德维奇的病,也被称为视神经脊髓炎(NMO),是一种不常见的自身免疫性疾病,会影响视神经和脊髓。它的特点是复发性视神经炎和脊髓炎,会导致瘫痪和视力障碍。因为NMO模仿多发性硬化症,诊断是困难的,需要特殊的测试,如磁共振成像(MRI)和水通道蛋白-4抗体检测。患有NMO的患者容易受到严重的影响,可能导致快速损伤的不稳定发作。因此,及时有效的免疫抑制药物治疗和持续的支持治疗至关重要.改善流动性,力量,协调,和生活质量,同时治疗与NMO相关的功能缺陷需要使用物理治疗。本案例研究强调了使用多学科策略管理年轻NMO患者以最大化结果的重要性。本病例报告讨论了一名16岁男性突然出现平衡障碍,含糊不清的讲话,行走和呼吸困难,四肢无力,右侧受影响更大。三个多月,他经历了越来越多的视力问题,疲劳,日常生活活动中的震颤,吞咽困难,晚上抽筋。包括MRI在内的诊断性检查,血管造影,视觉诱发电位(VEP)研究,脑脊液(CSF)分析证实脱髓鞘变化与NMO一致,也被称为德维奇病。患者接受了类固醇药物治疗,免疫抑制剂,和血浆疗法,随着理疗康复。旨在解决肌肉无力的物理治疗方案,协调障碍,平衡问题,精细运动缺陷,疲劳,感觉障碍,和对日常生活活动的依赖。电机,感官,并进行了颅神经评估,揭示与NMO一致的减值。干预前和干预后的结果指标显示功能独立性有所改善,balance,和疲劳严重程度。医疗管理包括药物和调查的组合,以管理NMO症状和监测疾病进展。理疗方法采用了以教育为重点的多学科策略,锻炼,和功能任务,以提高患者的生活质量和独立性。
Devic\'s disease, also known as neuromyelitis optica (NMO), is an uncommon autoimmune condition that affects the optic nerves and spinal cord. It is characterized by recurrent optic neuritis and myelitis, which can cause paralysis and visual impairment. Because NMO mimics multiple sclerosis, diagnosing it is difficult and necessitates particular testing, such as magnetic resonance imaging (MRI) and aquaporin-4 antibody detection. Patients with NMOs are susceptible to severe, erratic episodes that can result in rapid impairment. As such, timely and efficient therapy with immunosuppressive medicines and continued supportive care are crucial. Improving mobility, strength, coordination, and quality of life while treating the functional deficiencies associated with NMOs requires the use of physiotherapy. This case study emphasizes how crucial it is to manage a young NMO patient using a multidisciplinary strategy in order to maximise results. This case report discusses a 16-year-old male presenting with a sudden onset of balance impairment, slurred speech, difficulty walking and breathing, and weakness in limbs, with the right side more affected. Over three months, he experienced increasing eyesight issues, fatigue, tremors during activities of daily living, difficulty swallowing, and night cramps. Diagnostic investigations including MRI, angiography, visual evoked potentials (VEP) study, and cerebrospinal fluid (CSF) analysis confirmed demyelinating changes consistent with NMO, also known as Devic\'s disease. The patient received management with steroidal medications, immunosuppressants, and plasma therapy, along with physiotherapy rehabilitation. The physiotherapy protocol aimed to address muscle weakness, coordination impairment, balance issues, fine motor deficits, fatigue, sensory impairment, and dependence on activities of daily living. Motor, sensory, and cranial nerve assessments were conducted, revealing impairments consistent with NMO. Outcome measures pre- and post-intervention showed improvements in functional independence, balance, and fatigue severity. The medical management included a combination of medications and investigations to manage NMO symptoms and monitor disease progression. The physiotherapeutic approach employed a multidisciplinary strategy focusing on education, exercise, and functional tasks to improve the patient\'s quality of life and independence.