간접구 중심의 한의복합치료로 전대뇌동맥 및 중대뇌동맥 경색 환자의 중추성 통증과 하지마비에 개선을 보인 증례보고 1례
A Case Report of Central Post-stroke Pain and Hemiparesis due to Anterior Cerebral Artery and Middle Cerebral Artery Infarction That Improved Following Treatment with Korean Medicine, Including Moxibustion
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초록
This case report describes a patient diagnosed with central post-stroke pain (CPSP) and hemiparesis due to anterior cerebral artery and middle cerebral artery infarction. The patient was treated with Korean medicines, including moxibustion, acupuncture, electroacupuncture, herbal medicine, Western medicine, and rehabilitation therapy for 67 days. CPSP improved based on scores on the Numeric Rating Scale (NRS) (from 8 to 0), paresthesia NRS (7 to 0), Manual Muscle Test (4/1 to 4+/4-), Korean version of the modified Barthel Index (24 to 73), National Institute of Health’s Stroke Scale (7 to 0), Global Deterioration Scale (1 to 1), and Korean version of the Mini-Mental State Examination (27 to 29). No seizures, shocks, recurrent ischemic stroke, and liver dysfunction were recorded during the treatment. A moxibustion-induced burn healed within 7 days. This case suggests that moxibustion, combined with other treatments, has the potential to improve CPSP, without severe side effects.
Abstract
This case report describes a patient diagnosed with central post-stroke pain (CPSP) and hemiparesis due to anterior cerebral artery and middle cerebral artery infarction. The patient was treated with Korean medicines, including moxibustion, acupuncture, electroacupuncture, herbal medicine, Western medicine, and rehabilitation therapy for 67 days. CPSP improved based on scores on the Numeric Rating Scale (NRS) (from 8 to 0), paresthesia NRS (7 to 0), Manual Muscle Test (4/1 to 4+/4-), Korean version of the modified Barthel Index (24 to 73), National Institute of Health’s Stroke Scale (7 to 0), Global Deterioration Scale (1 to 1), and Korean version of the Mini-Mental State Examination (27 to 29). No seizures, shocks, recurrent ischemic stroke, and liver dysfunction were recorded during the treatment. A moxibustion-induced burn healed within 7 days. This case suggests that moxibustion, combined with other treatments, has the potential to improve CPSP, without severe side effects.
참고문헌 (27)
- Thirugnanachandran T, "Anterior Cerebral Artery Stroke", Stroke, 52(9), pp.2930~2938 (2021)
- Kim HK, "Intracerebral Regional and Vasculature-Specific Distributions of Ischemic Cerebrovascular Diseases : Using MRI and MRA", Journal of Radiological Science and Technology, 33(3), pp.223~230 (2010)
- Park TH, "Coincidental Abnormality of Anterior Cerebral Artery in Patients with Acute Middle Cerebral Artery Occlusion", Korean Journal of Stroke, 9(1), pp.56~61 (2007)
- Oh EJ, "Outcome and Prognostic Factor of Isolated Anterior Cerebral Artery Territory Infarction", Korean J Stroke, 11(1), pp.19~24 (2009)
- Kang SY, "Anterior cerebral artery infarction : stroke mechanism and clinical-imaging study in 100 patients", Neurology, 70(24 Pt 2), pp.2386~2393 (2008)
- Lee DK, "Placebo Analgesia", J Pain Auton Disord, 3(2), pp.77~83 (2014)
- Taber KH, "Functional anatomy of central pain", J Neuropsychiatry Clin Neurosci, 13(4), pp.437~440 (2001)
- Xiao X, "Role of the Anterior Cingulate Cortex in Translational Pain Research", Neurosci Bull, 37(3), pp.405~422 (2021)
- Lee DK, "Central Pain", J Pain Auton Disord, 2(2), pp.77~83 (2013)
- Mohanan AT, "Stroke-Induced Central Pain : Overview of the Mechanisms, Management, and Emerging Targets of Central Post-Stroke Pain", Pharmaceuticals, 16(8), pp.1103~1118 (2023)
- Filley CM, "Anterior Cerebral Artery Territory Infarction-Related Resolution of Chronic Lower Back Pain", J Neuropsychiatry Clin Neurosci, 30(1), pp.81~83 (2018)
- Osama A, "Central post-stroke pain : Predictors and relationship with magnetic resonance imaging and somatosensory evoked potentials", Egypt J Neurol Psychiatr Neurosurg, 54(1), pp.40~46 (2018)
- Lee KW, "Translated Yellow Emperor's Inner Cannon Somun", pp.287~ (2010), Yeogang Publisher
- Kim TI, "A Systematic Review of Treatment for Chronic Pain after Stroke", J Int Korean Med, 37(6), pp.929~939 (2016)
- Gwak JY, "Efficacy of Bee-venom Acupuncture on Central Post Stroke Pain", The Journal of Korean Acupuncture & Moxibustion Society, 26(6), pp.205~214 (2009)
- Jung YJ, "Clinical Effectiveness of Traditional Herbal Medicine in the Treatment of Central Post-Stroke Pain and Thalamic Syndrome : a Systemic Review and Meta-analysis of Randomized Clinical Trials Based on Traditional Chinese Medicine Journals", J Int Korean Med, 40(3), pp.295~311 (2019)
- Lee MR, "A Case Report of Central Post-Stroke Pain Patient Treated by Moxibustion Therapy", The Journal of the Society of Stroke on Korean Medicine, 16(1), pp.35~40 (2015)
- Park JH, "Case Report on Headache(Suspected CPSP)Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction", J Int Korean Med, 42(5), pp.893~903 (2021)
- Kim SM, "A Case Report of Central Post-Stroke Pain Improved by Sokyungwhalhyul-tang", The Journal of the Society of Stroke on Korean Medicine, 16(1), pp.73~80 (2015)
- Lee YJ, "A Case Report on Central Post-stroke Pain in Medullary Infarction Treated with BackJun-pill", J Int Korean Med, 42(5), pp.931~938 (2021)
- Kim JH, "A Case Report of Central Post-stroke Pain Patient Treated with Scalp Acupuncture(MS6 and MS7)and Usual Treatment of Korean Medicine", The Journal of Korean Acupuncture & Moxibustion Society, 31(3), pp.57~65 (2014)
- Shin HY, "Case Report of Central Post-stroke Pain Improved by Gami SSanghwatang", The Journal of the Society of Stroke on Korean Medicine, 18(1), pp.77~86 (2017)
- Lee EK, "Survey on the Status of Utilization of mediate Moxibustion by Korean Medicine Doctor", Kor J Oriental Preventive Medical Society, 17(2), pp.105~127 (2013)
- Kim LH, "A Clinical Research Study of Moxibustion on Stroke Patients", J Int Korean Med, 32(3), pp.361~370 (2011)
- Yoon SK, "The Effects of LI4, TE3, TE5 and LI11 Moxibustion on Radial Artery Blood Flow and Heart Rate Variability in Stoke Patients with Hemiplegia", J Korean Oriental Med, 32(5), pp.50~65 (2011)
- Jørgensen HS, "Outcome and time course of recovery in stroke. Part II : Time course of recovery. The Copenhagen Stroke Study", Arch Phys Med Rehabil, 76(5), pp.406~412 (1995)
- Jang MK, "A Study of Comparing Thermal Stimulation between Commercial Indirect Moxibustion and Traditional Indirect Moxibustion", The Joumal of Korean Acupuncture & Moxibustion Society, 27(3), pp.35~45 (2010)