- 作者：L.M. Tirado Reyes ; yorumoce@hotmail.com ; Y. Ruiz Molina
- 关键词：Tumor del glomus ; Embolizació ; n terapé ; utica ; Ictus ; Rehabilitació ; n ; Toxina botulí ; nica
- 刊名：Rehabilitaci贸n
- 出版年：2012
- 期刊代码：pca300_00487120
- 类别：med
- 出版时间：April-June, 2012
- 卷：46
- 期：2
- 页码：168-171
- 文件大小：644 K
Carotid glomus tumor are uncommon and slow growing lesions. Removal is recommended due to their anatomical localization.
The case of a 35-year old patient with aggressive right carotid glomus tumor is presented. Presurgery embolization was performed. At 24 hour, the patient suffered stroke in the right middle cerebral artery territory, observing embolization material with the MRI, mild left facial paresis appearing.
Surgery was performed 5 months later. Post-surgery, the patient has left central facial paralysis, bitonal voice, mild dysphagia, left spastic hemiparesis with brachial predominance. The patient was treated with botulinum toxin type A (TboA) in left limbs, followed by stretchings of the affected muscles. The seriated check-up studies showed improvement in pain, gait pattern, position of the upper limb as well as functional improvement. Treatment with TboA would produce an overall improvement in dystonic patterns, if the muscles and the dose are correctly selected, obtaining improvements in functionality and quality of life.