Case Report of Physical Therapy Performed Under Local Cerebral Oxygen Saturation Monitoring for Two Patients with Acute Subarachnoid Hemorrhage

Abstract

[Purpose] Physical therapy under regional cerebral oxygen saturation (rSO₂) monitoring was performed for two patients with acute subarachnoid hemorrhage. [Participants and Methods] Acute phase physical therapy was performed for the two patients with rSO₂ monitoring until the 15th day of their stay in an ICU. [Results] In case A, rSO₂ remained above 50% on both sides until the 14th hospital day, and he was discharged to home without cerebral vasospasm. In case B, rSO₂ decreased to 48% on the right and 50% on the left on the 10th day of illness, and to 49% on the right and 42% on the left on the 11th day of illness. Case B had a cerebral vasospasm on the 12th day of illness, and extensive cerebral infarction on the 20th day of illness. [Conclusion] rSO₂ monitoring may be useful during acute phase physical therapy after subarachnoid hemorrhage for the prevention of symptomatic cerebral vasospasm.