돌발성 난청 후 이석증이 연속 발병한 환자에 대한 한방 치험 1례
A Case Report of a Patient with Sequential Onset of Sudden Sensorineural Hearing Loss and Benign Paroxysmal Positional Vertigo Improved by Korean Medicine Treatment
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Objectives: This case report aims to present the clinical efficacy of integrative Korean medicine treatment in a patient who developed benign paroxysmal positional vertigo(BPPV) following an episode of sudden sensorineural hearing loss(SSNHL). Methods: A patient with sequential onset of SSNHL and BPPV was treated using a comprehensive Korean medicine approach. The treatment protocol included herbal medicine, acupuncture, pharmacoacupuncture, combined electrical and magnetic acupuncture stimulation, Chuna manual therapy, and auditory rehabilitation therapy. Clinical outcomes were assessed using pure tone audiometry(PTA), the Dizziness Handicap Inventory(DHI), and a visual analogue scale(VAS) for subjective symptoms. Results: Approximately six months after initiating treatment, the patient’s PTA results showed an average hearing threshold of 25.63㏈, indicating sustained recovery of hearing function. The DHI total score was reduced to 8, falling within the range considered functionally normal. Subjective symptoms, including vertigo, aural fullness, and headache, were all completely resolved(VAS score of 0 for each). Conclusion: This case suggests that Korean medicine may offer an effective integrative therapeutic approach for patients experiencing sequential onset of SSNHL and BPPV.
Abstract
Objectives: This case report aims to present the clinical efficacy of integrative Korean medicine treatment in a patient who developed benign paroxysmal positional vertigo(BPPV) following an episode of sudden sensorineural hearing loss(SSNHL). Methods: A patient with sequential onset of SSNHL and BPPV was treated using a comprehensive Korean medicine approach. The treatment protocol included herbal medicine, acupuncture, pharmacoacupuncture, combined electrical and magnetic acupuncture stimulation, Chuna manual therapy, and auditory rehabilitation therapy. Clinical outcomes were assessed using pure tone audiometry(PTA), the Dizziness Handicap Inventory(DHI), and a visual analogue scale(VAS) for subjective symptoms. Results: Approximately six months after initiating treatment, the patient’s PTA results showed an average hearing threshold of 25.63㏈, indicating sustained recovery of hearing function. The DHI total score was reduced to 8, falling within the range considered functionally normal. Subjective symptoms, including vertigo, aural fullness, and headache, were all completely resolved(VAS score of 0 for each). Conclusion: This case suggests that Korean medicine may offer an effective integrative therapeutic approach for patients experiencing sequential onset of SSNHL and BPPV.