Unnithan AKA, Das JM, Mehta P. Hemorrhagic Stroke. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 17]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK559173/
Gonce W, Bautista R, Carrión C, et al. Foramen magnum meningioma in a 54-year-old female patient with right hemiparesis and dysphagia. Case report. Indexia. 2023;9:1-7.
Shehong Z, Hongyu X, Chuanjue W, Fengfeng W, Xi W. Effectiveness of physiotherapy to promote motor recovery in individuals with stroke: a systematic review protocol. SM Vascular Medicine. 2022;4:6. doi: https://doi.org/10.21203/rs.3.rs-1169559/v1
Winter L, Huang Q, Sertic JVL, et al. The effectiveness of proprioceptive training for improving motor performance and motor dysfunction: A systematic review. Front Rehabil Sci. 2022;3:830166. doi: https://doi.org/10.3389/fresc.2022.830166
Xu P, Song J, Fan W, et al. Impact of wholebody vibration training on ankle joint proprioception and ba-lance in stroke patients: a prospective cohort study. BMC Musculoskelet Disord. 2024;25:768. doi: https://doi.org/10.1186/s12891-024-07906-z
Hmaied Assadi S, Barel H, Dudkiewicz I, et al. Less-affected hand function is associated with inde-pendence in daily living: A longitudinal study poststroke. Stroke. 2021;53:939-46. doi: https://doi.org/10.1161/STROKEAHA.121.034478
Saulle MF, Schambra HM. Recovery and Rehabilitation after Intracerebral Hemorrhage. Semin Neurol. 2016 Jun;36(3):306-12.
doi: https://doi.org/10.1055/s-0036-1581995
Hmaied Assadi S, Feige Gross-Nevo R, Dudkiewicz I, et al. Improvement of the upper extremity at the subacute stage poststroke: Does hand dominance play a role? Neurorehabil Neural Repair. 2020;34:1030-7. doi: https://doi.org/10.1177/1545968320962502
Domínguez L, Alcocer J, Arellano G, et al. [Acute ataxia in adolescents: a case report]. Acta méd. Grupo Ángeles [Internet]. 2019 Jun [cited 2024 Sep 17];17(2):172-6. Spanish. Available from: https://www.medigraphic.com/pdfs/actmed/am-2019/am192q.pdf
Ventura S, Tessari A, Castaldini S, et al. Effecti-veness of a Virtual Reality rehabilitation in stroke patients with sensory-motor and proprioception upper limb deficit: A study protocol. PLoS One. 2024;19:e0307408. doi: https://doi.org/10.1371/journal.pone.0307408
Wang X, Ouyang M, Yang J, et al. Anticoagulants for acute ischaemic stroke. Cochrane Database Syst Rev. 2021;10:CD000024. doi: https://doi.org/10.1002/14651858.CD000024.pub
Alessandro L, Olmos LE, Bonamico L, Muzio DM, et al. [Multidisciplinary rehabilitation for adult patients with stroke]. Medicina [Internet]. 2020 Feb [cited 2024 Sep 17];80(1):54-68. Spanish. PMID: 32044742. Available from: https://www.medicinabuenosaires.com/PMID/32044742.pdf
Revilla M, Alonso X, Campistol J, Macaya A, Escofet C, Fons C. [Epilepsy in children with congenital hemiparesis secondary to perinatal stroke]. Medicina (Mex) [Internet]. 2019 [cited 2024 Sep 17];79(Suppl 3):6-9. Spanish. PMID: 31603835. Available from: https://pubmed.ncbi.nlm.nih.gov/31603835/
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