Rehabilitation and Physiotherapy Action Strategy for an Acute Case of Lateral Medullary Syndrome: A Case Report

Lateral medullary syndrome (LMS) may result from a failure in either the vertebral artery or the posterior inferior cerebellar artery. Stroke is the most common cause of LMS. To achieve bronchial hygiene and improve the patient's condition, chest physiotherapy was initiated due to his confined condition during the acute stage. As a result, a four-week physiotherapy program was established and administered twice daily to the patient, with noticeable results. A physical examination revealed that the patient exhibited tachycardia, dyspnea, intracranial nerve palsies on the left side, thermoanesthesia on the right, horizontal nystagmus, and ptosis and miosis in the left eye associated with Horner syndrome. After receiving appropriate conservative care, the patient was discharged from the hospital with the fewest possible disabilities.

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Journal
Cureus
Published
2024-09-26
DOI
https://doi.org/10.7759/cureus.70242
Primary Topic
Intensive Care Unit Cognitive Disorders
Type
article
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article

Rehabilitation and Physiotherapy Action Strategy for an Acute Case of Lateral Medullary Syndrome: A Case Report

Taj Afreen Sheikh, Gauri Kariya, Rajat M Singh
Cureus
Intensive Care Unit Cognitive Disorders
article

Rehabilitation and Physiotherapy Action Strategy for an Acute Case of Lateral Medullary Syndrome: A Case Report

Taj Afreen Sheikh, Gauri Kariya, Rajat M Singh
article en

Abstract

Lateral medullary syndrome (LMS) may result from a failure in either the vertebral artery or the posterior inferior cerebellar artery. Stroke is the most common cause of LMS. To achieve bronchial hygiene and improve the patient's condition, chest physiotherapy was initiated due to his confined condition during the acute stage. As a result, a four-week physiotherapy program was established and administered twice daily to the patient, with noticeable results. A physical examination revealed that the patient exhibited tachycardia, dyspnea, intracranial nerve palsies on the left side, thermoanesthesia on the right, horizontal nystagmus, and ptosis and miosis in the left eye associated with Horner syndrome. After receiving appropriate conservative care, the patient was discharged from the hospital with the fewest possible disabilities.

CureusVol. 16(9)
Datta Meghe Institute of Higher Education and Research (IN)
Good health and well-being
Openalex Percentile: Top 79%
Intensive Care Unit Cognitive Disorders
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