Volume 26, Issue 126, August 2022

Effectiveness of preliminary physiotherapy intervention in a child with tubercular meningitis along with acute ischemic infarct

Kamya Jitesh Somaiya¹, Rakesh Krishna Kovela^2♦, Pallavi Harjpal³

¹Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
²Associate Professor, Nitte Institute of Physiotherapy, Nitte (Deemed to be University), Deralakatte, Mangalore, Karnataka, India
³Resident, Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor, Nitte Institute of Physiotherapy, Nitte (Deemed to be University), Deralakatte, Mangalore, Karnataka, India

ABSTRACT

Acute bacterial meningitis (ABM) is a condition with a high incidence, high fatality and morbidity rates. The phenomenon Hydrocephalus, periventricular infarcts, optochiasmatic and spinal arachnoiditis, and tuberculous mass lesions in the brain are just a few of the consequences associated with tuberculous meningitis. We conducted a full neuro physiotherapy evaluation. We developed a rehabilitation program based on the data, which proved to be highly efficient in improving the child's condition and functional abilities. They had been complaining of fever for 1.5 months, decreased oral intake for 7 days, and tightness in all limbs with difficulty utilising the right upper and lower leg for 7 days when they came to see us. The child was also unable to communicate with a left-sided facial deviation. According to all tests, the patient acquired Tuberculous Meningitis with an acute cerebral infarct on the left side, resulting in right side hemiplegia and communicating hydrocephalus. The child’s functional ability was greatly enhanced as a result of the physiotherapy rehabilitation we used. The facial muscle strength had improved, head control had improved, food intake had improved as swallowing and drolling of saliva had improved with overall increase in muscle strength.

Keywords: Tuberculous Meningitis (TBM), acute cerebral infarct, Hemiplegia, Physiotherapy rehabilitation, Case report

Medical Science, 2022, 26, ms327e2219

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DOI: https://doi.org/10.54905/disssi/v26i126/ms327e2219

Published: 05 August 2022