Rehabilitation of Bickerstaff's Brainstem Encephalitis with Guillain-Barre Syndrome: A case report.

, Shin, Ji Cheol; , Kim, Eun Joo; , Jung, Tae Ho; , Yoo, Ji Hyun; , Park, Se Na

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(6):669-672.

Shin, Ji Cheol , Kim, Eun Joo , Jung, Tae Ho , Yoo, Ji Hyun , Park, Se Na

Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. teo3686@hanmail.net

길랑-바레 증후군이 동반된 Bickerstaff 뇌간 뇌염 환자의 재활치료⁣증례 보고⁣

신지철, 김은주, 정태호, 유지현, 박세나

연세대학교 의과대학 재활의학교실 및 재활의학연구소

Abstract

We reported a 32-year-old man diagnosed as Bickerstaff's brainstem encephalitis with Guillian-Barre syndrome. After plasmapheresis, his consciousness and respiratory function and motor strength improved. He was discharged without rehabilitation treatment and could perform activities of daily living independently on wheel chair level. For reducing cocontraction of lower extremity muscles, neuromuscular reeducation using EMG biofeedback was performed after admission. After a month of treatment, gait pattern was improved. He received rehabilitative managements such aspool therapy with gait training and improved to 4/5 grade at proximal lower extremities, but the endurance and the quality for his walking was poor because of the cocontraction of muscles in lower extremities. EMG biofeedback for the neuromuscular reeducation leading to each muscle's isolated movements was done. After 2-month rehabilitation, he could walk over 20 meters even level independently without walking aids. This case could be a good model for the effective neuromuscular reeducation. (J Korean Acad Rehab Med 2005; 29: 669-672)

Key Words: Neuromuscular reeducation, Rehabilitation, Bickerstaff brainstem encephalitis, Guillian-Barre syndrome