NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT
Background Erdheim-Chester disease (ECD) is a rare histiocytic neoplastic disease, with a wide range of clinical manifestations from mild, localised disease to multi- systemic, life-threatening disease. Materials and Methods This report presents the case of a 64-year-old man who presented with...
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| Format: | Article |
| Language: | English |
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Edisciences
2024-11-01
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| Series: | Journal of Cancer Rehabilitation |
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| Online Access: | https://www.edisciences.org/scheda-j134-vol-7-issue-4 |
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| _version_ | 1846170663015940096 |
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| author | Krystal Song Haeyoon Ryu |
| author_facet | Krystal Song Haeyoon Ryu |
| author_sort | Krystal Song |
| collection | DOAJ |
| description | Background
Erdheim-Chester disease (ECD) is a rare histiocytic neoplastic disease, with a
wide range of clinical manifestations from mild, localised disease to multi-
systemic, life-threatening disease.
Materials and Methods
This report presents the case of a 64-year-old man who presented with a
2-year history of worsening diplopia, dysarthria, upper and lower limb
incoordination, truncal and gait ataxia.
Results
Subsequent investigations confirmed the diagnosis of ECD. This patient
received targeted therapy with BRAF and MEK inhibitors and demonstrated
a positive response to treatment with functional gains and reduced disease
burden on MR brain imaging. His rehabilitation care and follow up
required an interdisciplinary team approach, provided by a rehabilitation
physician, physiotherapist, occupational therapist, nutritional therapist,
speech therapist, psychologist and social worker. The rehabilitation program
consisted of stretching, range of movement exercises, muscle strengthening,
balance and flexibility exercises, functional task retraining, equipment
provision, fatigue management, nutritional optimisation, targeted
communication strategies, psychological support and implementation of
services and supports assist his transition towards community reintegration.
Conclusion
Shared interdisciplinary team and patient goal-setting and timely delivery
of cancer rehabilitation interventions were critical in helping maximise this
patient’s functional independence, psychosocial outcomes and quality of life. |
| format | Article |
| id | doaj-art-d2e367d7b9ee443fb4ba093b28e2f9a6 |
| institution | Kabale University |
| issn | 2704-6494 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Edisciences |
| record_format | Article |
| series | Journal of Cancer Rehabilitation |
| spelling | doaj-art-d2e367d7b9ee443fb4ba093b28e2f9a62024-11-11T13:33:18ZengEdisciencesJournal of Cancer Rehabilitation2704-64942024-11-017411211710.48252/JCR101NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORTKrystal Song0Haeyoon Ryu1Department of Rehabilitation Medicine, Royal Melbourne Hospital (RMH), Victoria, Australia; Department of Medicine (RMH), University of Melbourne, Australia; Australian Rehabilitation Research Centre, RMH, Victoria, AustraliaDepartment of Rehabilitation Medicine, Royal Melbourne Hospital (RMH), Victoria, AustraliaBackground Erdheim-Chester disease (ECD) is a rare histiocytic neoplastic disease, with a wide range of clinical manifestations from mild, localised disease to multi- systemic, life-threatening disease. Materials and Methods This report presents the case of a 64-year-old man who presented with a 2-year history of worsening diplopia, dysarthria, upper and lower limb incoordination, truncal and gait ataxia. Results Subsequent investigations confirmed the diagnosis of ECD. This patient received targeted therapy with BRAF and MEK inhibitors and demonstrated a positive response to treatment with functional gains and reduced disease burden on MR brain imaging. His rehabilitation care and follow up required an interdisciplinary team approach, provided by a rehabilitation physician, physiotherapist, occupational therapist, nutritional therapist, speech therapist, psychologist and social worker. The rehabilitation program consisted of stretching, range of movement exercises, muscle strengthening, balance and flexibility exercises, functional task retraining, equipment provision, fatigue management, nutritional optimisation, targeted communication strategies, psychological support and implementation of services and supports assist his transition towards community reintegration. Conclusion Shared interdisciplinary team and patient goal-setting and timely delivery of cancer rehabilitation interventions were critical in helping maximise this patient’s functional independence, psychosocial outcomes and quality of life.https://www.edisciences.org/scheda-j134-vol-7-issue-4erdheim-chester diseaseinterdisciplinaryrehabilitation |
| spellingShingle | Krystal Song Haeyoon Ryu NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT Journal of Cancer Rehabilitation erdheim-chester disease interdisciplinary rehabilitation |
| title | NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT |
| title_full | NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT |
| title_fullStr | NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT |
| title_full_unstemmed | NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT |
| title_short | NEUROLOGICAL INPATIENT REHABILITATION IN ERDHEIM-CHESTER DISEASE: A CASE REPORT |
| title_sort | neurological inpatient rehabilitation in erdheim chester disease a case report |
| topic | erdheim-chester disease interdisciplinary rehabilitation |
| url | https://www.edisciences.org/scheda-j134-vol-7-issue-4 |
| work_keys_str_mv | AT krystalsong neurologicalinpatientrehabilitationinerdheimchesterdiseaseacasereport AT haeyoonryu neurologicalinpatientrehabilitationinerdheimchesterdiseaseacasereport |