Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
REHABILITATION OF A HEMIPLEGIC PATIENT WITH AMPUTATION OF TOES
Yukio TAKASAKIMitumasa YODAFumihito KASAINobuyuki KAWATEMasazumi MIZUMA
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JOURNAL FREE ACCESS

2001 Volume 61 Issue 6 Pages 651-654

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Abstract
We report a case of cerebral infarction with right hemiplegia and multiple organ problems. The patient was a 72-year-old female who had a history of rheumatoid arthritis, systemic lupus erythematosus, angina pectoris and arteriosclerosis obliterans (ASO) . The woman was admitted to our hospital for rehabilitation aimed at improvement of right hemiplegia. While in the hospital, she experienced complication of the angina pectoris and aggravation of ASO, which led to necrosis of the right toes. Her 3rd, 4th and 5th toes were amputated. After amputation, rehabilitation was conducted which enabled her to walk independently and to live at home. With the expected increase of apoplexy with multiple organ problems triggered by arteriosclerosis, as in this case, we think it is necessary to have appropriate management plans including prevention of complications and adjustment of rehabilitation goals according to the impairments.
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