Abstract
An 88-year-old right-handed man was admitted to our hospital for cognitive impairment and right-sided paralysis. His head non-contrast computed tomography (CT) showed large low-density areas (LDA) and fibrous structures in the left occipital and temporal lobe regions. Despite the fact that it had been more than 10 years since his stroke, rehabilitation was effective. This is a rare case in which cerebellar culmen -substantia nigra tract assisted rehabilitation after stroke.
Highlights
Start of rehabilitation is necessary in the treatment of paralysis after stroke
The main limitation of this case is that we were not able to perform magnetic resonance imaging (MRI) of his brain, and there are no medical records of his past treatments or medical conditions
We would have been able to discuss his condition and its course in more detail. Another limiting factor is the lack of scrutiny and scoring of his higher brain dysfunction
Summary
Start of rehabilitation is necessary in the treatment of paralysis after stroke. It is effective only within a few weeks to a few months, and its effectiveness is limited beyond one year. It has been suggested that the duration is affected by individual differences due to genetic variations and neuroplasticity [1]. If these factors were properly assessed, rehabilitation would be more appropriately carried out and the quality of life of patients after stroke would be much improved. This is good news for patients who have not previously received adequate rehabilitation because they have been considered unlikely to improve further.
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