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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046

Abstract

RUIZ MILIAN, Jhordan Reinel; CANCIO PEREZ, Idianelys; CONSUEGRA LEON, Lisvani  and  DIAZ BERAZATEGUI, Yaili. Neurorehabilitation treatment in a patient with hereditary cerebral arteriopathy. Rev Cub Med Mil [online]. 2016, vol.45, n.3, pp.385-390. ISSN 0138-6557.

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy is rare and there are few reports in the literature, with a higher prevalence in Europe. This clinical condition is characterized by migraine with aura, ischemic cerebrovascular disease, dementia and psychiatric disorders. It is done a detailed clinical description of the evolution and diagnosis of this hereditary disease. Diagnosis is confirmed by detecting a characteristic and / or pathological changes in the skin. We present the case of a 49-year-old male patient who has presented episodic neurological manifestations of migraine-type headache and right hemiparesis. A skin biopsy was performed, finding typical alterations of this disease. Detailed clinical course is described through neuro-rehabilitating treatment in a patient with hereditary cerebral arteriopathy. This treatment is applied for 21 days, based on techniques of neurological exercises, postural care, occupational therapy, acupuncture, ozone therapy, psychological, to obtain greater independence in daily living activities, restore functions and improve the disability in this patient. This paper describes the changes that occurred in the patient daily life activities and his favorable evolution after the neuraorehabilitator treatment. Autosomal dominant cerebral arteriopathy with subcortical infarctions and leukoencephalopathy is a gray area for rehabilitation centers. The absence of an etiological treatment means that the rehabilitation applied and practiced allows greater degree of independence to be maintained periodically with an improvement in the quality of life of the patient and family. Early diagnosis and physiotherapy offer new opportunities for the patient.

Keywords : hereditary cerebral arteriopathy; subcortical infarcts; leukoencephalopathy; therapy; neurorehabilitation treatment.

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