Rehabilitation Program for Spinal Neurofibromatosis: A Case Report

Meta Novantisari, Damayanti Tinduh

Abstract

Neurofibromatosis is the most commonly inherited disorder affecting the nervous system. This autosomal dominant, neurocutaneous syndrome is associated with multiple tumors of the nervous system, including neurofibromas, schwannomas, meningiomas, and intracranial gliomas. Spinal cord involvement in neurofibromatosis is typically from extramedullary growth of spinal nerve root tumors. A 16-year-old male had weakness in both legs gradually and finally could not move at all. He had sensory deficits as high as dematome T6. He had disturbance of bowel and bladder. He also had severe spasticity. On MRI examination there were multiple intradural extramedular masses at T3 and L5-S1. The patient was operated on for posterior stabilization, laminectomy decompression and Smith Petersen Osteotomy. The patient was diagnosed with T5 paraplegia AIS B ec. Spinal Neurofibromatosis. The rehabilitation program included active breathing exercises, ROM exercises, sensory reeducation, spasticiy inhibition, CTLSO, and mobilization gradually. The goals for this patient were independent ambulation and improving of sensory deficits and bowel and bladder disturbance. Comprehensive rehabilitation intervention can help patients with spinal cord injury caused by spinal neurofibromatosis to be more functional, and have independent ambulation and ADL

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in Harvard Style

Novantisari M. and Tinduh D. (2017). Rehabilitation Program for Spinal Neurofibromatosis: A Case Report.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 177-180. DOI: 10.5220/0007318301770180


in Bibtex Style

@conference{imrm17,
author={Meta Novantisari and Damayanti Tinduh},
title={Rehabilitation Program for Spinal Neurofibromatosis: A Case Report},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={177-180},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007318301770180},
isbn={978-989-758-334-6},
}


in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - Rehabilitation Program for Spinal Neurofibromatosis: A Case Report
SN - 978-989-758-334-6
AU - Novantisari M.
AU - Tinduh D.
PY - 2017
SP - 177
EP - 180
DO - 10.5220/0007318301770180