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Rehabilitation Practice and Science

Translated Title

創傷性頸椎椎間盤脫出合併硬膜外膿瘍致四肢麻痺的診斷及復健治療一病例報告

Abstract

This 67 years old, male, DM patient suffered from a falling accident, resulting in traumatic cervical disc herniation with epidural abscess. After discectomy, the patient sustained quadriplegic condition and needed mechanical ventilation due to breathing difficulty. In addition to the usual rehabilitation program, we also used transcutaneous electrical stimulation on this patient's various muscle groups in order to stimulate his muscles and to help his weaning from ventilator. Two months later, the patient's breath was normal, and half year later he could walk with walker. His muscle power was normal one year later. The severity of the neurological lesion and the timing of operation influence the prognosis of cervical disc herniation with epidural abscess. This patient was quadriplegic before the operation, but pinprick sensation was preserved, and he was operated within 48 hours when this progressive quadriplegic condition developed. In spite of quadriplegia, he developed many medical complication and depended on ventilator for several months, but the recovery of this case was rather well. It may be due to 1)operation on time 2)rehabilitation given promptly post-operation and 3)the suitable electrical stimulation program.

Language

Traditional Chinese

First Page

209

Last Page

213

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