A Case Report: Rehabilitation in a Middle-Aged Woman After Acute Non-Hemorrhagic Cerebellar Infarction With Hydrocephalus

BACKGROUND: Cerebellar strokes make up about 2–3% of all ischemic strokes. Acute cerebellar stroke can cause serious neurological symptoms like ataxia, dysmetria, dysdiadochokinesia, and truncal instability, but they rarely result in aphasia or hemiplegia. CASE DESCRIPTION: A 41-year-old female patient presented to our department with complaints of difficulty walking and transferring, challenges in performing daily activities (bathing, eating, grooming, cooking, chopping, and mopping), as well as dysphagia and slurred speech following a cerebrovascular accident. EXAMINATION: Neurological examination revealed significant in-coordination, balance impairment, dysarthria, and swallowing difficulties without significant motor weakness. We assessed the patient with MMSE (Mini Mental Status Examination), FIM (Functional independency measure), ISS (Indian Stroke Scale), BBS (Berg Balance scale), SARA (The Scale for the Assessment and Rating of Ataxia), 6MWD (Six Minute Walk Distance), and FIST (Function In Sitting Test). PHYSIOTHERAPY INTERVENTION: Physiotherapy management was provided 5 days a week for 12-week, progression was done every 1 to 2 weeks as needed according to the therapist to keep the activity challenging. DISCUSSION: All the parameters showed improvement after 12 weeks of intervention. We also assessed the patient after 1 month for follow-up and we found that almost all the parameters were either same or had improved suggesting the efficacy of management and transfer of skill at home environment. Conclusion: - This case report demonstrates that tailored made individual specific exercise protocol with regular counselling can lead to improvement in a Post non-haemorrhagic acute stroke with hydrocephalus.