А clinical case of complex rehabilitation of a child with a stroke on the background of arteriovenous malformation
Abstract
Arteriovenous malformation is a fairly common malformation of the cerebral vessels — an average of 1 in 100,000. One of the most dangerous complications is hemorrhage, which can be fatal. One of the most important tasks of health care is to improve the provision of medical care, including rehabilitation, to reduce the disability of patients and the associated economic losses. The early start of rehabilitation increases the level of rehabilitation potential and rehabilitation prognosis. The article presents a clinical case of patient A., born in 2011, who receives staged rehabilitation starting from the second day after hemorrhage (december 2019). At each stage, the multidisciplinary team ( MDB) developed rehabilitation goals, in accordance with which a rehabilitation plan was built. The MDB included: resuscitator, neurosurgeon, neurologist, rehabilitation doctors, ophthalmologist, orthopedist, speech therapist, occupational therapist, massage therapist, physical therapy instructor. As a result of teamwork, all the short-term and long-term goals were achieved. To date, the result of the work of the MDB is that all the lost skills (speech, self-service skills, walking) have returned to the child, and they are preparing to return to school next year.
About the Authors
E. M. AkhmadullinaRussian Federation
Kazan
A. M. Nekrasova
Russian Federation
Kazan
R. A. Bodrova
Russian Federation
Kazan
References
1. Boulouis G, Blauwblomme T, Hak JF, Benichi S, Kirton A, Meyer P , Chevignard M, Tournier-Lasserve E, Mackay MT, Chabrier S, Cordonnier C, Kossorotoff M, Naggara O. Nontraumatic Pediatric Intracerebral Hemorrhage. Stroke. 2019 Dec;50(12):3654–3661. https://doi:10.1161/STROKEAHA.119.025783.
2. Chávez CL, Yáñez G, Catroppa C, Rojas S, Escartin E, Hearps SJ, García A. Adolescents with vascular frontal lesion: A neuropsychological follow up case study. Neurocirugia (Astur). 2016 May-Jun; 27(3):136–43. https://doi:10.1016/j.neucir.2015.09.001.
3. Fabri TL, Stewart ML , Stevens SA. Informing pediatric rehabilitation: Language-based neuropsychological profile following traumatic brain injury and stroke secondary to arteriovenous malformation. J Pediatr Rehabil Med. 2018;11(1):15–21 https://doi:10.3233/PRM‑160429.
4. J ermakowicz WJ, Weil AG, Vlasenko A, Bhatia S, Niazi TN. Cognard Type V intracranial dural arteriovenous fistula presenting in a pediatric patient with rapid, progressive myelopathy. J Neurosurg Pediatr. 2017 Aug;20(2):158–163. https://doi:10.3171/2017.3.PEDS16363. LoPresti MA, Giridharan N, Pyarali M, Gadgil N, Kan PT, Niedwiekci C, Lam SK. Pediatric intracranial arteriovenous malformations: Examining rehabilitation outcomes. J Pediatr Rehabil Med. 2020;13(1):7–15. https://doi:10.3233/PRM‑190609.
5. L u VM , Wahood W, Rinaldo L, Ahn ES, Daniels DJ . Long-term functional outcome after intervention for pediatric intracranial arteriovenous malformations: A systematic review and meta-analysis. Clin Neurol Neurosurg. 2020 Apr;191:105707. https://doi:10.1016/j.clineuro.2020.105707.
6. L v X , Jiang C, Wang J. P ediatric intracranial arteriovenous shunts: Advances in diagnosis and treatment. Eur J Paediatr Neurol. 2020 Mar;25:29–39. https://doi:10.1016/j.ejpn.2019.12.025.
7. Nikoubashman O, Di Rocco F, Davagnanam I, Mankad K, Zerah M , Wiesmann M. P rospective Hemorrhage Rates of Cerebral Cavernous Malformations in Children and Adolescents Based on MR I Appearance. AJNR Am J Neuroradiol. 2015 Nov;36(11):2177–83. https://doi:10.3174/ajnr.A4427.
8. R odrigues de Oliveira LF, Castro-Afonso LH, Freitas RK, Colli BO, Abud DG . De Novo Intracranial Arteriovenous Malformation-Case Report and Literature Review. World Neurosurg. 2020 Jun;138:349–351. https://doi:10.1016/j.wneu.2020.03.109.
9. Gol’dblat Yu.V., I. N. Baburin «Fizioterapiya v nevrologii». Spb: Nauka i Tekhnika, 2011.-560s. (in R uss)
10. Zagorodnii V ., Shcheglov V . O sobennosti arteriovenoznykh mal’formatsii golovnogo mozga u detei. Mater. 4-go s»ezda neirokhirurgov Rossii. M., 2006: 261 str. (in R uss)
11. Ivanova N. E ., Ivanova G . E ., Kir’yanova V .V., Semenova Zh.B., Isanova V . A., Ruslyakova I. A. i dr. Neiroreabilitatsiya v neirokhirurgii. 2014. (in R uss).
12. Orlov M. Y u. Arteriovenoznye mal’formatsii golovnogo mozga u detei. Ukrainskii neirokhirurgicheskii zhurnal, № 1, 2007: 15. (in R uss)
Review
For citations:
Akhmadullina E.M., Nekrasova A.M., Bodrova R.A. А clinical case of complex rehabilitation of a child with a stroke on the background of arteriovenous malformation. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(1-2):139-142. (In Russ.)