黄疸后遗症是新生儿时期发生高胆红素血症从而对大脑造成损害所致的临床后遗症,扭转痉挛作为黄疸后遗症的远期神经系统并发症较为罕见,对于该病的具体治疗方案报道较少。本案例报道1例黄疸后遗症引起的扭转痉挛的病例,患者紧张时头颈不自主向右扭转,伴有肌张力障碍和步态异常,通过予以药物、理疗、光照疗法等综合康复治疗后,症状较前缓解,为该病的临床治疗提供了新的思路。Sequelae of jaundice is a clinical sequela that arises from hyperbilirubinemia during the neonatal period, leading to cerebral impairment. Torsion spasms, a rare neurological complication of sequelae of jaundice, have been infrequently reported, and there is a paucity of literature addressing treatment options for this condition. In this case, we present a case of torsion spasm resulting from sequelae of jaundice, in which the patient exhibited involuntary right-sided rotation of the head and neck during tension, accompanied by dystonia and impaired gait. The symptoms were mitigated following a comprehensive rehabilitation treatment approach that incorporated medication, physical therapy, and light therapy, offering a novel approach for the clinical management of this condition.
臂丛神经炎是一种罕见的周围神经系统疾病,本案报道1例臂丛神经炎的病例,患者症状体征为左肩关节疼痛伴活动受限,肩关节主动上抬及外展不能,予药物联合康复治疗后患者左肩疼痛较前缓解,左肩活动度较前改善。同时复习相关文献分析了该病的临床特征、诊断方法以及治疗策略,为临床诊治臂丛神经炎提供一定依据。Brachial plexus neuritis is a rare peripheral nervous system disorder. This report presents a case of brachial plexus neuritis characterized by pain in the left shoulder joint with limited mobility, and the patient was unable to actively elevate and abduct the shoulder. After combined drug and rehabilitation treatment, the patient’s left shoulder pain was alleviated and the range of motion was im-proved. A review of the relevant literature was conducted to analyze the clinical features, diagnostic methods, and treatment strategies of this disease, providing a basis for the clinical diagnosis and treatment of brachial plexus neuritis.
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