외상성 뇌손상(Traumatic Brain Injury)에서 미만성 축삭손상(Diffuse Axonal Injury)으로 진단된 환자 한방 치험 1례
A Case Report of Korean Medicine Treatment of Diffuse Axonal Injury in a Patient with Traumatic Brain Injury
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study was to evaluate the effect of Korean medicine in a patient with cognitive impairment, emotional disturbance, and sleep disturbance due to a diffuse axonal injury associated with a traumatic brain injury. The patient was treated with herbal medicine and acupuncture. The treatment effects were evaluated using the Korean version of the Mini-Mental State Examination (MMSE-K) and the Global Detraction Scale (GDS), and by observing clinical symptoms. Improvements in the total scores of MMSE-K and GDS were observed after the Korean medicine treatments; the MMSE-K score increased from 13 to 23 and the GDS score decreased from 5 to 4. The emotional and sleep disturbances were also reduced. These case report findings suggest that Korean medicine may be effective for treating symptoms of diffuse axonal injury in patients with traumatic brain injury.
Abstract
The purpose of this study was to evaluate the effect of Korean medicine in a patient with cognitive impairment, emotional disturbance, and sleep disturbance due to a diffuse axonal injury associated with a traumatic brain injury. The patient was treated with herbal medicine and acupuncture. The treatment effects were evaluated using the Korean version of the Mini-Mental State Examination (MMSE-K) and the Global Detraction Scale (GDS), and by observing clinical symptoms. Improvements in the total scores of MMSE-K and GDS were observed after the Korean medicine treatments; the MMSE-K score increased from 13 to 23 and the GDS score decreased from 5 to 4. The emotional and sleep disturbances were also reduced. These case report findings suggest that Korean medicine may be effective for treating symptoms of diffuse axonal injury in patients with traumatic brain injury.
참고문헌 (20)
- Fary Khan, "4:Rehabilitation after traumatic brain injury", The medical Journal of Australia, 178(6), pp.290~295 (2003)
- Gennarelli TA, "Mechanisms of brain injury", The Journal of Emergency Medicine, 11(1), pp.5~11 (1993)
- Korean neurological association, "Textbook of Neurology", pp.803~817 (2012), Panmun Education
- 이슬희, "미만성 축삭 손상으로 유발된 속발성 치매 환자 1례에 대한 증례 보고", 대한한방내과학회지, 28(3), pp.645~654 (2007), 대한한방내과학회
- Tombaugh TN, "The Mini-Mental State Examination : a comprehensive reviews", Journal of the American Geriatrics Society, 40(9), pp.922~935 (1992)
- 최성혜, "한국판 Global Deterioration Scale의 타당도", 대한신경과학회지, 20(6), pp.612~617 (2002), 대한신경과학회
- Eum SW, "Prognostic Factors in Patients with Diffuse Axonal Injury", Journal of Korean Neurosurgical Society, 27(12), pp.1668~1674 (1998)
- Adams JH, "Diffuse axonal injury in head injury : Definition, diagnosis and grading", Histopathology, 15(1), pp.49~59 (1989)
- 박종화, "Detection of Traumatic Cerebral Microbleeds by Susceptibility-Weighted Image of MRI", 대한신경외과학회지, 46(4), pp.365~369 (2009), 대한신경외과학회
- Kim JH, "Disability Estimation in the Diffuse Axonal Injury", J Kor Neurotraumatol Soc, 3, pp.13~18 (2007)
- 조기호, "동의보감에 수록되지 않았던 억간산의 문헌상 흐름과 현대 한의학에서의 응용 현황", 대한한의학회지, 39(3), pp.17~27 (2018), 대한한의학회[DOI]
- Matsunaga S, "Yokukansan in the Treatment of Behavioral and Psychological Symptoms of Dementia : An Updated Meta-Analysis of Randomized Controlled Trials", Journal of Alzheimer's Disease, 54(2), pp.635~643 (2016)
- Nishizawa K, "Effects of Kamikihi-To, a traditional Chinese medicine, on passive and conditioned avoidance performance impairment in senescence accelerated mouse(SAM)", The Japanese Journal of Pharmacology, 54(4), pp.375~382 (1990)
- Watari H, "Kihito, a Traditional Japanese Kampo Medicine, Improves Cognitive Function in Alzheimer's Disease Patients", Evidence-Based Complementary and Alternative Medicine, pp.7~ (2019)
- Oriental Medicine Research Institute, "Bang Yak Hab", pp.514~518 (2006), DanSaem
- Heo J, "Donguibogam", pp.99~ (2010), Donguibogam publication
- Jang IS, "Orungsan(Goreisan) Application in Neurosurgical Field:Review of the Studies Reported in the 20th Annual Meeting of Kampo Medicine Association of the Japan Neurosurgical Society", The Korean Journal of Joongpoong, 12(1), pp.1~7 (2011)
- 이상아, "외상성 뇌손상 후두통과 기억장애가 발생한 환자에 犀角地黃湯加減方을 투여한 1례 보고", 대한한방내과학회지, 34(4), pp.438~446 (2013), 대한한방내과학회
- Choi WJ, "Clinical Study on a Case of a Patient with Memory Disorders Caused by Traffic Accident", Journal of Oriental Neuropsychiatry, 13(1), pp.117~125 (2002)
- Kim JH, "Two cases of Gami-Guibitang on Cognitive Impairment after Stroke with Improved Recall Memory including Korean Medinice", The Journal of the Society of Storke on Korea Mediine, 19(1), pp.21~30 (2018)