Physical Therapy’s Role in Acute Management and Diagnosis for Cerebral Cavernous Malformation

Background: Cerebral cavernous malformations (CCM) are small bundles of capillaries in the brain that are enlarged and prone to rupture or leaking of blood into the interstitial space. These capillaries have abnormally thin walls and lack the proper amount of elastin fibers that give normal blood vessel the ability to stretch. The cause of CCM’s is still larger unknown, however, recent research shows their can be a genetic component. Case Description: An active 23-year-old male presents with symptoms of a CCM and undergoes an intracranial medullary cavernoma resection. Physical therapy and care provided in an acute care setting to help restore independence with mobility and activities of daily living. Intervention: A series of supine, seated, and standing exercises as well as functional tasks such as ambulation, transfers, and postural control. Discussion: Physical therapy and acute care management via the biopsychosocial model can lead to better patient outcomes and higher quality of care.