# Reviving Consciousness: A Neurophysiotherapy Triumph in Decompressive Craniotomy Recovery

**Authors:** Anandi R Dave, Nikita H Seth, Snehal Samal

PMC · DOI: 10.7759/cureus.52278 · Cureus · 2024-01-14

## TL;DR

A 54-year-old man recovering from a severe brain hemorrhage regained consciousness and function through neurophysiotherapy after decompressive craniotomy.

## Contribution

Demonstrates the effectiveness of neurophysiotherapy in post-decompressive craniotomy recovery.

## Key findings

- The patient showed significant improvement in mobility and cognitive function after neurophysiotherapy.
- Neurophysiotherapy helped manage postoperative complications like weakness and respiratory issues.
- Outcome measures confirmed the positive impact of the rehabilitation protocol.

## Abstract

This case report presents a 54-year-old male with a history of type-2 diabetes mellitus who experienced sudden unconsciousness and vomiting, leading to aspiration and subsequent diagnosis of a hemorrhagic stroke. The patient underwent an immediate decompressive craniotomy, revealing a sizable intraparenchymal hematoma in the right basal ganglia and corona radiata. Postoperatively, the patient exhibited left-sided weakness, hyporeflexia, and cognitive impairment. A comprehensive neurophysiotherapy intervention addressed impaired mobility, strength, balance, coordination, respiratory complications, pain management, and other associated challenges. The rehabilitation protocol involved diverse strategies such as passive and active exercises, sensory stimulation, and the application of neurophysiotherapeutic approaches. The patient's progress was assessed using various outcome measures. Neurophysiotherapy plays a crucial role in the recovery of decompressive craniotomy.

## Linked entities

- **Diseases:** type-2 diabetes mellitus (MONDO:0005148), hemorrhagic stroke (MONDO:1060199)

## Full-text entities

- **Diseases:** pain (MESH:D010146), hyporeflexia (MESH:D012021), type-2 diabetes mellitus (MESH:D003924), aspiration (MESH:D011015), hemorrhagic stroke (MESH:D000083302), respiratory complications (MESH:D012140), impaired mobility (MESH:D014086), unconsciousness (MESH:D014474), weakness (MESH:D018908), hematoma (MESH:D006406), cognitive impairment (MESH:D003072), vomiting (MESH:D014839)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

19 references — full list in the complete paper: https://tomesphere.com/paper/PMC10864813/full.md

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Source: https://tomesphere.com/paper/PMC10864813