Hemiplejia infantil mixta por hemorragia en ganglios basales
2012
RESUMEN Introduccion: la hemiplejia infantil es comunmente producida por fenomenos de hipoxia-isquemia o de hemorragias cerebrales. En el caso de las hemorragias cerebrales, se producen hipertension endocraneal y deficit en los mecanismos de regulacion de la circulacion sanguinea intra cerebral lo que ocasiona edema e isquemia cerebral ademas del fenomeno de masa que genera, por presion, desplazamiento del tejido cerebral. Objetivo: demostrar que la adecuada intervencion fisioterapeutica y el compromiso de los padres en la rehabilitacion neurologica, produce recuperacion funcional motora. Caso clinico: se presenta el caso de un paciente, de genero masculino y nueve meses de edad, con hemiplejia mixta del lado derecho, causada por hemorragia en los ganglios basales. Tras siete meses de fisioterapia, inicia la marcha independiente. Conclusion: es pertinente establecer que las caracteristicas de este cuadro clinico, hacen de la rehabilitacion adecuada la principal y mejor medida terapeutica. Ademas, la satisfactoria evolucion del paciente produce mejoria en la calidad de vida del mismo y su familia. (MED.UIS.2012;25(3):245-50). Palabras clave: Hemiplejia. Hemorragia Cerebral. Fisioterapia. Rehabilitacion. Child paralyzed mixed by bleeding in basal ganglia ABSTRACT Introduction: child hemiplegia phenomenon is commonly caused by hypoxia-ischemia or cerebral hemorrhages. Particularly, brain hemorrhages produce intracranial hypertension, which generates deficit in the regulation mechanisms of the intra cerebral blood flow. This deficit causes cerebral edema and ischemia in addition to the clinical chart that develops a mass phenomenon by pressure, which displaces the brain tissue. Objective: to demonstrate that an adequate physical intervention and parents’ responsibility about their son neurological improvement increases the benefits of the treatment. Clinical case: a case of a nine-month-old male patient, with mixed hemiplegia on the right side, caused by bleeding in the basal ganglia. After seven months of physiotherapy, the patient starts independent walking. Conclusion: it is pertinent to establish the characteristics of this clinical outcome, shows the adequate rehabilitation as the best and main therapeutic option. Besides, a satisfactory evolution produces improvement in life quality of the patient and his family. (MED.UIS.2012;25(3):245-50). Key Words: Hemiplegia. Cerebral Hemorrhage. Phisical Therapy Specialty. Rehabilitation.
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