NEUROSURGICAL REHABILITATION SCHEME AFTER SUBARACHNOID HEMORRHAGE: ACUTE POST-ACUTE AND CHRONIC

 Abstract: A subarachnoid hemorrhage can occur spontaneously, usually from a ruptured cerebral aneurysm. Treatment is by prompt neurosurgery or radiologically guided interventions with medications and other treatments to help prevent both recurrences of the bleeding and complications. Only a fifth of the patients has no residual symptoms. We present the case of a 33-years old male patient that was referred to in the Neurosurgery Department of the Clinic Emergency Hospital “N Prof. N. Oblu” Iasi, Romania with severe headache, nausea, and photophobia. The CT and angiogram performed revealed a subarachnoid hemorrhage emerged from a ruptured aneurysm. The patient underwent endovascular neurosurgery with minimal neurological complications. The rehabilitation protocol included psychological support, a dietary regime with restriction of psycho-stimulants, and avoidance of psychoactive drugs, physiotherapy to gain muscle strength, patient education concerning the reduction of stress and lifestyle changes. The symptoms were diminished during hospitalization, muscle strength was increased. In this case, the outcome was excellent, the patient recovered 100% of his motor function and neurological deficits. Common problems faced by patients following brain injury include physical limitations and difficulties with thinking and memory. Recovery and prognosis are highly variable and largely dependent on the severity of the initial status.