You are here

Sturge Weber Sendromu ve Dirençli Epilepsi Nedeniyle Hemipleji Olmuş Bir Vakanın Rehabilitasyon Sonuçları

Rehabilitation Results of a Hemiparatic Subject with Sturge- Weber Syndrome and Intractable Epilepsy

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
This study presents the results of a rehabilitation program in a spastic hemiparetic subject who had undergone hemispherectomy because of Sturge- Weber syndrome and intractable epilepsy. Sturge-Weber syndrome includes unilateral cerebral cortical angiomatosis, which often leads to progressive cerebral dysfunction and epileptic seizures that are medically difficult to control. A three-year-old girl who was followed-up for 2.5 years after a diagnosis of Sturge-Weber syndrome, intractable epilepsy and right spastic hemiparesis was hospitalized at the Department of Neurosurgery for epilepsy surgery since the frequency of her seizures had increased. The functional status and quality of life of our subject, whose seizures disappeared after hemispherectomy, improved after the rehabilitation program. ©2004, Fırat Üniversitesi, Tıp Fakültesi
Abstract (Original Language): 
Bu çalışmada Sturge Weber ve dirençli epilepsi nedeni ile hemisferektomi yapılan spastik hemiparetik bir olgunun, rehabilitasyon sonuçları sunulmaktadır. Sturge Weber sendromu, tıbbi olarak kontrolü zor olan epilepsi nöbetleri ve ilerleyici serebral fonksiyon bozukluğu ile karakterize tek taraflı kortikal serebral angiomdur. Sturge Weber Sendromu, dirençli epilepsi ve sağ spastik hemiparezi tanısı ile 2,5 yıldır takip edilen 3 yaşındaki bir kız olgu, epilepsi nöbetlerinin artması nedeniyle epilepsi cerrahisi için nöroşirurji departmanına yatırılmıştır. Çalışma sonunda; hemisferektomi sonrası nöbetleri tamamen kaybolan olgunun, rehabilitasyon programı sonrasında fonksiyonel durumunda ve yaşam kalitesinde önemli bir iyileşme görülmüştür. ©2004, Fırat Üniversitesi, Tıp Fakültesi
130-133

REFERENCES

References: 

1. Mickle JP, Glasser RS. Cerebrovascular diseases in children. In: Youmans JR (Editor). Neurological Surgery. Chapter 51. Fourth edition. Philadelphia, London, Tokyo, Montreal: W.B. Saunders
Company, 1996: 1243-63.
2. Mirowski GW, Liu AA, Stone ML, Caldemeyer KS. Sturge-Weber syndrome. J Am Acad Dermatol 1999; 41(5 Pt 1): 772-3.
3. Wade DT. Measurement in Neurological Rehabilitation. New York: Oxford University Press, 1992: 162, 2093-296.
4. Bien CG, Widman G, Urbach H, et al. The natural history of Rasmussen's encephalitis. Brain 2002; 125: 1751-1759.
5. Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy.
Phys Ther. 2000; 80: 974-85.
6. Kerem M, Livanelioglu A, Topcu M. Effects of Johnstone pressure splints combined with neurodevelopmental therapy on spasticity and cutaneus sensory input in spastic cerebral palsy. Dev Med
Child Neuro 2001; 43: 307-13
7. Boxel YJJM, Roest FHJ, Bergen MP, Stam HJ. Dimensionality
and hierarchical structure of disability measurement. Arch Phys
Med Rehabil 1995; 76: 1152-5.
8. Dittmar SS, Gresham GE. Functional Assessment and Outcome Measures for the Rehabilitation Health Professional. Gaithersburg, Maryland: An Aspen Publication, 1997.
9. Bobath K, Bobath B. The neuro-developmental treatment. In: Scrutton D, editor. Management of Motor Disorders in Children with Cerebral Palsy. Clinics in Developmental Medicine, No. 90
Pa: Philadelphia: JB Lippincott, 1984.
10. Kossoff EH, Buck C, Freeman JM. Outcomes of 32
hemispherectomies for Sturge-Weber syndrome worldwide.
Neurology 2002; 59: 1735-8.
11. Sheth RD. Epilepsy surgery: Presurgical evaluation. Neurol Clin
2002; 20: 1195-215.
12. Chugani HT, Muller RA, Chugani DC. Functional brain
reorganization in children. Brain Dev 1996; 18: 347-56.
13. Aguilar Rebolledo F, Ruvalcaba Garcia C, Rayo Mares D, Rojas JC. Rasmussen syndrome. 7 years' follow-up. Aspects related to cerebral plasticity in epilepsy. Rev Invest Clin 2002; 54: 209-17.
14. Bach-y-Rita P. Brain plasticity as a basis for recovery of function in humans. Neuropsychologia 1990; 28: 547-54.

Thank you for copying data from http://www.arastirmax.com