Application of an Intensive Rehabilitation Program After Very Late Recovery of Consciousness: A Single-Case Neurorehabilitation and Neuroimaging Study.
Late recovery of consciousness in vegetative state is considered as an exceptional outcome and has been reported prevalently in patients who suffered a traumatic brain injury. In these patients, the benefits of prolonging the rehabilitation, aimed at the recovery of autonomy in basic everyday activi...
| Published in: | Journal of Central Nervous System Disease Vol. 11 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | case study diagnostic images research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
4/18/2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141073591&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141073591 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795735 B3L8 jtl: Journal of Central Nervous System Disease issn: 11795735 maglogo: Y pubinfo: dt: 4/18/2019 vid: 11 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 141073591 141073591 141073591 10.1177/1179573519843492 141073591 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Application of an Intensive Rehabilitation Program After Very Late Recovery of Consciousness: A Single-Case Neurorehabilitation and Neuroimaging Study. aug: au: Errante, Antonino Saviola, Donatella Fasano, Fabrizio Basagni, Benedetta Alinovi, Serena Bosetti, Sara Chiari, Margherita Minardi, Rita Pinardi, Chiara Crisi, Girolamo Fogassi, Leonardo De Tanti, Antonio affil: Department of Medicine and Surgery, University of Parma, Parma, Italy sug: subj: Program Implementation Recovery Intracranial Hemorrhage Rehabilitation Consciousness Evaluation Diagnosis, Brain Methods Human Adult Female Persistent Vegetative State Severity of Illness Neuropsychological Tests Functional Assessment Magnetic Resonance Imaging Methods Probability Visual Acuity Visual Fields Dysarthria Activities of Daily Living Neural Networks (Computer) Task Performance and Analysis Neuroradiography Methods Adult: 19-44 years Female ab: Late recovery of consciousness in vegetative state is considered as an exceptional outcome and has been reported prevalently in patients who suffered a traumatic brain injury. In these patients, the benefits of prolonging the rehabilitation, aimed at the recovery of autonomy in basic everyday activities, has been demonstrated. Here, we describe the application of an intensive multi-professional rehabilitation program carried out on a young female patient, with exceptionally late recovery of consciousness, specifically, after 7 years of vegetative state due to severe brain hemorrhage. Neuropsychological and functional assessment was conducted before and after the end of the rehabilitation program. In addition, functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI)-based probabilistic tractography were performed. Two follow-up neuropsychological and functional assessments were also conducted 6 and 29 months after the conclusion of the program. Functional results showed an improvement, maintained over time, in walking with assistance, cognitive efficiency, visual acuity and visual field, dysarthria, and execution of activities of daily living. Moreover, functional and structural magnetic resonance imaging (MRI) data documented the existence of preserved neural networks involved in sensory, motor, and linguistic tasks, which in all likelihood support the recovery process. This report suggests the possibility of undertaking an intensive rehabilitation program in patients who remain for long periods in altered states of consciousness, in spite of early negative prognosis. pubtype: Academic Journal doctype: case study diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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