APPLICATIONS OF PHYSICAL THERAPY IN THE REHABILITATION OF PATIENT WITH CEREBRAL TUMORS: FOURTH VENTRICLE INFILTRATION IN MEDULLOBLASTOMA
Primitive brain tumors of the central nervous system are a major health problem. Most intraterritorial tumors affect functionally important areas of the brain and postoperative motor disability are unfavorable. Given its location, the fourth ventricle interposes between the cerebellum and the br...
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| Format: | Article |
| Language: | English |
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Editura Univeristatii "Stefan cel Mare" din Suceava
2021-09-01
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| Series: | Annals of the “Ştefan cel Mare” University: Physical Education and Sport Section - The Science and Art of Movement |
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| Online Access: | https://usv.ro/fisiere_utilizator/file/fefs/revista/vol_XIV_issue_1/2.%20APPLICATIONS_OF_PHYSICAL_THERAPY_IN_THE_REHABILITATION_OF_PATIENT_WITH_CEREBRAL_TUMORS_FOURTH_VENTRICLE_INFILTRATION_IN_MEDULLOBLASTOMA_Gabriela_Iuliana_Cazac.pdf |
| Summary: | Primitive brain tumors of the central nervous system are a major
health problem. Most intraterritorial tumors affect functionally important
areas of the brain and postoperative motor disability are unfavorable.
Given its location, the fourth ventricle interposes between the cerebellum
and the brainstem, therefore, a tumor that grows into the fourth ventricle,
can produces a mechanical pressure on the nearby anatomical elements
with specific symptoms.
On a 15-year-old patient, diagnosed with medulloblastoma into
fourth ventricle ( W.H.O. grade IV) molecular subgroups WnT, the initial
tratament involved surgery to remove as much of the tumor as possible (
after two surgeries, some residual tumor was still left behind because it
was too close to normal brain structures), then further treatment with
chemotherapy and radiation therapy followed.
After the treatment, the symptoms related (effects owing to the
tumor itself and the effects of treatment) was: poor static and dynamic
balance, truncal ataxia with impaired tandem gait, lack of the
coordination and balance to walk safely and independently, (resulted
from affecting the archicerebellum and paleocerebellum), appendicular
ataxia (manifesting a difficulty with rapid alternating movements, fingernose-finger), hypotonia, poor coordination (asynergy, dysmetria- resulted
from the affected neocerebellum), dysarthria, nystagmus (due to pressure
on the brainstem- vestibular syndrome).
The purpose of this study was to restore lost motor skills, prevent
complications, maximize function, and improve the quality of life |
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| ISSN: | 1844-9131 2601-341X |