Indonesia Journal of Physical Medicine and Rehabilitation
Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation

Rehabilitation Program for Spinal Cord Injury Neurological Level C2 due to Foramen Magnum Meningioma

Soracca Fellicita Sugiarto (Unknown)
Tanti Ajoe Kesoema (Unknown)



Article Info

Publish Date
21 Oct 2020

Abstract

Introduction: Foramen magnum meningioma is a rare case. The incidence is 0.3% - 3.2% of all meningiomas. Clinical manifestations of foramen magnum meningioma are atypical and unpredictable. The main therapy for foramen magnum meningioma is surgery. The role of rehabilitation becomes important in the process after surgery. Case Presentation: A 46 years old female had weakness and loss of sensory of her upper and lower limbs, accompanied by urinary retention and constipation in the last 2 month, categorized by ASIAimpairment scale (AIS) C neurological level of injury at C2. Cervical MRI with contrast showed the impression of an extramedullary intradural mass as high as the inferior aspect of the pons to the corpusvertebrae cervical 1 supports the picture of meningiomas. The rehabilitation programs after surgery were active assistive range of motion exercise progressing to active range of motion, neuromuscular electrical stimulation, sensory stimulation and bladder and bowel training. Conclusion: The patient’s expectation for returning to independency is a long-term goal of the rehabilitation program. After definitive therapy (surgery) is conducted, medical rehabilitation management can be done as early as possible to achieve the optimum functional recovery. Muscle strengthening, sensory stimulation and bladder/bowel training improved motor , sensory and autonomic function.

Copyrights © 2019






Journal Info

Abbrev

IJPMR

Publisher

Subject

Decision Sciences, Operations Research & Management Neuroscience Physics

Description

Indonesian Journal of Physical Medicine and Rehabilitation publishes peer reviewed original articles, literature review and case report. This journal is published two times a year with 6 articles. Subjects suitable for publication include but are not limited to the following fields of Acute and ...