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Rehabilitation Practice and Science

Translated Title

以腕隧道症候群爲初始臨床表現之腦部神經膠母細胞瘤：病例報告

Abstract

A 43-year-old woman was clinically diagnosed as carpal tunnel syndrome due to the presentation of intermittent numbness, tingling and pain in her right thumb and index finger. The symptoms gradually exacerbated together with positive Phalen's test and Tinel's sign. Endoscopic carpal tunnel release procedure failed to relieve her symptoms. Ensuing symptoms developed such as headache, extensive numbness and mild weakness in her right upper and lower limbs. MRI of brain revealed a left thalamic tumor. Stereotactic biopsy confirmed the pathologic diagnosis as glioblastoma. Post-operative radiotherapy and temozolomide chemotherapy were performed to suppress disease progression. She also received comprehensive rehabilitation program, and achieved good recovery in the locomotion ability and performance of activity of daily living. Barthel index improved from 30 to 75.Glioblastoma multiforme (GBM) is the most common and most malignant primary brain tumor in adults, which incidence is about 3-4 of 100,000 per year. The average survival of GBM patients is 12-15 months despite available state-of-the-art multimodality treatments. GBM will cause a variety of progressive neurological deficits, including initial symptoms resembling carpal tunnel syndrome. In this casereport, we also discussed medical issues encountered by patients with brain tumor during rehabilitation, and management for the systemic effects resulted from cancer, as well as the dramatic impacts on the patient, family, society, vocation and emotion.

Language

Traditional Chinese

First Page

181

Last Page

187

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