Abstract
Paralysis is a clinical condition characterized by the loss of motor function in one or more muscle groups. This case study explores a 54-year-old male patient diagnosed with right-sided hemiplegia following an ischemic stroke. The clinical presentation, management strategies, and rehabilitation outcomes are discussed, highlighting the importance of a multidisciplinary approach.
Introduction
Paralysis can result from various etiologies, including strokes, traumatic injuries, infections, and neurological diseases. It significantly impacts the quality of life and requires comprehensive management. This case study aims to provide insight into the clinical management of a patient with paralysis due to an ischemic stroke.
Patient Information
Patient name : XXXXXX
Age: 54 years
Gender: Male
Occupation: Bank employee
Medical History: Hypertension and hyperlipidemia.
Presenting Complaint: The patient presented with sudden onset weakness on the right side of the body, difficulty speaking, and facial drooping on the right side.
Clinical Findings
Neurological Examination:
Right-sided hemiplegia with a motor strength score of 1/5 in the upper and lower limbs.
Decreased sensation on the right side.
Slurred speech (dysarthria).
Facial asymmetry with drooping on the right side.
Imaging Studies: CT scan of the brain revealed an area of ischemia in the left middle cerebral artery territory.
Management and Treatment
Medicines: Medication that help in strengthenig muscles, improve vitality, support recovery, enhance cognitive function and support nerve health. Treatment also include Anti-inflammatory properties help in reducing swelling and promoting healing and improves circulation.
Rehabilitation Plan:
Physical Therapy: Initiated early mobilization, focusing on passive and active range of motion exercises.
Occupational Therapy: Customized strategies to improve activities of daily living (ADLs).
Speech Therapy: Addressed dysarthria and communication difficulties.
Panchakarma : Panchakarma detoxifies, balances doshas, nourishes tissues, relieves pain, improves circulation, enhances mental well-being, and supports rehabilitation in paralysis.
Outcome and Follow-Up
At a 3-month follow-up, the patient showed significant improvement:
Motor Function: Increased strength in the right upper limb to 3/5 and the lower limb to 2/5.
Speech: Improved clarity in speech with reduced dysarthria.
Activities of Daily Living: Increased independence with basic ADLs, requiring minimal assistance.
Ongoing outpatient rehabilitation was recommended, with follow-up evaluations scheduled every month.