International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Francesco Panza
Geriatric Unit and Gerontology-Geriatric Research Laboratory, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71013 San Giovanni Rotondo, Foggia,
Italy
Case Report
Paraplegia due to Anterior Spinal Artery Stroke: Rehabilitative Program on Lower Extremity Weakness and Locomotor Function
Author(s): Andrea Santamato, Serena Filoni, Francesco Panza, Antonio Minerva, Maria Pia Lo Muzio, Vincenza Frisardi, Alberto Pilotto, Pietro Fiore and Maurizio RanieriAndrea Santamato, Serena Filoni, Francesco Panza, Antonio Minerva, Maria Pia Lo Muzio, Vincenza Frisardi, Alberto Pilotto, Pietro Fiore and Maurizio Ranieri
Background: Spinal cord ischemia in the absence of trauma with a stroke in the territories of anterior spinal artery (ASA) attributed to paradoxical embolism through patent foramen ovale (PFO) is a rare event. Rehabilitative treatment is focused on the improvement of lower limbs muscle torque to consent a recovery of balance and gait. Methods: Case report of a 43-year-old woman with paraplegia after ASA stroke due to PFO Results: A 43-year-old woman was hospitalized for sudden and progressive increase of weakness of lower limbs few hours after evacuation effort by using the Valsalva maneuver. Neurological and physiatric examination revealed paraplegia, lower limbs dysesthesia, and hesitancy with delayed bowel emptying. Spine-MRI showed D12–L1 anterolateral cord ischemia. Transcranial doppler sonography examination disclosed a PFO with moderate r.. View More»
DOI:
10.4172/2329-9096.1000118