卒中 survivor: 66 years old - 卒中 中心 - 司羿 智能的

患者 Description:

A 66-year-old female presented with a 突然的 onset of left-sided weakness, slurred speech, and mouth deviation to the left. She also experienced difficulty in bed mobility and 日常生活 activities.

 

Case History:

The 患者 has had a history of hypertension for the past three years along with dilated cardiomyopathy. She was admitted to the emergency room due to the 突然的 onset of 症状 and was intubated because of decreased oxygen saturation. Subsequently, she was transferred to the intensive care unit and treated with a variety of medications.

 

Physical Examination Results:

Facial asymmetry was observed with mouth corners deviated to the left. The 患者 was unconscious and not oriented. Left-sided 肌张力 was decreased. Superficial, deep, and integrated cortical reflexes were decreased, and plantar reflexes were flexed. Cranial nerve examination showed involvement of the facial nerve (感觉的 and 运动 parts), balance part of the vestibulocochlear nerve, Broca's 失语症, and dysphagia.

 

Results of pathological tests and other investigations:

Magnetic resonance imaging (MRI) revealed a distinct wedge-shaped intraaxial hypodensity involving the grey and white matter of the right frontal, parietal, and temporal lobes, suggesting acute infarction corresponding to the bilateral MCA territory, accompanied by an 11-mm midline shift.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

治疗 plan:

Inpatient 康复 (1 to 2 weeks): Various 治疗 measures were implemented, such as multimodal auditory stimulation, effective positioning of the 偏瘫的 posture, thoracic PNF techniques and bed 活动 training.

Outpatient 康复 (3 to 6 weeks): Oropharyngeal retraining, facial exercises, sit-to-stand training, scapular PNF pattern, etc. were carried out using 司羿 康复 gloves.

Expected Outcome of the 治疗 Plan:

Improved 运动 功能, reduced complications, and enhanced 患者's ability to perform activities of 日常生活.

 

Actual Outcome:

The 司羿 Gloves 康复 program proved advantageous, featuring notable enhancements in 运动 功能, facial symmetry, and functional independence. The 患者's quality of life improved, and she could be more vigorous in her daily routines. Continuous engagement in home exercises and regular strengthening sessions sustained such improvements over time.