Assessment of rehabilitation of corpus callosum infarction:a case report based on functional near infrared spec-troscopy
10.3969/j.issn.1006-9771.2025.03.014
- VernacularTitle:胼胝体梗死的康复效果评估:基于功能近红外光谱技术的个案研究
- Author:
Yudong CHEN
1
;
Xiaoxia DU
;
Fubiao HUANG
;
Changqing YE
;
Lin MA
;
Yunlei WANG
;
Xiaoli WU
Author Information
1. 中国康复研究中心北京博爱医院,神经康复一科,北京市 100068;首都医科大学康复医学院,北京市 100068
- Publication Type:Journal Article
- Keywords:
cerebral infarction;
corpus callosum;
rehabilitation;
transcranial magnetic stimulation;
functional near infrared spectroscopy
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(3):365-372
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the individualized rehabilitation protocol administered to a patient suffering from corpus callosum injury subsequent to cerebral infarction,manifesting clinically as alien hand syndrome,attention deficits,spatial neglect and gait apraxia;and to emphasize the application of functional near infrared spectroscopy(fNIRS)in the assessment of cerebral activation.Methods A 54-year-old male with corpus callosum damage following cerebral infarction was assessed by a comprehen-sive array of neuropsychological assessments,such as Mini-Mental State Examination,Montreal Cognitive As-sessment,Loewenstein Occupational Therapy Cognitive Assessment and Wisconsin Card Sorting Test,etc.Based on these assessments,a personalized rehabilitation program was devised,incorporating physical therapy,occupa-tional therapy,task-oriented training,mirror therapy,computer-assisted cognitive training,as well as Schulte's square attention training,bilateral limb coordination training and transcranial magnetic stimulation(TMS).fNIRS was used to evaluate changes in brain activation before and after rehabilitation.Results After more than a month of comprehensive rehabilitation,the patient experienced significant improvements in Alien hand syndrome,attention deficit and spatial neglect.Gait was normalized,and enhancements were ob-served in motor function,cognition and activity of daily living.fNIRS analysis revealed favorable alterations in cerebral activation patterns.Conclusion For the intricate symptoms associated with corpus callosum injury,a multidisciplinary rehabilitation ap-proach,particularly the incorporation of Schulte's square attention training,bilateral coordination exercises and TMS,alongside fNIRS for monitoring cerebral activation,showed significant rehabilitation effects.
