RESUMO
Myelopathy manifests in childhood and can be clinically categorized according to the site of injury (which may result in spinal syndrome) or the source (which may be nontraumatic or widely traumatic). Nontraumatic myelopathy can be caused by inflammatory, infectious, nutritional, metabolic, or ischemic factors. It may also be associated with systemic illnesses such as demyelinating disease, multiple sclerosis, or systemic lupus. Nonintentional harm is a significant factor to take into account in instances of traumatic myelopathy, which can frequently be linked to additional injuries. MRI and CT radiography help identify compressive myelopathy. We present the case of a 12-year-old girl who is right-hand dominant. She was in good health six months ago but recently began experiencing weakness in both of her lower limbs. An MRI of the brain revealed basilar invagination with stenosis of the foramen magnum, causing compressive myelopathy at the cranio-vertebral junction. The patient was operated on, followed by physiotherapy rehabilitation to improve functional independence and quality of life.
RESUMO
Viral encephalitis poses a significant threat to public health, particularly affecting children and the elderly. We present a case of a 1.5-year-old child with viral encephalitis, characterized by sudden convulsions following a bout of cold and fever. Comprehensive physiotherapy rehabilitation was initiated, focusing on improving mobility, strength, and functional abilities. The interventions included caregiver education, range of motion exercises, strengthening exercises, mobility training, and task-oriented activities. After treatment, there was a notable improvement in the child's clinical outcomes, as evidenced by a reduction in weakness, enhanced functional mobility, and improved scores on outcome measures such as the Pediatric Cerebral Performance Category and Functional Mobility Scale. This case highlights the importance of early physiotherapy intervention in pediatric viral encephalitis to mitigate long-term complications and optimize functional outcomes.
