脑干海绵状血管瘤术后继发肥大性下橄榄核变性的康复治疗1例报道

Integrative Rehabilitation for Hypertrophic Olivary Degeneration after Operation of Brain Stem Cavernous Malformation: A Case Report

目的总结1例行脑干海绵状血管瘤术后继发肥大性下橄榄核变性(HOD)患者的中西医综合康复治疗经验。方法回顾性分析1例脑干海绵状血管瘤术后继发HOD患者的用药、康复治疗及随访情况。结果本例患者术后3个月开始出现四肢静止性及动作性震颤、构音障碍、腭肌震颤、眼球活动障碍、行走困难等症状,结合患者临床症状及头颅MRI结果可明确诊断为HOD,给予针对性康复训练联合针灸、辨证口服中药综合治疗。治疗后,患者震颤显著减轻,可独立站立、行走,平衡功能改善,日常生活能力提高,口服西药用量减少。结论颅脑手术后可继发神经变性并出现相应症状,采取针对性康复训练联合传统康复方法综合治疗可取得较好的临床效果。

Objective To summarize the integrative rehabilitation treatment of traditional Chinese medicine(TCM) and Western medicine in hypertrophic olivary degeneration(HOD) secondary to the operation of brain stem cavernous malformation.Methods The clinical data of medication, rehabilitation and follow-up of a patient with HOD secondary to operation on brain stem cavernous malformation was retrospectively analyzed.Results Three months after operation, limb static and motor tremor, dysarthria, palate spasm, eye movement disorder and walking difficulty appeared. The patient was diagnosed as HOD according to clinical features and brain magnetic resonance imaging(MRI). He was treated with pertinence rehabilitation training combined with TCM including acupuncture and herbs. After integrative rehabilitation, he could stand and walk independently, the tremor was alleviated, the balance function improved, the activities of daily living improved, and the dosage of oral western medicine also decreased.Conclusion After intracranial surgery, secondary neurodegeneration and movement disorder may appear, and it could be improved by integrative rehabilitation treatment of TCM and Western medicine.