Involvement and lifestyle quality in terms of health are impacted by spinal cord injury. Spinal cord injury (SCI) patient sufferers deal with physical, social, and psychological repercussions. Annual spinal cord injuries are anticipated to range between 250,000 and 500,000. Clinical signs of SCI could include a partial or complete sensation loss and/or motor activity below the site of the damage. While quadriplegia could develop from injuries to the cervical region, paraplegia could result from injuries to the lower thorax. The most popular technique for predicting outcomes after the SCI is the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), which was created in partnership with the American Spinal Injury Association. A 28-year-old patient visited our hospital with complaints of reduced strength in both lower limbs and unable to walk. For those with whole or incomplete paraplegia, regaining independent mobility during the chronic phase is the most crucial goal. Bed mobility training, upper limb strengthening, trunk control, and intervention were started. SCI is an example of a low-incidence ailment that does not generate sufficient market demand to sustain the development of specialist services in distant places. The rehabilitation strategy should include weight-bearing mat exercises, home exercise programs, and ambulation orthoses. Early physiotherapy participation on the side of the patient allowed him to avoid major secondary issues including bed sores and joint contractures. One of the crucial components of the recovery process for those with spinal cord injuries is physical therapy.
Choroid Plexus Papilloma (CPP) is infrequent, neuroectodermal originated, intraventricular tumour of central nervous system that develops from lining of choroid plexus lining. Choroid plexus is responsible for production of cerebrospinal fluid. Patient with CPP therefore presents with symptoms of hydrocephalus due to increased intracranial pressure (ICP). In this case report we have presented an 11-year-old female patient who developed CPP mimicking meningioma in third ventricle. She came with complain of headache, vomiting and diplopia. MRI and CT scan results confirmed the diagnosis. She was initially operated on for ventriculoperitoneal shunting to reduce the elevated intracranial pressure after approximately 25 days of onset of symptoms. Her tumour was removed subsequently, 10 to 15 days after the initial surgery, using a supracerebellar infratentorial approach, with an incision running from her occiput to 6 cm downward. Her primary complaints after surgery included loss of lateral eye movement, poor coordination and balance problems. Early evaluation and rehabilitation for the same were initiated. Exercises for lateral gaze palsy comprised of eye movement exercises by utilising radium objects and target-oriented gaze stabilisation exercise using colourful peg board pieces. The regimen also includes upper and lower limb coordination exercises and balance training.The effects of our treatment strategy were observed during post-rehabilitation follow-up, including improvements in gaze, balance and coordination.
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