Pediatric intracranial arteriovenous malformations: Examining rehabilitation outcomes

Autor:	Christian Niedwiekci, Nisha Giridharan, Melissa A. LoPresti, Nisha Gadgil, Sandi Lam, Monika Pyarali, Peter Kan
Rok vydání:	2020
Předmět:	Intracranial Arteriovenous Malformations Male 030506 rehabilitation Pediatrics medicine.medical_specialty Adolescent medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences Epilepsy 0302 clinical medicine medicine Humans Spasticity Child Retrospective Studies Inpatients Rehabilitation business.industry Arteriovenous malformation medicine.disease Functional Independence Measure Hydrocephalus Hemiparesis Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery
Zdroj:	Journal of pediatric rehabilitation medicine. 13(1)
ISSN:	1875-8894
Popis:	Purpose Arteriovenous malformation (AVM) rupture in children can cause debilitating neurological injury. Rehabilitation is key to recovery, though literature details little regarding rehabilitation outcomes. We examined a single-center experience with pediatric AVMs as related to acute inpatient rehabilitation outcomes. Methods At our institution, a retrospective chart review was completed examining all cases of intracranial AVMs in patients age 18 and younger who completed our acute inpatient rehabilitation program between 2012-2018. Patient characteristics, clinical data, treatment modality, and functional outcomes were reviewed. Results 14 patients with AVMs underwent acute inpatient rehabilitation; nine (64.3%) treated surgically at our institution, two (14.3%) non-surgically at our institution, and three (21.4%) surgically at an outside facility prior to transitioning care at our institution. Eight (57.1%) were male, seven (50.0%) Caucasian, and seven (50.0%) Hispanic. Seven (50.0%) presented with AVM rupture; six (42.9%) were found incidentally on imaging. Clinical courses, treatment outcomes, and post-treatment complications varied. Several patients underwent repeat treatment or additional procedures. Neurological deficits identified included hemiparesis, dystonia, spasticity, epilepsy, hydrocephalus, and ataxia. Inpatient rehabilitation unit length of stay was on average 21 days (SD 9.02, range 9-41). Functional Independence Measure for Children (WeeFIM®) scores, including self-care, mobility, and cognition, demonstrated improvement upon discharge. The mean total change was 36.7 points in those treated surgically, 16.5 in those treated non-surgically, and 25.7 in those treated surgically at another facility. Conclusion We found that all pediatric patients with intracranial AVMs, across all treatment modalities, demonstrated improved outcomes across all functional domains after an acute inpatient rehabilitation program.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::68f02edc0690520b9ea59d58c0317e26 https://pubmed.ncbi.nlm.nih.gov/32176668 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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