Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report

Tenzing Norbu Lama; Smita K. C.

doi:doi:10.11648/j.ijnpt.20170304.11

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Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report

Tenzing Norbu Lama, Smita K. C.

Published in International Journal of Neurologic Physical Therapy (Volume 3, Issue 4)

Received: 4 October 2016 Accepted: 21 April 2017 Published: 26 September 2017

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Abstract

Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.

Published in	International Journal of Neurologic Physical Therapy (Volume 3, Issue 4)
DOI	10.11648/j.ijnpt.20170304.11
Page(s)	25-27
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Phenytoin Toxicity, Cerebellar Dysfunction, Epilepsy

References

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APA Style

Tenzing Norbu Lama, Smita K. C. (2017). Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. International Journal of Neurologic Physical Therapy, 3(4), 25-27. https://doi.org/10.11648/j.ijnpt.20170304.11

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ACS Style

Tenzing Norbu Lama; Smita K. C. Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. Int. J. Neurol. Phys. Ther. 2017, 3(4), 25-27. doi: 10.11648/j.ijnpt.20170304.11

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AMA Style

Tenzing Norbu Lama, Smita K. C. Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. Int J Neurol Phys Ther. 2017;3(4):25-27. doi: 10.11648/j.ijnpt.20170304.11

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@article{10.11648/j.ijnpt.20170304.11,
  author = {Tenzing Norbu Lama and Smita K. C.},
  title = {Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report},
  journal = {International Journal of Neurologic Physical Therapy},
  volume = {3},
  number = {4},
  pages = {25-27},
  doi = {10.11648/j.ijnpt.20170304.11},
  url = {https://doi.org/10.11648/j.ijnpt.20170304.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20170304.11},
  abstract = {Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.},
 year = {2017}
}

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TY  - JOUR
T1  - Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report
AU  - Tenzing Norbu Lama
AU  - Smita K. C.
Y1  - 2017/09/26
PY  - 2017
N1  - https://doi.org/10.11648/j.ijnpt.20170304.11
DO  - 10.11648/j.ijnpt.20170304.11
T2  - International Journal of Neurologic Physical Therapy
JF  - International Journal of Neurologic Physical Therapy
JO  - International Journal of Neurologic Physical Therapy
SP  - 25
EP  - 27
PB  - Science Publishing Group
SN  - 2575-1778
UR  - https://doi.org/10.11648/j.ijnpt.20170304.11
AB  - Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.
VL  - 3
IS  - 4
ER  -

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Author Information

Tenzing Norbu Lama

Manual Therapy and Pain Relief Centre, Lalitpur, Nepal
Smita K. C.

School of Medical Sciences, Department of Physiotherapy, Kathmandu University, Dhulikhel, Nepal

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APA Style

Tenzing Norbu Lama, Smita K. C. (2017). Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. International Journal of Neurologic Physical Therapy, 3(4), 25-27. https://doi.org/10.11648/j.ijnpt.20170304.11

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ACS Style

Tenzing Norbu Lama; Smita K. C. Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. Int. J. Neurol. Phys. Ther. 2017, 3(4), 25-27. doi: 10.11648/j.ijnpt.20170304.11

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AMA Style

Tenzing Norbu Lama, Smita K. C. Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report. Int J Neurol Phys Ther. 2017;3(4):25-27. doi: 10.11648/j.ijnpt.20170304.11

Copy | Download

@article{10.11648/j.ijnpt.20170304.11,
  author = {Tenzing Norbu Lama and Smita K. C.},
  title = {Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report},
  journal = {International Journal of Neurologic Physical Therapy},
  volume = {3},
  number = {4},
  pages = {25-27},
  doi = {10.11648/j.ijnpt.20170304.11},
  url = {https://doi.org/10.11648/j.ijnpt.20170304.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20170304.11},
  abstract = {Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report
AU  - Tenzing Norbu Lama
AU  - Smita K. C.
Y1  - 2017/09/26
PY  - 2017
N1  - https://doi.org/10.11648/j.ijnpt.20170304.11
DO  - 10.11648/j.ijnpt.20170304.11
T2  - International Journal of Neurologic Physical Therapy
JF  - International Journal of Neurologic Physical Therapy
JO  - International Journal of Neurologic Physical Therapy
SP  - 25
EP  - 27
PB  - Science Publishing Group
SN  - 2575-1778
UR  - https://doi.org/10.11648/j.ijnpt.20170304.11
AB  - Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.
VL  - 3
IS  - 4
ER  -

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