Brain Neurorehabil.  2017 Sep;10(2):e16. 10.12786/bn.2017.10.e16.

Three Cases of Gait Improvement after Rehabilitation Management in Corticobasal Syndrome

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea. rehappydoc@gmail.com
  • 2Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Corticobasal syndrome (CBS) is characterized by asymmetric dystonia, and myoclonus accompanied by higher cortical features including apraxia, alien limb phenomena, cortical sensory loss. Here, we report treatment course of 3 CBS patients. Asymmetric dystonia was seen in the first and second cases, a cortical sensory loss was seen in the third case and left lower limb apraxia was common in all cases. In the first and second cases, we performed an alcohol block on the obturator nerve and injected botulinum toxin into the lower leg to reduce dystonia. In the third case, patient was treated with a robotic assisted gait training, whole body therapeutic pool and gait training with laser pointer visual cueing. After appropriate treatment for patients, all 3 cases showed improvement in gait.

Keyword

Gait Apraxia; Dystonia; Botulinum Toxins; Nerve Block; Neurological Rehabilitation
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