어지럼증을 주소로 하는 전하소뇌동맥경색 환자에 대한 한방치료 증례보고 1례
Korean Medicine Treatment for Anterior Inferior Cerebellar Artery Infarction: A Case Report
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Objective: The aim of this study is to report the effectiveness of Korean medicine for a patient with dizziness following anterior inferior cerebellar artery infarction. Methods: The patient was treated with traditional Korean methods including acupuncture, herbal therapy, moxibustion, and vestibular rehabilitation exercise during an admission period of seven days. The patient’s dizziness was assessed using a numeric rating scale (NRS) and the Korean Dizziness Handicap Inventory (K-DHI), Korean Activities-specific Balance Confidence (K-ABC), Korean Vestibular Disorders Activities of Daily Living (K-VADL), the modified Rankin scale (mRS), and the Korean version of the Modified Barthel Index (K-MBI). Results: After seven days of combined treatment with traditional methods and vestibular rehabilitation, the patient’s dizziness was reduced from NRS 6-7 to NRS 2. In addition, K-DHI decreased from 84 to 22; K-ABC improved from 52% to 78.125%; K-VADL reduced from 175 to 37; the mRS score changed from 4 to 1; and the K-MBI score increased from 86 to 98. No adverse events were observed during treatment. Conclusion: This study suggests that combined therapy of Korean medicine and vestibular rehabilitation can be effective treatment for anterior inferior cerebellar artery infarction patients.
Abstract
Objective: The aim of this study is to report the effectiveness of Korean medicine for a patient with dizziness following anterior inferior cerebellar artery infarction. Methods: The patient was treated with traditional Korean methods including acupuncture, herbal therapy, moxibustion, and vestibular rehabilitation exercise during an admission period of seven days. The patient’s dizziness was assessed using a numeric rating scale (NRS) and the Korean Dizziness Handicap Inventory (K-DHI), Korean Activities-specific Balance Confidence (K-ABC), Korean Vestibular Disorders Activities of Daily Living (K-VADL), the modified Rankin scale (mRS), and the Korean version of the Modified Barthel Index (K-MBI). Results: After seven days of combined treatment with traditional methods and vestibular rehabilitation, the patient’s dizziness was reduced from NRS 6-7 to NRS 2. In addition, K-DHI decreased from 84 to 22; K-ABC improved from 52% to 78.125%; K-VADL reduced from 175 to 37; the mRS score changed from 4 to 1; and the K-MBI score increased from 86 to 98. No adverse events were observed during treatment. Conclusion: This study suggests that combined therapy of Korean medicine and vestibular rehabilitation can be effective treatment for anterior inferior cerebellar artery infarction patients.
참고문헌 (19)
- Stone HE, "Vertigo : A practical approach", Emerg Med Australas, 16(1), pp.13~16 (2004)
- Sung KB, "Understanding of dizziness", J Korean Balance Soc, 2(1), pp.157~164 (2002)
- Barth A, "The clinical and topographic spectrum of cerebellar infarcts : A clinical-magnetic resonance imaging correlation study", Ann Neurol, 33(5), pp.451~456 (1993)
- Korean stroke society, "Stroke", pp.92~ (2015), Panmunedu
- Kim SE, "Clinical Analysis of Cerebellar Infarctions Diagnosed via the Emergency Department", Department of Emergency Medicine of Korea, 13(3), pp.269~274 (2002)
- Han GC, "The Study of Standardization for a Korean Adaptation of Self-report Measures of Dizziness", J Korean Balance Soc, 3(2), pp.307~325 (2004)
- Rhee CK, "Practice of Vestibular Rehabilitation", J Korean Balance Soc, 5(1), pp.149~157 (2006)
- Banks JL, "Outcomes Validity and Reliability of the Modified Rankin Scale : Implications for Stroke Clinical Trials : a literature review and synthesis", Stroke, 38(3), pp.1091~1096 (2007)
- 홍근식, "뇌졸중 임상시험에서 치료결과의 측정 및 효과 판정", 대한신경과학회지, 24(5), pp.411~420 (2006), 대한신경과학회
- 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
- Amarenco P, "Anatomie des arteres cerebelleuses", Rev Neurol, 145(4), pp.267~276 (1989)
- Struck LK, "Superior cerebellar artery territory infarction", Cerebrovasc Dis, 1, pp.71~75 (1991)
- Kase CS, "Cerebellar Infarction : Clinical and Anatomic Observations in 66 Cases", Stroke, 24(1), pp.76~83 (1993)
- 정병무, "현훈과 돌발성 난청을 주소로 하는 뇌교경색", 대한한방내과학회지, 25(4), pp.200~206 (2004), 대한한방내과학회
- 대한침구의학회 교재편찬위원회, "Acupuncture Medicine", pp.597~616 (2016), Hanmibook
- 안소현, "담훈으로 변증된 말초성 현훈 환자 5례에 대한 임상보고 - 반하백출천마탕 가감방을 중심으로 -", 동의생리병리학회지, 23(1), pp.263~268 (2009), 한의병리학회
- Jin C, "A Case Report of a Cerebellar Infarction Patient with Isolated Dizziness Treated by Traditional Korean Medicine", Korean J Oriental Int Med, pp.151~154 (2014)
- 오동훈, "교뇌의 병변를 보이는 삼차신경 감각신경병증 환자 1예", Annals of Clinical Neurophysiology, 7(1), pp.43~45 (2005), 대한임상신경생리학회
- Liu H, "Determining the Precise Cerebral Response to Acupuncture : an Improved FMRI Study", PLoS One, 7(11), pp.e49154~ (2012)