Physiotherapy Management Of Lateral Medullary Infarct And Transverse Sigmoid Sinus Dural Arteriovenous Fistula
DOI:
https://doi.org/10.52783/jns.v14.3241Keywords:
Lateral medullary infarct, Transverse sigmoid sinus dural arteriovenous fistula, Physiotherapy managementAbstract
Neurological disorders characterised by complex pathophysiology such as lateral medullary infarct (LMI), dural arteriovenous fistula (DAVF), and cerebral venous sinus thrombosis (CVST) compel thorough rehabilitation. To tackle the particular difficulties exhibited by these illnesses, physical therapists are essential. Because CVST typically presents itself with hemiparesis, seizures, and visual abnormalities, hence exercise intensity and safety must be carefully considered. DAVF may result in venous congestion, leading to motor and cognitive impairments, that can be rectified through targeted exercises and compensatory strategies. LMI, which can manifest by dysphagia, hoarseness, and ataxia, requires a multidisciplinary approach, including physical therapy interventions focused on balance, mobility, and functional activities.
By focusing the value of customized evaluation, goal-setting, and evidence-based therapies, this case report seeks to shed light on the physical therapy management of CVST, DAVF, and LMI in a patient. Physical therapists can maximize functional outcomes, improve quality of life, and facilitate effective community reintegration by addressing the unique rehabilitation requirements of these disorders.
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Moraes Junior AA, Conforto AB. Cerebral venous thrombosis. Arq Neuropsiquiatr. 2022;80(5 Suppl. 1):53-9.
Miller TR, Gandhi D. Intracranial dural arteriovenous fistulae: clinical presentation and management strategies. Stroke. 2015;46(7):2017-25.
Kariya G, Singh RM, Sheikh T. Rehabilitation and physiotherapy action strategy for an acute case of lateral medullary syndrome: a case report. Cureus. 2024 Sep 26;16(9):e70242. 6, 15
GBD 2016 Neurology Collaborators. Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):459-80.
Huang Y, Zhang Y, Zhang J, Zhang Y, Zhang Q, Zhang Y, et al. Clinical characteristics and outcome of dural arteriovenous fistulas secondary to cerebral venous sinus thrombosis: a primary or secondary event? BMC Neurol. 2023;23(1):131.
O’Rourke C, Edwards D. The effectiveness of the motor relearning program on upper limb function post-stroke: a systematized review. Phys Ther Rev. 2024;29(1-3):87-100.
Fan JL, Brassard P, Rickards CA, Nogueira RC, Nasr N, McBryde FD, et al. Integrative cerebral blood flow regulation in ischemic stroke. J Cereb Blood Flow Metab. 2021;41(10):2663-80.
Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: a systematic review. Aust J Physiother. 2006;52(4):241-8.
Van Criekinge T, Truijen S, Schröder J, Maebe Z, Saeys W. The effectiveness of trunk training on trunk control, sitting and standing balance, and mobility post-stroke: a systematic review and meta-analysis. Clin Rehabil. 2019;33(6):992-1002. doi:10.1177/0269215519830159.
Almutairi NM, Albuhayjani AA. Rehabilitation of post-cerebral venous thrombosis. Cureus. 2023 Jan 8;15(1):e33512. doi:10.7759/cureus.33512.
Kamble KG, Joshi PC, Palekar TJ. A rare case of cerebral venous sinus thrombosis in a 39-year-old woman because of oral contraceptive pills: a case report with emphasis on physiotherapy. Int J Health Sci Res. 2024;14(2):143-8. doi:10.52403/ijhsr.20240218.
Sharma V, Samal S, Morgade S, Kovela RK, Dagal R, Thimoty R. Efficacy of physiotherapy rehabilitation for hemiparesis following cerebral venous sinus thrombosis: a rare case report. J Pharm Res Int. 2022;34(1A):43-7. doi:10.9734/jpri/2022/v34i1A35345.
Herson AB, Falk JD, Phrathep DD, Igbonagwam CB, Fischer ST, Miller BT, et al. The value of interdisciplinary collaboration in lateral medullary syndrome rehabilitation: a case report. Cureus. 2023;15(6):e40065. doi:10.7759/cureus.40065.
Sundseth A, Thommessen B, Rønning OM. Outcome after mobilization within 24 hours of acute stroke: a randomized controlled trial. Stroke. 2012 Sep;43(9):2389-94. doi: 10.1161/STROKEAHA.111.646687. Epub 2012 Jun 14.
Inayat F, Ullah MJ, Imad T, Zia H. The role of chest physiotherapy in stroke patients: a narrative review. Tech Neurosurg Neurol. 2021;4(5):617.
Winkle MJ, Sankari A. Respiratory muscle strength training [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2024 May 1; cited 2025 Mar 4]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK603753/
Norelli SK, Long A, Krepps JM. Relaxation techniques [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Aug 28; cited 2025 Mar 4]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513238/
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