급성 대뇌경색증을 동반한 지주막하 출혈 이후 발생한 혈관성 치매 한의복합치료 1례
A Case Report of Vascular Dementia Following Acute Cerebral Infarction and Subarachnoid Hemorrhage Improved by Comprehensive Korean Medicine
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Objectives: Vascular dementia (VaD) is a neurodegenerative disorder associated with cognitive impairment resulting from cerebrovascular pathology. This clinical case study aimed to evaluate the efficacy of Korean medicine treatment in treating VaD following an acute cerebral infarction and subarachnoid hemorrhage. Methods: The subject, a female in her 70s, reported cognitive impairment and right-sided hemiparesis following an acute cerebral infarction and subarachnoid hemorrhage. The patient received comprehensive treatment comprising herbal medicine, acupuncture, moxibustion, and cupping therapy for 108 days. We assessed improvements in cognitive impairment and neurological symptoms using the Korean version of the Mini-Mental Status Examination (MMSE-K), Global Deterioration Scale (GDS), and Korean version of Modified Barthel Index (K-MBI). Results: After treatment, both cognitive impairment and right-sided hemiparesis improved. Scores of MMSE-K, GDS, K-MBI, and MMT also increased. Conclusions: Korean medicine treatment could be considered for patients with vascular dementia following acute cerebral infarction and subarachnoid hemorrhage.
Abstract
Objectives: Vascular dementia (VaD) is a neurodegenerative disorder associated with cognitive impairment resulting from cerebrovascular pathology. This clinical case study aimed to evaluate the efficacy of Korean medicine treatment in treating VaD following an acute cerebral infarction and subarachnoid hemorrhage. Methods: The subject, a female in her 70s, reported cognitive impairment and right-sided hemiparesis following an acute cerebral infarction and subarachnoid hemorrhage. The patient received comprehensive treatment comprising herbal medicine, acupuncture, moxibustion, and cupping therapy for 108 days. We assessed improvements in cognitive impairment and neurological symptoms using the Korean version of the Mini-Mental Status Examination (MMSE-K), Global Deterioration Scale (GDS), and Korean version of Modified Barthel Index (K-MBI). Results: After treatment, both cognitive impairment and right-sided hemiparesis improved. Scores of MMSE-K, GDS, K-MBI, and MMT also increased. Conclusions: Korean medicine treatment could be considered for patients with vascular dementia following acute cerebral infarction and subarachnoid hemorrhage.
참고문헌 (36)
- APA, "Diagnostic and Statistical Manual of Mental Disorders: DSM", pp.677~680 (2015), Hakjisa
- Seo EY, "Vascular Dementia in Oriental Medicine", Dongeui University Institute of Oriental Medicine, 7, pp.83~88 (2003)
- A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea, "Kim KW", National Institute of Dementia, 7~ (2017)
- Mijajlović MD, "Post-stroke dementia–a comprehensive review", BMC Med, 15, pp.11~ (2017)[DOI]
- Gillespie DC, "Rehabilitation for post-stroke cognitive impairment : an overview of recommendations arising from systematic reviews of current evidence", Clin Rehabil, 29, pp.120~128 (2015)[DOI]
- O’Brien JT, "Vascular dementia", Lancet, 386(10004), pp.1698~1706 (2015)[DOI]
- Jung MS, "Clinical Report of One Patient with the Vascular dementia by Sesimtang mixed Gujuntag", Journal of oriental neuropsychiatry, 18(2), pp.163~171 (2007)
- Park K, "Case of Vascular Dementia Treated with Bojungikkitang-gamibang", Journal of physiology & pathology in Korean Medicine, 22(4), pp.943~947 (2008)
- Kim DJ, "Cases Report about Vascular Dementia Treated with Bojungikki-tang-gamibang", Journal of physiology & pathology in Korean Medicine, 25(1), pp.144~148 (2011)
- Youn HS, "A Case Report of a Patient with Vascular Dementia Caused by Intracerebral Hemorrhage Treated with Modified Guibi-tang", The journal of internal Korean medicine, 44(5), pp.1033~1040 (2023)[DOI]
- Hong SY, "Two Case Reports on Soeumin Woolgwang-incurable Disease with Vascular Dementia", Journal of Sasang Constitutional Medicine, 19(2), pp.213~222 (2007)
- Jang MH, "Three cases of Vascular Dementia Patients", Journal of Sasang Constitutional Medicine, 23(3), pp.402~411 (2011)
- Korean society of oriental neuropsychiatry, "Korean Medicine Clinical Practice Guideline for Dementia", Guideline center for Korean Medicine, 13~135 (2021)
- Yim YK, "Details of meridians & acupoints; a guide book for college students", pp.244~245 (2012), Jongryeonamu Publishing Co
- Hwang DY, "Bangyakhappyeon", pp.121~122 (2010), Yeongrim
- Lee DY, "Classical, Non-Clinical, and Clinical Evidence of Yokukansan for Alleviating Aggression : Scoping Review", Journal of Oriental Neuropsychiatry, 32(2), pp.111~127 (2021)[DOI]
- Cho KH, "The Literary Trends of Herbal Prescription Ukgan-San and Its Application in Modern Traditional Korean Medicine", Journal of Korean Medicine, 39(3), pp.17~27 (2018)[DOI]
- Herbal Formula Science in Korean Medicine Textbook Compilation Committee, "Herbal Formula Science in Korean Medicine", pp.504~506 (2003), Yeongnimsa
- Li J, "Effectiveness and safety of Chinese herbal medicine Xiaoyao san for the treatment of insomnia : Protocol for a systematic review and meta-analysis", Medicine, 98(29), pp.1~4 (2019)[DOI]
- Kim WY, "Literature Review and suggestions: dementia clinical studies in Korean Oriental Medicine", Korean Journal of Oriental Medicine, 17(2), pp.39~46 (2011)
- Lee SS, "Review Study of Clinical Availability for Screening Test(MMSE, GDS, CDR)", Hanyang Univercity Clinical Nurse Science, 8, pp.3~42 (2007)
- Young HY, "Development of the Korean Version of Modified Barthen Index(K-MBI) : Multi-center Study for Subjects", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007)
- Han TR, "Rehabilitation medicine", pp.13~ (2019), Gunja
- Association of Korean Medicine College for Cardiology and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean Medicine", pp.472~476 (2013), Gunja
- Fergusen S, "Predictors of cerebral infarction inpatients with aneurysmal subarachnoid hemorrhage", Neurosurgery, 60(4), pp.658~667 (2007)[DOI]
- Oh SY, "The Effect of Cognitive Deficit on Functional Outcome in Patients with Aneurysmal Subarachnoid Hemorrhage", Journal of Korean Academy of Rehabilitation Medicine, 25(4), pp.543~550 (2001)
- Min SG, "Modern Psychiatry", pp.224~251 (2015), Ilchokak
- Roman GC, "Vascular dementia : distinguishing characteristics, treatment and prevention", Journal of the American Geriatrics Society, 51(5), pp.296~304 (2003)[DOI]
- The Korean Dementia Association, "Dementia: A Clinical approach", pp.413~425 (2006), Academya
- Lyketsos CG, "Prevalence of Neuropsychiatric Symptoms in Dementia and Mild Cognitive Impairment : Results From the Cardiovascular Health Study", JAMA, 288(12), pp.1475~1483 (2002)[DOI]
- Shin IS, "Neuropsychiatric symptoms and quality of life in Alzheimer disease", Am J Geriatr Psychiatry, 13(6), pp.469~474 (2005)[DOI]
- Lee DW, "Classical, Non-Clinical, and Clinical Evidence of Yokukansan for Alleviating Aggression : Scoping Review", Journal of Oriental Neuropsychiatry, 32(2), pp.111~127 (2021)[DOI]
- Galasko D, "The Mini-Mental State Examination in the early diagnosis of Alzheimer’s disease", Arch Neurol, 47, pp.49~52 (1990)[DOI]
- Hodges JR, "Differential impairment of semantic and episodic memory in Alzheimer’s and Huntington’s diseases : a controlled prospective study", Journal of Neurol Neurosurg Psychiatry, 53, pp.1089~1095 (1990)[DOI]
- Lee GE, "The Study on the Korean Traditional Medical Treatment and System of Collaborative Practice Between Korean Traditional Medicine and Western Medicine for Dementia : Based on Analysis of Questionnaire Survey in Professional Group", Journal of Oriental Neuropsychiatry, 23(4), pp.49~68 (2012)[DOI]
- Kim BM, "Proposal of Evidence-based East-West Integrative Medicine Manual for Vascular Dementia", The Journal of Korean Medicine, 40(1), pp.46~62 (2019)[DOI]