Autoimmunenzephalitis – ein Update

Impact of Neurological Rehabilitation in Autoimmune Encephalopathy: A Case Report

The physiotherapy rehabilitation program aims to build up functional activity, coordination, and balance ambulation for proper independence in the activities of daily living. An uncommon but complicated neurological condition called autoimmune encephalopathy is caused by the body's immune system mistakenly attacking healthy brain tissue. This condition often leads to a wide range of neurological and cognitive symptoms, making its diagnosis and treatment challenging. Physiotherapy, a vital component of the comprehensive management of autoimmune encephalopathy, plays an important role in improving the health of affected patients. In this report, the patient's occupational requirements and enhancement in executing daily living tasks were the focus of physiotherapeutic rehabilitation. The outcomes included the Berg Balance Scale and Functional Independence Measure. We observed a marked increment in muscle tone and strength, active range of motion, and significant enhancement in the individual's functional independence with physiotherapeutic protocol postoperatively. This case report provides an overview of the execution and function of physiotherapy in the management of autoimmune encephalopathy, emphasizing its contributions to symptom alleviation, functional recovery, and the overall well-being of patients.

Milestones in the history of neurocritical care

Over the last century, significant milestones have been achieved in managing critical illness and diagnosing and treating neurological diseases. Building upon these milestones, the field of neurocritical care emerged in the 1980 and 1990 s at the convergence of critical care medicine and acute neurological treatment. This comprehensive review presents a historical account of key developments in neurocritical care in both the United States and Europe, with a special emphasis on German contributions. The scope of the review encompasses: the foundations of neurocritical care, including post-operative units in the 1920s and 30s, respiratory support during the poliomyelitis epidemics in the 40 and 50 s, cardiac and hemodynamic care in the 60 and 70 s, and stroke units in the 80 and 90 s; key innovations including cerebral angiography, computed tomography, and intracranial pressure and multi-modal monitoring; and advances in stroke, traumatic brain injury, cardiac arrest, neuromuscular disorders, meningitis and encephalitis. These advances have revolutionized the management of neurological emergencies, emphasizing interdisciplinary teamwork, evidence-based protocols, and personalized approaches to care.