Volume 27, Issue 134, April 2023

Convalescence after physiotherapy intervention in a classic rare case of cerebellar bleed: A case report

Anjali Vikas Nawkhare¹, Snehal Shamal^2♦, Swadha P Udhoji³, Nikita Seth³

¹Intern, Department of Neuro physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be university), Sawangi (Meghe), Wardha, Maharashtra, India
²Assistant Professor, Department of Neuro physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be university), Sawangi (Meghe), Wardha, Maharashtra, India
³Resident, Department of Neuro physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be university), Sawangi (Meghe), Wardha, Maharashtra, India

^♦Corresponding author
Assistant Professor, Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (Deemed to be university), Sawangi (Meghe), Wardha, Maharashtra, India
ORCID: 0000-0003-0105-2411

ABSTRACT

The cerebellum regulates posture, eye-hand coordination and limb movement. It may also have a role in non-motor functions including attention and cognition. The feedforward component of movement is impacted by inadequate predictive control, which is linked to the motor symptoms of cerebellar impairment. Cerebellar haemorrhage or hematoma is a type of intracranial haemorrhage (ICH). In the cerebellum or posterior fossa, bleeding accounts for 9% to 10% of all ICH cases. Nontraumatic cerebral haemorrhage can cause 9% to 27% of strokes globally, with an annual incidence of 12 to 31 per 100,000 people. The prevalence varies by race and age. In this case, we reported a 74-year-old male with a known history of hypertension came with a complaint of sudden onset 3 to 4 episodes of vomiting, dizziness, headache, slurred speech and weakness in all four limbs. On investigation, the patient was diagnosed with cerebellar haemorrhage. Managed operatively that is an evacuation of the brainstem haematoma. The patient was referred to the neuro physiotherapy department for further management. The Physiotherapy protocol was 6 weeks with increased muscle strength, range of motion (ROM) and normalized tone, to achieve normal reflexes and to develop balance & postural stability.

Keywords: Cerebellar haemorrhage, Cerebellar lesion, Rehabilitation, Neuro physiotherapy, Rood’s approach

Medical Science, 2023, 27, e197ms2950

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DOI: https://doi.org/10.54905/disssi/v27i134/e197ms2950

Published: 24 April 2023