척수경색 환자의 보행불가 증상에 대한 한의복합치료 1례
A Case Study of Combined Korean Medicine Treatment of Paraplegia Diagnosed as Spinal Cord Infarction
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초록
Spinal cord infarction is one of the rare strokes with no clear signs of serious nerve damage or after-effects. This study reports on the effectiveness of a combined treatment of Korean medicine and acupuncture on bilateral paraplegia, dysuria, and constipation in a patient with sudden-onset spinal cord infarction. An 84-year-old male patient was diagnosed with spinal cord infarction in August 2022. After diagnosis by whole spine MRI, he received treatment for two months at another hospital, but the improvement was insignificant. He then received Korean medicine treatment, and during this period, his lower extremity manual muscle test grade improved from 3 to 4 and his modified Rivermead mobility index score increased by 13 points, compared with hospitalization. Dysuria improved with acupuncture, and constipation improved with herbal medicine treatment. A combination of herbal medicine and acupuncture can be used to treat paraplegia, dysuria, and constipation caused by spinal cord infarction.
Abstract
Spinal cord infarction is one of the rare strokes with no clear signs of serious nerve damage or after-effects. This study reports on the effectiveness of a combined treatment of Korean medicine and acupuncture on bilateral paraplegia, dysuria, and constipation in a patient with sudden-onset spinal cord infarction. An 84-year-old male patient was diagnosed with spinal cord infarction in August 2022. After diagnosis by whole spine MRI, he received treatment for two months at another hospital, but the improvement was insignificant. He then received Korean medicine treatment, and during this period, his lower extremity manual muscle test grade improved from 3 to 4 and his modified Rivermead mobility index score increased by 13 points, compared with hospitalization. Dysuria improved with acupuncture, and constipation improved with herbal medicine treatment. A combination of herbal medicine and acupuncture can be used to treat paraplegia, dysuria, and constipation caused by spinal cord infarction.
참고문헌 (20)
- Lee HW, "Two Cases of Spinal Cord Infarction : Vertebral Stenosis and Systemic Hypoperfusion", J Korean Neurol Assoc, 20(5), pp.554~557 (2002)
- Yang HD, "Acute spinal cord infarction : diffusion-weighted MR imaging-Case report-", J Korean Soc Spine Surg, 20(2), pp.64~66 (2013)
- Ponomarev GV, "Vascular myelopathy : causes and mechanisms, possibilities of diagnosis and treatment", RJTAO, 10(1), pp.12~16 (2018)
- Yoon SH, "A case report of patient who has spinal cord infarction with monoplegia and pain of lower extremity and dysuria", J Korea CHUNA Manual Medicine for Spine and Nerves, 6(2), pp.87~96 (2011)
- Park KN, "The Effect of Complex Korean Medical Treatment on Spinal Cord Infarction : A Case Report", J of Acupuncture Research, 33(2), pp.189~200 (2016)
- Oriental Rehabilitation Society, "Oriental rehabilitation medicine", pp.82~170 (2011), Goonja Publisher Co
- An SH, "The Inter-rater Reliability and Concurrent Validity of the Modified Rivermead Mobility Index for Stroke Survivors", Journal of Special Education and Rehabilitation Science, 55(4), pp.277~295 (2016)
- Benavente O, "Stroke : pathophysiology, diagnosis, and management", pp.751~762 (2004), Churchill Livingstone
- Weidauer S, "Spinal cord ischemia : aetiology, clinical syndromes and imaging features", Neuroradiology, 57(3), pp.241~257 (2015)
- Melissano G, "Angio-CT imaging of the spinal cord vascularization : a pictorial essay", Eur J Vasc Endovasc Surg, 39(4), pp.436~440 (2010)
- Ross JS, "Spinal Cord Infarction", pp.26~29 (2004), Amirsys
- Mohr JP, "Stroke", pp.423~436 (2004), Churchill Livingstone
- Zhao J, "Electroacupuncture Alleviates the Inflammatory Response via Effects on M1 and M2 Macrophages after Spinal Cord Injury", Acupunct Med, 35(3), pp.224~230 (2017)
- Liu L, "Cerebral activation effects of acupuncture at Yanglinquan(GB34)point acquired using resting-state fMRI", Comput Med Imaging Graph, 67, pp.55~58 (2018)
- Choi DC, "Acupuncture-mediated inhibition of inflammation facilitates significant functional recovery after spinal cord injury", Neurobiology of Disease, 39(3), pp.272~282 (2010)
- Cuthbert SC, "On the reliability and validity of manual muscle testing : a literature review", Chiropr Osteopat, 15, pp.4~ (2007)
- "Differentiation between Idiopathic Acute Transverse Myelitis and Myelopathic Multiple Sclerosis by MRI", Journal of the Korean Neurological Association, 17(5), pp.651~660 (1999)
- Yoon JH, "A Case Report on Opioid-Induced Constipation in a Patient with Cancer Treated by Jowiseunggi-tang", Korean J Orient Int Med, 43(2), pp.229~236 (2022)
- Lee BE, "Conventional Laxatives", Korean J Med, 88(1), pp.1~8 (2015)
- Zalewski NL, "Spinal cord infarction : Clinical and imaging insights from the periprocedural setting", Journal of the Neurological Sciences, 338, pp.162~167 (2018)