case_images: PMC10691377_01
case_images: Head CT scan 2 weeks after surgery. (A) Dorsal thalamic level: irregular cerebral edema in the left frontal lobe, temporal lobe, and posterior limb of the internal capsule, and meningoencephalocele after the left frontotemporal parietal bone flap removal. (B) Lateral ventricle body level: irregular cerebral edema in left frontal and parietal lobes, and meningoencephalocele after left frontotemporal parietal bone flap removal. UG-MNES treatment and upper limb function. (C) Application of right median nerve electrical stimulation under ultrasound guidance. (D) Ultrasound image of electrical stimulation needle (white arrows) and median nerve (yellow arrows). (E) No casual movement of the right upper limb before the treatment. (F) Immediate flexion and extension of the hemiplegic upper limb and fingers after the first treatment.
case_images: fneur-14-1244192-g001.jpg
case_images: PMC10691377_01_fneur-14-1244192-g001.jpg
case_images: fig1
case_images: The CT scan showed irregular cerebral edema in the left frontal lobe, temporal lobe, parietal lobe, and posterior limb of the internal capsule, and mild meningoencephalocele after left frontotemporal parietal bone flap removal (Figures 1A,B). This intervention was performed once a week for a total of four sessions (Figures 1C,D). The FMA score had also improved from 4 (before treatment) to 23, and immediate flexion and extension of the upper limb were observed (Table 1; Figures 1E,F).
case_images: The timeline of the treatment process and assessment for the patient.
case_images: fneur-14-1244192-g002.jpg
case_images: PMC10691377_01_fneur-14-1244192-g002.jpg
case_images: fig2
case_images: Electromyography (EMG) and nerve conduction velocity (NCV) tests were performed to assess nerve damage and dysfunction before treatment and after the complete course of treatment (Figure 2).