Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report
Chih-Lan Kuo1, Sui-Foon Lo1,2, Chun-Lin Liu3, Chia-Hui Chou4, Li-Wei Chou1,2,5¹Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; ²School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichu...
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Dove Medical Press
2012
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oai:doaj.org-article:00dbfa5cc1524295a8d4a94551658b0e2021-12-02T00:15:59ZEffect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report1176-63281178-2021https://doaj.org/article/00dbfa5cc1524295a8d4a94551658b0e2012-05-01T00:00:00Zhttp://www.dovepress.com/effect-of-rehabilitation-on-a-patient-suffering-from-a-tuberculous-bra-a9848https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Chih-Lan Kuo1, Sui-Foon Lo1,2, Chun-Lin Liu3, Chia-Hui Chou4, Li-Wei Chou1,2,5¹Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; ²School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 3Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan; 4Department of Infectious disease, China Medical University Hospital, Taichung, Taiwan; 5Department of Physical Therapy, China Medical University, Taichung, TaiwanAbstract: There are few reports in the literature of tuberculous brain abscess. Tuberculous brain abscess usually occurs in an immunocompromised host. Almost all previously documented cases have involved acquired immune deficiency syndrome. We encountered a 53-year-old right-handed immunocompetent male who was initially suspected of having a cerebrovascular accident due to acute-onset right hemiparesis and paresthesia. A tentative diagnosis of brain tumor versus brain abscess was made on imaging studies. The patient was finally diagnosed with a tuberculous brain abscess based upon deterioration on imaging and a positive tuberculosis culture. The tuberculous brain abscess was located in the left parietal lobe, which resulted in Gerstmann's syndrome and right-sided apraxia. Stereotactic surgery was performed. He was also given antituberculosis chemotherapy and comprehensive rehabilitation. Considerable improvement was noted after rehabilitation. The patient even returned to a normal life and work. Our case demonstrates that an aggressive intensive inpatient rehabilitation program combined with stereotactic surgery and effective antituberculosis therapy play an important role in improving the outcome for patients with tuberculous brain abscess, Gerstmann's syndrome, and right-sided apraxia.Keywords: tuberculous brain abscess, Gerstmann's syndrome, rehabilitationKuo CLLo SFLiu CLChou CHChou LWDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2012, Iss default, Pp 217-220 (2012) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kuo CL Lo SF Liu CL Chou CH Chou LW Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| description |
Chih-Lan Kuo1, Sui-Foon Lo1,2, Chun-Lin Liu3, Chia-Hui Chou4, Li-Wei Chou1,2,5¹Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; ²School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 3Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan; 4Department of Infectious disease, China Medical University Hospital, Taichung, Taiwan; 5Department of Physical Therapy, China Medical University, Taichung, TaiwanAbstract: There are few reports in the literature of tuberculous brain abscess. Tuberculous brain abscess usually occurs in an immunocompromised host. Almost all previously documented cases have involved acquired immune deficiency syndrome. We encountered a 53-year-old right-handed immunocompetent male who was initially suspected of having a cerebrovascular accident due to acute-onset right hemiparesis and paresthesia. A tentative diagnosis of brain tumor versus brain abscess was made on imaging studies. The patient was finally diagnosed with a tuberculous brain abscess based upon deterioration on imaging and a positive tuberculosis culture. The tuberculous brain abscess was located in the left parietal lobe, which resulted in Gerstmann's syndrome and right-sided apraxia. Stereotactic surgery was performed. He was also given antituberculosis chemotherapy and comprehensive rehabilitation. Considerable improvement was noted after rehabilitation. The patient even returned to a normal life and work. Our case demonstrates that an aggressive intensive inpatient rehabilitation program combined with stereotactic surgery and effective antituberculosis therapy play an important role in improving the outcome for patients with tuberculous brain abscess, Gerstmann's syndrome, and right-sided apraxia.Keywords: tuberculous brain abscess, Gerstmann's syndrome, rehabilitation |
| format |
article |
| author |
Kuo CL Lo SF Liu CL Chou CH Chou LW |
| author_facet |
Kuo CL Lo SF Liu CL Chou CH Chou LW |
| author_sort |
Kuo CL |
| title |
Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| title_short |
Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| title_full |
Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| title_fullStr |
Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| title_full_unstemmed |
Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report |
| title_sort |
effect of rehabilitation on a patient suffering from a tuberculous brain abscess with gerstmann's syndrome: case report |
| publisher |
Dove Medical Press |
| publishDate |
2012 |
| url |
https://doaj.org/article/00dbfa5cc1524295a8d4a94551658b0e |
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