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Fizikalna i rehabilitacijska medicina, Vol. 39 No. 1-2, 2025.

Pregledni rad

https://doi.org/10.21751/FRM-39-1-2-4

REHABILITATION OUTCOME IN A PATIENT WITH LATERAL MEDULLARY SYNDROME

Paola Danjek orcid id orcid.org/0000-0003-0640-5140 ; University Hospital Dubrava Avenija Gojka Šuška 6, 10 000 Zagreb *
Matea Stiperski Matoc ; University Hospital Dubrava Avenija Gojka Šuška 6, 10 000 Zagreb
Petar Gulin ; University Hospital Dubrava Avenija Gojka Šuška 6, 10 000 Zagreb
Filip Đerke ; University Hospital Dubrava Avenija Gojka Šuška 6, 10 000 Zagreb

* Dopisni autor.

Puni tekst: engleski pdf 254 Kb

str. 35-44

preuzimanja: 0

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Sažetak

Medullary infarction, a type of brainstem stroke affecting the medulla oblongata, often results in bulbar symptoms such as dysphagia, dysphonia, and dysarthria, significantly impacting a patient’s quality of life. Lateral medullary
syndrome (Wallenberg’s syndrome) is a common manifestation, typically caused by vertebral or posterior inferior cerebellar artery occlusion. This case report presents a 52-year-old female with dorsomedial medullary infarction,
exhibiting left-sided hemiparesis, balance impairment, and severe bulbar symptoms. Early multidisciplinary rehabilitation, including physical therapy and speech therapy, was initiated during hospitalisation. Despite improvements in motor function, the patient experienced persistent dysphonia, dysarthria, and swallowing difficulties post-discharge, necessitating continued rehabilitation. Functional assessments, including fiberoptic endoscopic evaluation of swallowing and acoustic voice analysis, identified vocal cord paralysis and
dysphagia. Speech therapy was focused on voice rehabilitation, swallowing safety and efficacy, and speech intelligibility, leading to notable functional gains. However, gait instability and balance deficits persisted, requiring longterm physiotherapy interventions. This report underscores the importance of a comprehensive, multidisciplinary approach in managing medullary infarction sequelae. It highlights the role of speech-language pathologists in addressing bulbar dysfunction and emphasises the necessity of ongoing rehabilitation and long-term follow-up for optimising patient outcomes.

Ključne riječi

Medullary infarction, Lateral medullary syndrome, Dysphagia, Dysphonia, Dysarthria, Brainstem stroke, Speech therapy, Rehabilitation, Neurological recovery.

Hrčak ID:

330727

URI

https://hrcak.srce.hr/330727

Datum izdavanja:

4.5.2025.

Podaci na drugim jezicima: hrvatski

Posjeta: 0 *