Abstract:

Complex neurological conditions challenge the rehabilitation process. Sellar space-occupying lesions, mainly pituitary adenomas, may affect neurovascular structures, causing visual disturbances, hormonal imbalance, and neurological deficits. Sensory ganglionopathy is a rare peripheral nervous system disorder which causes proprioceptive deficits and impaired coordination. A 25-year-old male was diagnosed with Sellar space occupying lesion and sensory ganglionopathy, experienced impaired balance and coordination due to sensory deficits. These impairments led to limitations in the functional independence of the patient. A targeted physiotherapy program was implemented to address the multifaceted needs of the patient, incorporating strategies such as proprioceptive training, balance training, coordination exercises, strength training, sensory re-education, and patient education. The session was conducted for 45–50 minutes, five times a week for a total duration of 6 weeks. Pre-and post-test assessments was taken using the Berg Balance Scale, the Scale for the Assessment Rating of Ataxia, Romberg's test and the Functional Independence Measure. The patient demonstrated notable improvement in the outcome measures. The study concluded that the targeted physiotherapy approach significantly improved balance, coordination, proprioception and functional independence in a patient with a seller space-occupying lesion and sensory ganglionopathy.

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