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Interdisciplinary, Intensive, Activity-Based Treatment for Intrauterine Spinal Cord Infarct: A Case Report
Cara E Felter1, Erin E Neuland2, Shannon C Iuculano2
1Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, Baltimore, Maryland.
Insights
Intrauterine spinal cord infarcts (IUSCI) causing tetraplegia are rare. Activity-based therapies (ABT) show promise for improving motor and cognitive development in affected children.
Area of Science:
- Neurology
- Pediatrics
- Rehabilitation Medicine
Background:
- Intrauterine spinal cord infarcts (IUSCI) leading to tetraplegia are exceptionally rare conditions.
- Limited data exists on the long-term functional outcomes for individuals with IUSCI.
Observation:
- This case study details the progress of a 3-year-old female diagnosed with IUSCI.
- The child underwent intensive, interdisciplinary activity-based therapies (ABT).
Findings:
- The child demonstrated significant improvements in achieving developmental milestones.
- Progress was noted in both fine and gross motor skills, alongside social and cognitive development.
Implications:
- Children with developing nervous systems may particularly benefit from ABT.
- Activity-based therapies should be strongly considered for managing pediatric IUSCI.
- This case highlights the potential of ABT in enhancing functional recovery in rare neurological conditions.
Abstract:
Intrauterine spinal cord infarcts (IUSCI) with resulting tetraplegia are extremely rare, and there is minimal evidence describing outcomes in this population. This case describes the functional progress of a 3-year-old girl born with IUSCI who participated in activity-based therapies (ABT). Children have developing nervous systems and are particularly suited to benefit from ABT. Over the course of treatment, the child in this case has demonstrated improvements in developmental milestone achievement including fine and gross motor skills and social/cognitive development. Intense, interdisciplinary ABT should be considered for the treatment of children with IUSCI.
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