Rehabilitation in paraneoplastic stiff-person syndrome - Case Report.

Autor:	Dogruoz Karatekin B; Istanbul Medeniyet University Goztepe Training and Research Hospital, Physical Medicine and Rehabilitation, Istanbul, Turkey., Sahin SN; Istanbul Medeniyet University Goztepe Training and Research Hospital, Physical Medicine and Rehabilitation, Istanbul, Turkey., İcagasioglu A; Istanbul Medeniyet University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Turkey.
Jazyk:	angličtina
Zdroj:	Journal of musculoskeletal & neuronal interactions [J Musculoskelet Neuronal Interact] 2021 Jun 01; Vol. 21 (2), pp. 322-325.
Abstrakt:	We aimed to share our rehabilitation experience in a patient diagnosed with paraneoplastic Stiff-person syndrome(SPS). A 45-year-old female patient was admitted to neurology with the complaint of widespread painful contractions. EMG was evaluated in favor of SPS. Amphiphysin-antibody was +++ in CSF. Patients' treatment was arranged and transferred to rehabilitation inpatient-clinic. The patient was included in the rehabilitation program of range of motion, stretching, strengthening, posture&walking exercises, balance&coordination exercises, 5 days/week for 3 months. The patient was screened for breast cancer, diagnosed with invasive breast carcinoma and underwent mastectomy. With the rehabilitation, the patient was mobilized first in the parallel-bar then with tripod-cane in the following months. Significant improvements were found in functional status and quality of life with control of spasticity and mobilization. Although the primary treatment of paraneoplastic SPS is cancer treatment, significant gains have been achieved with rehabilitation. It is necessary to raise awareness of the importance of rehabilitation to physicians who diagnose the disease. Competing Interests: The authors have no conflict of interest.
Databáze:	MEDLINE
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