Keywords : CVE
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 3275-3280
Introduction :- Stroke (cerebrovascular accident) CVA is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. Haemorrhagic stroke occurs when blood vessels rupture, causing leakage of blood in or around the brain. Focal deficits can be seen including changes in the level of consciousness and impairments of sensory , motor , cognitive , perceptual and language function. Clinical findings :- weakness of the BOTH right and left side lower and upper limb respectively , pain in the right shoulder , global aphasia , difficulty in balance , difficulty in coordination and cognition.
Diagnosis :- The attributes involved are determined by the region in which the brain is involved. The main diagnosis is done using MRI and CT- SCAN. in this case there is infarct in the Lacunar infarct , Her MRI brain which suggested Acute lacunar infarcts in bilateral cerebral peduncles, pons, might middle cerebellar peduncle and right cerebellar hemisphere. Chronic lacunar infarcts in bilateral putamen and left corona radiata. Small vessel ischemic changes (Fazekas grade IJ lesions). The therapeutic interventions done are medicinal interventions are done primarily followed by physiotherapy interventions , including ice stroking and functional electrical stimulation to the right side and active assisted exercise to the left side upper and lower limb. Outcome measures found to be improvement in muscle tone, strength , cognition and balance. Conclusion :- Reduced pain over the both right and left shoulder joint and improved cognition ,static balance and coordination and improved their range of motion and improved activity of daily living which leads to improvement in quality of life.