Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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A Case Report of a Drop Foot After Veno Venous Extracorporeal Membrane Oxygenation for a Patient Diagnosed COVID-19

  • Byunghoon Lee (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital) ;
  • Yong Beom Shin (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital) ;
  • Kwangha Lee (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Pusan National University Hospital) ;
  • Myung Hun Jang (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital)
  • Received : 2023.01.29
  • Accepted : 2023.03.30
  • Published : 2023.03.31
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Abstract

Objective: To present a case study of a 69-year-old woman with COVID-19 who developed neurological complications due to Extracorporeal Membrane Oxygenation (ECMO) therapy and highlight the importance of daily neurological examinations and rehabilitation in the early detection and management of ECMO-related neurological complications in an isolation ICU. Design: A case report Methods: The patient received ECMO therapy, followed by neurological monitoring and rehabilitation in an isolation ICU. Daily neurological examinations were conducted to monitor the patient's neurological symptoms. Computed tomography was performed to confirm the presence of a hematoma in the left hamstring, which was identified as the cause of the neurological complication. Ultrasound-guided aspiration was immediately performed, and sciatic neuropathy predominantly involving the peroneal division was identified after aspiration. Results: Successful recovery was made possible by the early detection of neurological complications and rehabilitation in an isolation ICU. Although electrodiagnostic tests were not performed due to limited access to the isolation ICU, the appropriate intervention time could be determined through daily neurological examinations and rehabilitation, thereby minimizing neurological sequelae. Conclusions: ECMO-related neurological complications are well known, and their recognition in the ICU can be challenging. The presented case highlights the importance of daily neurological examinations and rehabilitation in the early detection and management of ECMO-related neurological complications in an isolation ICU, which can minimize neurological sequelae.

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References

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