International Case Reports Journal | Volume 1, Issue 3 | Case Report | Open Access

Rehabilitation Approach in Spastic Hemiparetic Cerebral Palsy Superimposed with Primary Central Nervous System (CNS)Vasculitis: Case Report

Zainab Al Lawati*

Department of Surgery, Texas Tech University Health Sciences Centre El Paso, USA

*Correspondence to: Zainab Al Lawati 

Fulltext PDF

Abstract

Rehabilitation of cerebral palsy (CP) varies depending on the gross motor, fine motor and communication abilities. The motor disorders seen in CP are frequently accompanied by disturbances of sensation, cognition, communication, perception, and/or behavior disorders; thus, therapy approaches are arranged to meet the individual patient’s needs. Having primary Central Nervous System (CNS) vasculitis on top of cerebral palsy adds more complexity to the medical condition as more medical complications needs to be taken care of.We report a case of a 20 year-old-female with spastic hemiparetic cerebral palsy with gross motor functional classification system I (GMFCS I) presented with seizures, fever and altered mental status. Upon further evaluation she was found to have anemia that was managed with iron supplements. Her blood workup was non -conclusive. Brain imaging showed multiple infarcts in the bilateral partial and occipital lobes. Brain biopsy showed inflammatory infiltrate with perivascular lym phocytic extending into the vessel wall that is consistent with primary Central Nervous System (CNS) vasculitis. Patient was discharged to in-patient rehabilitation where she received her rehabilitation with interdisciplinary team. Her neurological recovery, sleep-wake cycle, seizures, spasticity, neurogenic bowel and bladder issues were addressed. She was discharged mobilizing on a wheelchair and her continuity of care was achieved with outpatient followups.

Keywords:

Central Nervous System (CNS); Cerebral Palsy (CP); Gross Motor Functional Classification System (GMFCS)

Citation:

Zainab Al Lawati (2021) Rehabilitation Approach in Spastic Hemiparetic Cerebral Palsy Superimposed with Primary Central Nervous System (CNS)Vasculitis: Case Report. Int Case Rep Jour 1(3):1-5.