Sensorimotor performance in afferent paresis in chronic stroke patient: case report

Introduction: Lesions on the postcentral gyrus may cause the phenomenon denominated afferent paresis. Objective: To describe sensorimotor performance of a patient with afferent paresis after chronic stroke. Methods: Female patient, 39 years with a diagnosis of acute subarachnoid hemorrhage caused by...

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Detalles Bibliográficos
Autores: Lima, Núbia Maria Freire Vieira, Pereira, Silvana Alves, Cacho, Roberta de Oliveira, Cacho, Enio Walker de Azevedo, Freitas, Rodrigo Pegado de Abreu, Honorato, Donizeti Cesar, Scalha, Thais Botossi, Camara, Saionara Maria Aires da, Lima, Illia Nadinne Dantas Florentino
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:Brasil
Institución:Universidade Nove de Julho (UNINOVE)
Repositorio:Revista Conscientiae Saúde (Online)
Idioma:portugués
OAI Identifier:oai:ojs.periodicos.uninove.br:article/5252
Acceso en línea:https://periodicos.uninove.br/saude/article/view/5252
Access Level:acceso abierto
Palabra clave:Paresis
Sensation
Stroke
Upper extremity.
Acidente cerebrovascular
Extremidade superior
Paresia
Sensação.
Descripción
Sumario:Introduction: Lesions on the postcentral gyrus may cause the phenomenon denominated afferent paresis. Objective: To describe sensorimotor performance of a patient with afferent paresis after chronic stroke. Methods: Female patient, 39 years with a diagnosis of acute subarachnoid hemorrhage caused by rupture of an aneurysm in the right middle cerebral artery underwent physiotherapy assessment. She was subjected to the Fugl-Meyer assessment, Nottingham sensory assessment, the bells test, the motor sequences and ten functional tests, the last two were performed with and without visual deprivation. Results: The patient had mild motor dysfunction, tactile hypoesthesia and absence of proprioception in the wrist and hand, astereognosis and difficulty in resolving motor tasks during visual deprivation. Conclusion: The chronic post-stroke patient exhibited significant sensory deficits in the contralesional upper extremity and slowness or inability to perform motor tasks only in the absence of visual guidance, thus characterizing the afferent paresis.