Introduction:The pseudo aneurysm is an accumulation of blood between the muscle and the adventitia of an artery, while a genuine aneurysm is "a permanent and localized dilation which determines an increase of more than 50% in the normal diameter of the respective vessel" [1], [2]. Aneurysms are more common in the aorta and most frequently occur in male patients aged between 65-85 years, representing 1-3% of the total death causes in this group of age. [3], [4]. Material and methods:The paper presents the case of a 53-year old patient with incomplete paraplegia, AIS/Frankel D with a T11 neurologic level, acute post-ischemia due to a hemorrhagic shock. The patient was diagnosed in 2017 with ruptured right iliac aneurysm which required surgery. A right iliac exograft was inserted, which later became infected, thus requiring multiple surgical interventions, the patient remaining a chronic carrier of Enterococus Faecium. Subsequently, multiple pseudo aneurysms begin appear in the right and left iliac artery and aortic bifurcation. Multiple surgical inetervention ware performed. In January 2018, the patient presented himself with an emergency to the hospital, with a hemorrhagic shock. He was diagnosed with anastomotic pseudo aneurysm which communicated through a very long path with a fistula at the level of the sigma, showing small amounts of a periprosthetic collection with purulent aspect. Surgery is reinitiated by insertion of an axillo-bifemoral bypass and Hartman resection with colostomy. Another important element in the pathological history of the patient is operated pulmonary neoplasm with hepatic and bone metastases. The patient was clinically and functionally evaluated, according the standardized protocols implemented in our clinic, through the assessment scales (AIS, FIM, QoL-Quality of Life, Asworth, Penn, FAC, WISCI II) and also paraclinically, in order to evaluate his biological reserve and his bearing availability of the recovery program. Results: The patient presented a slowly favorable evolution (slowed down by his multiple above mentioned comorbidities) from an algo-dysfunctional point of view, with the improvement of the walking program and the increase of muscle force and individual autonomy. Conclusion: Although aortic aneurysms are common between 65-85 years of age, they can also appear at younger ages. The aortoenteric fistula is a rare cause of massive gastrointestinal bleeding, many of them leading to the death of the patient before presentation to the doctor. Although medullary ischemia can lead to neurologic deficit of the paraplegic type, it can be corrected through a complex recovery program.

The subject matter of the present scientific paper is the report of the therapeutic and rehabilitation program of a polytraumatized patient with severe traumatic brain injury and mild cervical spinal cord injury, that led to serious functional consequences: psychocognitive, neuromotor, neurosensitive and autonomous.

Introduction: Cardiac embolism is one of the most common causes of embolic CVA. The recovery of patients with cardio-embolic stroke is a complex process which requires taking into account all associated pathologies (e.g. diabetes mellitus) that can play a decisive role in the evolution of the patient. A multidisciplinary team is required for such a purpose. Material and methods: The paper presents the case of a 63-year old patient with hemiplegia after an ischemic cardio-embolic stroke within a poly-pathological context. In January 2019, the patient suffered from an ischemic stroke in the carotid region with an ataxic spastic hemiparesis and left facial paresis with cerebrasthenia and bradylalia and he was admitted to “St. Ioan” Clinical Emergency Hospital in Bucharest. After the patient was stabilized and received specialized treatment, following the investigations and the interdisciplinary consultations, he received indication of neuromuscular recovery and for this reason he was admitted to our clinic. The patient was clinically and functionally evaluated, according the standardized protocols implemented in our clinic, through the assessment scales (MMSE, GOS-E and Rankin, MoCA, FIM, FAC, QoL, Asworh and Penn) and also para-clinically, in order to evaluate his biological reserve and his bearing availability of the recovery program. Results: After a complex neuro-recovery program undertaken by a multidisciplinary team formed by doctors, kinesiotherapists, medium healthcare and paramedical personnel, the patient displayed a slowly favorable evolution (hardened by his multiple associated diseases due to the above-mentioned co-morbidities) from a functional point of view with the improvement of the walking program and the increase in the muscle force and self-autonomy. Conclusion: The recovery of patients with cardio-embolic stroke is a complex process, which requires taking into account all associated pathologies that can play a decisive role in the evolution of the patient. A multidisciplinary team is required for such purposes. Key words: stroke, hemiplegia, poly-pathologic, ischemic