65 years old male had cerebral hemorrhage. An artery running near the motor nerve in his right brain was ruptured causing hemorrhage having a size of around a ping-pong ball (Fig. 1). The overflowed blood pressed the motor nerve and the left side of his body below the neck was completely paralyzed. He had a diagnosis that it was not sure that the left side of his body would move again.
How could he recover from the hemiplegia?
Though rehabilitation started, he didn’t feel anything in his left limbs even if they were rubbed and moved. 2 days after he regained consciousness, his old friend visited and told him who was saying he saw no point at living if he couldn’t move their limbs that his limbs were not broken but his brain was out of order. By his words, he realized that if he trained his brain, he might be able to move his limbs. What came to his mind first was the movement of a baby. The brain of a baby learns how to stand and walk by repeating failure many times. He thought his brain was the same as the baby’s so his brain should learn how to move his limbs and his limbs would move someday if he tried to move them with imaging it repeatedly.
What is his miraculous rehabilitation of the brain?
He started to have in mind that his thumb would move, but of course his thumb didn’t move at all. Even so, he didn’t give up. He continued this around the clock until he fell asleep except his meal time. He thought his thumb might be moving a little so he put his normal right hand under his left hand to feel a slight movement of this left thumb. In the morning of the fourth day, he felt his left thumb moved slightly on the back of his right hand. After that, he tried this brain’s rehabilitation for his other fingers, left hand and left foot while he had usual rehabilitation in the hospital. Then only 2 months later he could leave the hospital and one month later he could move fully.
His individual rehabilitation is used in the newest rehabilitation method called neurorehabilitation. While the conventional rehabilitation tries to promote the recovery by stimulating the brain with improving the function of the joints and muscles, neurorehabilitation tries to recover faster by increasing the stimulation to the neurons by concentrating the consciousness to the movement when the patient moves their hands and feet. The stimulation of the neurons by this method makes a new neural circuit other than the damaged circuit more easily, leading to more effective recovery of the lost body function.
This Blog is for a memo of my clinical realizations, information about health I have learned recently and update information.