# Innovative rehabilitation intervention in a young stroke patient with Parinaud syndrome: A case report

**Authors:** Thajus Asirvatham, Ajay Boppana, Premraj Issac Chandran, Muhaiadeen Sheik Abubacker Jamaludeen

PMC · DOI: 10.5339/qmj.2025.30 · Qatar Medical Journal · 2025-03-08

## TL;DR

A 40-year-old stroke patient with Parinaud syndrome showed improved function and independence through an innovative rehabilitation approach using belay glasses.

## Contribution

The study introduces belay glasses as an innovative intervention for Parinaud syndrome, demonstrating functional improvements in a stroke patient.

## Key findings

- The patient showed improved self-care, mobility, and hand function after using belay glasses.
- Belay glasses facilitated notable functional gains and increased visual function in the patient.
- An 8-week multidisciplinary rehabilitation program with prism glasses led to clinically significant improvements.

## Abstract

Parinaud syndrome is a rare condition that can arise as a consequence of strokes, hemorrhages, and neoplasms. Due to the debilitating after-effects of this condition, such as functional dependency, a high risk of falls, decreased mobility, and increased caregiver burden, immediate and holistic intervention is essential.

A 40-year-old male patient presented with Parinaud syndrome following an episode of stroke. Physical examination on admission revealed self-care dependence, limited mobility and upper limb function, limited visual fields, and reduced therapy tolerance.

The patient was treated with belay glasses, an innovative strategy, to assess functional changes. This intervention resulted in notable improvements in overall function, contributing to greater independence in daily activities. Standardized assessments indicated improvements in self -care, mobility, and hand function. The use of belay glasses not only increased visual function but also facilitated overall functional gain.

Parinaud syndrome is an unusual condition that can arise following a stroke or brain trauma. This case report aimed to explore the functional gain of a patient diagnosed with Parinaud syndrome during an 8-week rehabilitation program, using a multidisciplinary approach and the application of prism glasses. Clinically significant differences were observed using belay glasses, representing an innovative intervention strategy.

## Linked entities

- **Diseases:** Parinaud syndrome (MONDO:0022220), stroke (MONDO:0005098)

## Full-text entities

- **Diseases:** limited mobility and upper limb function (MESH:D051346), brain trauma (MESH:D000070642), Parinaud syndrome (MESH:D015835), functional dependency (MESH:D019966), hemorrhages (MESH:D006470), neoplasms (MESH:D009369), stroke (MESH:D020521), visual fields (MESH:D014786), falls (MESH:C537863)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

21 references — full list in the complete paper: https://tomesphere.com/paper/PMC12124465/full.md

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Source: https://tomesphere.com/paper/PMC12124465