Incidence of neurologic deficits and rehabilitation sd patients with brain tumors
Incidence of neurologic deficits and rehabilitation sd patients with brain tumors
复制标题
DOI：
10.1097/00002060-200105000-00005
复制
发表时间：
2001-05-01
影响因子：
3
通讯作者：
Santos, BB
中科院分区：
文献类型：
--
作者：
Mukand, JA;Blackinton, DD;Santos, BB
目的：报告和讨论常见的神经系统问题的成人脑肿瘤住院康复在急性rehabilitationcenter.Design：回顾性，描述性，病例系列的51例连续成人患者（65%男性），各种肿瘤类型（胶质母细胞瘤31.3%，脑膜瘤25.5%，转移性25.5%）。结果的措施是功能状态的测量的RISK（TM）的分数，康复住院时间的长度，和出院disposs.Results：最常见的赤字是受损的认知（80%），其次是无力（78%），视觉感知缺陷（53%），感觉丧失（38%），和肠道和膀胱功能障碍（37%）。不太常见的问题，发生率下降，是颅神经麻痹，构音障碍，吞咽困难，失语症，共济失调，复视，38例（74.5%）患者有三个或更多的并发神经功能缺损，20例（39.2%）患者有五个或更多的缺陷。偏侧和四肢瘫痪患者的并发缺陷涉及认知（n = 29例患者）、视知觉功能、感觉、脑神经麻痹和神经源性肠/膀胱。平均入院时67.2分，出院时增加到87.1分，原发性脑肿瘤患者和转移性疾病患者之间的增益相似。35例出院回家，七个疗养院，一个临终关怀，有八个急性transfers.Conclusions：认知功能受损，虚弱，和视觉知觉缺陷是最常见的问题，在这项研究的人口。我们的研究支持综合和跨学科康复对原发性和转移性脑肿瘤患者的益处。
Objective: To report and discuss common neurologic problems in adults with brain tumors admitted for inpatient rehabilitation at an acute rehabilitation center.Design: Retrospective, descriptive, case series of 51 consecutive adult patients (65% male), with a variety of tumor types (31.3% glioblastoma, 25.5% meningioma, and 25.5% metastatic). Outcome measures were the functional status as measured by the FIM (TM) scores, the length of rehabilitation stay, and discharge dispositions.Results: The most common deficit was impaired cognition (80%), followed by weakness (78%), visual-perceptual deficit (53%), sensory loss (38%), and bowel and bladder dysfunction (37%). Less common problems, in decreasing incidence, were crania[ nerve palsy, dysarthria, dysphagia, aphasia, ataxia, and diplopia, Thirty-eight (74.5%) patients had three or more concurrent neurologic deficits, and 20 (39.2%) patients had five or more deficits. Concurrent deficits among patients with hemi- and tetraparesis involved cognition (n = 29 patients), visual-perceptual function, sensation, cranial nerve palsy, and neurogenic bowel/bladder. The average admission FIM score of 67.2 increased to 87.1 at the time of discharge, with similar gains between patients with primary brain tumor and metastatic disease. Thirty-five patients were discharged home, seven to a nursing home, and one to hospice care; there were eight acute transfers.Conclusions: impaired cognition, weakness, and visual-perceptual deficits were the most common problems in this study population. Our study supports the benefits of comprehensive and interdisciplinary rehabilitation for patients with primary as well as metastatic brain tumors.