Pushing behavior and hemiparesis: which is critical for functional recovery in pusher patients ? Case report

Arquivos de Neuro-Psiquiatria

Taiza E.g. Santos-pontelli²  Octávio M. Pontes-neto²  José Fernando Colafêmina¹  Dráulio B. De Araújo¹  Antônio Carlos Santos¹  João P. Leite² 

[1] ,University of São Paulo School of Medicine Department of NeurologyRibeirão Preto SP ,Brazil

关键词: postural control;    pusher syndrome;    stroke;    thalamic hemorrhage;    controle postural;    síndrome do empurrador;    AVC;    hemorragia talâmica;   

DOI  :  10.1590/S0004-282X2007000300035

来源: SciELO

【 摘 要 】

We report a sequential neuroimaging study in a 48-years-old man with a history of chronic hypertension and lacunar strokes involving the ventral lateral posterior nucleus of the thalamus. The patient developed mild hemiparesis and severe contraversive pushing behavior after an acute hemorrhage affecting the right thalamus. Following standard motor physiotherapy, the pusher behavior completely resolved 3 months after the onset and, at that time, he had a Barthel Index of 85, although mild left hemiparesis was still present. This case report illustrates that pushing behavior itself may be severely incapacitating, may occur with only mild hemiparesis and affected patients may have dramatic functional improvement (Barthel Index 0 to 85) after resolution pushing behavior without recovery of hemiparesis.

【 授权许可】

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