TY - JOUR PY - 2005// TI - Anoxic brain injury following near-drowning in children. rehabilitation outcome: three case reports JO - Brain injury A1 - Pierro, M. M. A1 - Bollea, L. A1 - Di Rosa, G. A1 - Gisondi, A. A1 - Cassarino, P. A1 - Giannarelli, P. A1 - Gentile, M. A1 - Morocutti, A. A1 - Ossella, M. T. A1 - Talone, L. A1 - Stortini, M. SP - 1147 EP - 1155 VL - 19 IS - 13 N2 - PRIMARY OBJECTIVE: To describe the outcome of near-drowning and rehabilitation contexts for recovery. METHODS AND PROCEDURES: Standardized measures were used to emphasize the functional impact of deficits over the first year post-injury in three children <2 years. Multimodal contexts for meaningful interplay were early adapted to the three cases. MAIN OUTCOMES AND RESULTS: The clinical pathways of recovery are identified. Initially all three cases manifested a generalized dystonia. Case 1 exhibited a good outcome with transient dyskinetic-dystonic syndrome; subsequently Balint's syndrome emerged. In this case, the rehabilitation approach was organized on the pickup of direct perception of task-specific affordances. Cases 2 and 3 had poor outcomes presenting the worsening of torsion dystonia (status dystonicus) that hindered rehabilitation intervention. CONCLUSIONS: The dynamic reaggregation of spatial organization through meaningful interaction in specific ecological contexts is the principal goal of rehabilitation intervention. Status dystonicus represents the worst feature for recovery.
LA - SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699050500149973 ID - ref1 ER -