Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
권호 표지
DOI QR코드

DOI QR Code

Case Report of Intracerebral Hemorrhage with Intraventricular Hemorrhage around Neoplasms and Neoplasms in the Brain in a Patient with Cognitive Impairment, Dysuria, and Gait Disturbance Improved by Korean Medicine

한의치료를 통해 인지 장애, 배뇨 장애, 보행 장애에 개선을 보인 뇌의 신생물 및 신생물 주변의 뇌실내출혈을 동반한 뇌내출혈 환자 한방 치험 1례에 대한 증례 보고

  • Sang-Beom, Kim (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Hyung-Woo, Lee (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Ju-Yeon, Cho (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Seung-Woo, Song (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Ju-Hyun, Lee (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Se-Jin, Park (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center)
  • 김상범 (동서한방병원 한방신경정신과) ;
  • 이형우 (동서한방병원 한방신경정신과) ;
  • 조주연 (동서한방병원 한방신경정신과) ;
  • 송승우 (동서한방병원 한방신경정신과) ;
  • 이주현 (원광대학교 한의과대학 안이비인후피부과교실) ;
  • 박세진 (동서한방병원 한방신경정신과)
  • Received : 2022.09.29
  • Accepted : 2022.11.16
  • Published : 2022.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this clinical case study was to report the effect of Korean medicine treatment on a stroke patient with cognitive impairment, dysuria, and gait disturbance. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, moxibustion, and cupping. We administered the Korean version of the Mini-Mental Status Examination (MMSE-K) Global Deterioration Scale (GDS) and Manual Muscle Test (MMT) and investigated the frequency of nocturia to evaluate the effectiveness of the treatment and improvement in symptoms. Results: After Korean medicine treatment, the patient's symptoms were significantly improved. according to the MMSE-K, frequency of nocturia, and MMT results. Conclusions: This clinical case study suggests that Korean medicine treatment, including Wuchasinkihwan-gagam could be an effective treatment for stroke patients with symptoms of cognitive impairment, dysuria, and gait disturbance.

Keywords

References

  1. Kim JY, Kang KS, Kang JH, Koo JS, Kim DH, Kim BJ. Executive summary of stroke statistics in Korea 2018: a report from the epidemiology research council of the Korean Stroke Society. Journal of stroke. 2019;21(1):42.
  2. Kondziolka D, Bernstein M, Resch L, Tator CH, Fleming JF, Vanderlinden RG. Significance of hemorrhage into brain tumors:clinicopathological study. J Neurosurg. 1987;67:852-7. https://doi.org/10.3171/jns.1987.67.6.0852
  3. Nutt, Suzanne H, Patchell, Roy A. Intracranial hemorrhage associated with primary and secondary tumors. Neurosurgery clinics of North America. 1992;3(3):591-9. https://doi.org/10.1016/s1042-3680(18)30649-1
  4. Kang AR, Lee HG, Son JH, Cho KH, Moon SK, Jung. WS. A case study of a stroke patient with voiding dysfunction treated by traditional korean medicine. The Journal of Internal Korean Medicine. 2015;157:161.
  5. Kim KH, Lee YN, Chu HM, Lim HS, Kim CH, Lee JY, Lee SK, Sung KK. A case report of gait disturbance, cognitive impairment, dysuria, and dysphagia in a stroke patient treated with traditional korean medical treatment. The Journal of Internal Korean Medicine. 2020;41(2):204-12. https://doi.org/10.22246/jikm.2020.41.2.204
  6. Yang JY, Kim MS, Jeong TS, Bang CH, Mo MJ, Kwon DI, Cho MG. A case report of traditional korean medicine for left anterior cerebral artery (ACA) infarction and hemorrhagic transformation with hemiplegia and urinary disturbance. The Journal of Internal Korean Medicin. 2016;37(5):786-95. https://doi.org/10.22246/jikm.2016.37.5.786
  7. Oh DJ, Park JH, Park SJ, Yun HY. A clinical case of mild cognitive impairment after intracerebral hemorrhage. The Journal of Internal Korean Medicine. 2015;46:52.
  8. Tombaugh TN, McIntyre NJ. The Mini-Mental State Exam - ination: a comprehensive review. J Am Geriatr Soc. 1992;40:922-35. https://doi.org/10.1111/j.1532-5415.1992.tb01992.x
  9. Choi SH, Na DL, Lee BH, Hahm DS, Jeong JH, Jeong Y. The validity of the korean version of global deterioration scale. J Korean Neurol Assoc. 2002;20:612-8.
  10. Han TR, Bang MS, Jung SK. Rehabilitation medicine. 6th edition.Paju:Kunja;2019,p.13.
  11. Yoon BW, Kim YG, Lee KB, Kang DH, Koh SB, Kim DE. Textbook of Stroke 2nd rev. Seoul: Panmun. 2015;529.
  12. Yoshioka H, Inagawa T, Katoh Y, Tokuda Y, Ohbayashi N, Shibukawa M. A case of meningioma associated with intracerebral hemorrhage and acute deterioration. No shinkei Geka Jan. 1995;23(1):79-84.
  13. Jones NR, Blumbergs PC:Intracranial harmorrhage from meningiomas:a report of five cases. British J of Neurosurgery. 1989;3:691-8. https://doi.org/10.3109/02688698908992693
  14. Levin HS, Gary HE Jr, Eisenberg HM, Ruff RM, Barth JT, Kreutzer J : Neurobehavioral outcome 1 year after severe head injury. Experience of the Traumatic Coma Data Bank. J Neurosurg 1990;73(5):699-709. https://doi.org/10.3171/jns.1990.73.5.0699
  15. Teoh V, Sims J, Milgrom J. Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: a longitudinal study. Topics in stroke rehabilitation, 2009;16(2):157-66. https://doi.org/10.1310/tsr1602-157
  16. Bloch R,Bayer N. Prognosis in stroke. Clin Orthop Relat Res 1978;131:10-4.
  17. Kim MS, Lee HJ, Hwang GD. Two case studies of gait disturbance in stroke patient treated with oriental medicine. The Journal of Internal Korean Medicine. 2009;fal:233-9.
  18. Watanabe A, Akashi T, Fujiuchi Y, Mizuno I, Nagakawa O, Fuse H. The efficacy of Gosyajinkigan for pollakisuria. Hinyokika kiyo. Acta Urologica Japonica. 2006;52(3):197-201.
  19. Heo J. Text book of Donguibogam. Seoul: Namsandang: 1991, p. 9.
  20. Park EK, Shim ES, Jung HS, Sohn NW, Sohn YJ. Effects of Chongmyung-tang, Polygalae Radix and Acori Graminei Rhizoma on Aβ Toxicity and memory dysfunction in mice. The Journal of Internal Korean Medicine. 2008;29(3):608-20.
  21. Yoshimasu Todo. The complete collection of Todo Yoshimasu. Busan : GyoJungEuiSeoGuk. 2006.
  22. Lee SH, Shin KH, Kim JU. Effect of seven points of CVA acupuncture on cerebral blood flow. Journal of Acupuncture Research. 2004;21(3):83-97.
  23. Yim YK, Kim KS, Kim TH, Kim JP, Park HJ, Lee HS. Details of meridians & acupoints; a guide book for college students. Daejeon: Jongryeonamu Publishing Co, 2012;244-5.
  24. An YG. Acupuncture. Seongbosa; 2000. p.228-703.