Volume 19, Issue 2 (June 2021)                   Iranian Rehabilitation Journal 2021, 19(2): 215-220 | Back to browse issues page

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Mohamad Hashim N, Ahmedy F, Wan Mohd Zohdi W N, Mahmud K. A Stepwise Multidisciplinary Rehabilitation Approach of Central Pontine and Extra Pontine Myelinosis in Locked-in Syndrome: A Case Report. Iranian Rehabilitation Journal 2021; 19 (2) :215-220
URL: http://irj.uswr.ac.ir/article-1-1289-en.html
A Stepwise Multidisciplinary Rehabilitation Approach of Central Pontine and Extra Pontine Myelinosis in Locked-in Syndrome: A Case Report
Natiara Mohamad Hashim * 1, Fatimah Ahmedy2 , Wan Najwa Wan Mohd Zohdi1 , Khadijah Mahmud1
1- Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
2- Rehabilitation Medicine Unit, Faculty of Medicine & Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.
Abstract:   (2180 Views)
Central Pontine Myelinosis (CPM) and Extra Pontine Myelinosis (EPM) are debilitating conditions, resulting from the rapid correction of hyponatremia. The outcome and prognosis of this medical condition are variable; mainly involving functional decline from neuro-musculoskeletal upset. An intensive, multidisciplinary rehabilitation has played an essential role in facilitating and hasten recovery, promoting a favorable outcome. We reported our experience in rehabilitating a patient with a rare condition of comorbid CPM and EPM. The reported patient presented with disabling Locked-in Syndrome (LIS) and Parkinsonism movement disorder. We highlighted the stepwise rehabilitation approach according to Patterson and Grabois Motor Recovery scale for LIS in preventing and reversing the complications and disabilities caused by CPM and EPM that may facilitate favorable therapeutic outcomes.
Keywords: Central pontine myelinosis, extra pontine myelinosis, Multidisciplinary rehabilitation
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Article type: Case Reports | Subject: Rehabilitation Management
Received: 2021/01/17 | Accepted: 2021/06/20 | Published: 2021/06/20
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