A stroke of luck : a case study on hypertensive intracerebral bleed, left basal ganglia and thalamus

Date of Completion

1997

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Stroke, Rehabilitation

Abstract

Intracerebral hemorrhage accounts for only 10% of all stroke. It is the rarest but most catastrophic type of cerebrovascular accident with an initial mortality rate of 50% to 70%. The prognosis is poor, but if the patient does recover, blood is reabsorbed leaving only mild deficits. The objective of our group is to conduct a thorough evaluation, identify her problems and provide specific recommendations for each problem. V.A is a 69 year old, right handed Filipino, female, married, housewife, with a 1 year diagnosed history of hypertensive intracerebral bleed, left Basal Ganglia and Thalamus. This patient undergone Physical Therapy during hospital stay and continued on a private basis. The patient is re-evaluated 10 months post stroke and is presently able to ambulate without assistive devices, thus the rehabilitation outcome of this patient was achieved based on the hemorrhagic stroke. Early Physical Therapy proved to contribute a lot in terms of functional recovery, preventing the deleterious effects of secondary complications. In addition to this, patient's good compliance on a home based rehabilitation had resulted to a more favorable outcome of recovery. Based on this future course is expected to be good. Aside from the absence of major complications and achievement of the highest level of activities of daily living, patient management would be of good benefit in functional re-training of this patient. This case study had helped the researchers on the practical and theoretical aspect of a hemorrhagic stroke. Moreso, an individualized rehabilitation program should be established for each patient.

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