뇌혈관질환을 동반한 진행성 핵상마비 환자의 의식수준저하에 대한 한방복합치료 증례보고 1례
A Case Report of Complex Korean Medicine Treatments of Decreased Mental Status in a Progressive Supranuclear Palsy Patient with a Cerebrovascular Accident
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Objectives: This study investigated the effect of complex Korean medicine treatment on decreased mental status in a progressive supranuclear palsy patient with a cerebrovascular accident. Case presentation: The patient was treated with Korean medicine composed of herbal medicine (modified Guibi-tang), acupuncture, moxibustion, and cupping combined with Western medicine (a dopamine precursor and an anticholinergic) and physical therapy. The Glasgow Coma Scale, Mini-Mental State Examination, and Hoehn and Yahr Scale were used to evaluate the effects of the treatments. After treatment, Glasgow Coma Scores increased from 9-10 to 12-13, and Mini-Mental State Examination for dementia screen scores increased from 1 to 2. The Hoehn and Yahr score remained at 5. There were no side effects of the treatment. Conclusion: This study suggests that complex Korean medicine treatments may be effective for the decreased mental status of a progressive supranuclear palsy patient with a cerebrovascular accident, but further studies are needed.
Abstract
Objectives: This study investigated the effect of complex Korean medicine treatment on decreased mental status in a progressive supranuclear palsy patient with a cerebrovascular accident. Case presentation: The patient was treated with Korean medicine composed of herbal medicine (modified Guibi-tang), acupuncture, moxibustion, and cupping combined with Western medicine (a dopamine precursor and an anticholinergic) and physical therapy. The Glasgow Coma Scale, Mini-Mental State Examination, and Hoehn and Yahr Scale were used to evaluate the effects of the treatments. After treatment, Glasgow Coma Scores increased from 9-10 to 12-13, and Mini-Mental State Examination for dementia screen scores increased from 1 to 2. The Hoehn and Yahr score remained at 5. There were no side effects of the treatment. Conclusion: This study suggests that complex Korean medicine treatments may be effective for the decreased mental status of a progressive supranuclear palsy patient with a cerebrovascular accident, but further studies are needed.
참고문헌 (21)
- Korean Neurological Association, "Neurology", pp.577~628 (2017), Panmun
- Lee JH, "Dementia with Parkinsonism : Progressive Supranuclear Palsy", J Korean Dementia Assoc, 1(2), pp.77~82 (2002)
- dell'Aquila C, "Predictors of survival in a series of clinically diagnosed progressive supranuclear palsy patients", Parkinsonism Relat Disord, 19(11), pp.980~985 (2013)
- Winikates J, "Vascular progressive supranuclear palsy", J Neural Transm Suppl, 42, pp.189~201 (1994)
- Rotaru L, "Cerebrovascular disease associated with Parkinson's disease in Moldovan cohort study", Moldovan Medical J, 64(6), pp.33~36 (2021)
- Schrag A, "Health-Related Quality of Life in Patients With Progressive Supranuclear Palsy", Mov Disord, 18(12), pp.1464~1469 (2003)
- Rajput A, "Progressive supranuclear palsy : clinical features, pathophysiology and management", Drugs Aging, 18(12), pp.913~925 (2001)
- Hong HJ, "A Case of Progressive Supranuclear Palsy Patient Treated by Korean Medicine", J Int Korean Med, pp.298~303 (2015)
- Cho JH, "A Case Report of a Progressive Supranuclear Palsy Patient with Gait Disturbance and Dizziness", J Society of Stroke on Korean Med, 16(1), pp.25~34 (2015)
- Zhou Xi, "Application of Evans Index in Normal Pressure Hydrocephalus Patients : A Mini Review", Front Aging Neurosci, 13 (2022)
- Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean Medicine Ⅰ", pp.1~341 (2016), Woori Medicine publication
- Kang YW, "A Validity Study on the Korean Mini-Mental State Examination(K-MMSE)in Dementia Patients", J of the Korean Neurological Assoc, 15(2), pp.300~308 (1997)
- 김은지, "치매의 침치료에 대한 해외 RCT 연구 동향 - pubmed의 2000~2018년 검색을 통하여 -", 대한한방내과학회지, 39(3), pp.338~349 (2018), 대한한방내과학회
- Kim SY, "Dementia with Parkinsonism : Parkinson's Disease Dementia", J Korean Dementia Assoc, 1(2), pp.73~76 (2002)
- Kim GB, "노인치매의 현황과 전망", The Korean Nurse, 37(1), pp.16~24 (1998)
- Park SM, "Literature Review on Parkinson's Disease in Oriental Medicine", J Acupuncture Res, 21(1), pp.202~210 (2004)
- 이혜윤, "歸脾湯의 方論에 관한 고찰", 대한한의학 방제학회지, 24(4), pp.367~376 (2016), 대한한의학방제학회[DOI]
- Viroj Wiwanitkit, "Oxidative Stress and Metabolic Syndrome", Korean Journal of Family Medicine, 35(1), pp.44~44 (2014), 대한가정의학회
- Oh MS, "The multi-herbal formula Guibi-tang enhances memory and increases cell proliferation in the rat hippocampus", Neurosci Lett, 379(3), pp.205~208 (2005)
- Kim JH, "Two Cases of Gami-Guibitang on Cognitive Impairment after Stroke with Improved Recall Memory including Korean Medicine", J Society of Stroke on Korean Med, 19(1), pp.21~30 (2018)
- Annual Report on the Rare Disease Patients in Korea, "Korea Disease Control and Prevention Agency", ~ (2020)
