[en] Clinical case presentation: Thirty one year old woman 39 weeks pregnant. He received antithrombotic prophylaxis, the last dose being 8 days before the onset of symptoms. Diagnosed wi th C6 AIS A cervical spinal cord injury, after bleeding from a synovial cyst causing an acute epidural hematoma from C2 T1 with spinal cord compression. He has been attending physiotherapy at CHUAC for 10 months. Objectives : Acquire functional independe nce in an adapted environment, return to their work environment and leisure activities, improve gait dynamics and acquire greater autonomy, as well as reduce the risk of falls. Intervention: Two evaluations were carried out, the initial evaluation carried out on 03/14/2023 and the final one on 06/05/2023. In addition, 23 sessions of this 2.30 hour treatment were carried out in the CHUAC physiotherapy room, as well as 35 sessions with his physiotherapist, which consist of gaining strength in the MMII, CORE musculature, lumbo pelvic flexibility, control of trunk and gait training on the ground. Results: The neurorehabilitation program proved to be effective during the application period on the results obtained during the gait evaluation. An improvement was e videnced in all scales and tests (SCIM II, Berg, Tinetti, 6 minute walk, 10 meter walk and WISCI). Conclusions: The applied physiotherapeutic program met the objectives set, showing a significant improvement in a short period of time. However, more treatm ent time is necessary to observe the long term effects. Most of the literature establishes exercise programs in chronic patients, being scarce in acute and subacute.

[gl] Presentación do caso clínico: Muller de 31 anos, embarazada de 39 semanas. Recibiu profilaxe antitrombótica, sendo a última dose 8 días antes da aparición dos síntomas. Diagnosticada de lesión medular cervical C6 AIS A, tras o sangrado dun quiste sinovial, provocando un hematoma epidural agudo desde C2 T1 con compresión medular. Acude a fisioterapia no CHUAC desde fai 10 meses. Obxectivos : Adquirir independencia funcional nun entorno adaptado, a volta ao seu entorno laboral e actividades de ocio, mellorar a dinámica da marcha e adquirir maior autonomía, así como diminuír o risco de caídas Intervención: Leváronse a cabo 2 evaluacións, a valoración inicial o 14/05/2023 e a final o 05/06/2023. Ademais, realizáronse 23 sesións deste tratamen to de 2,30 horas na sala de fisioterapia do CHUAC, así como 35 sesións co seu fisioterapeuta, que consisten en gañar forza na musculatura de MMII, CORE, flexibilización lombo pélvica, control de trono i entrenamento da marcha sobre o solo. Resultados : O programa de neurorrehabilitación mostrou ser eficaz durante o período de aplicación sobre os resultados obtidos durante a evaluación da marcha. Evidenciouse unha melloría en todas as escalas e probas (SCIM II, Berg, Tinetti, 6 minutos marcha, 10 metros ma rcha e WISCI). Conclusións: O programa fisioterapéutico aplicado cumpriu cos obxectivos marcados, mostrando unha mellora significativa nun corto período de tempo. Sen embargo, é necesario máis tempo de tratamento para evidenciar os efectos a longo prazo. A maior parte da literatura establece programas de exercicio en pacientes crónicos, sendo escasa en agudos e subagudos.