Case Study : Effects of Acupuncture and Electro-acupuncture on a Patient with Sequelae Caused by Removal of Facial Schwannoma

안면신경초종 수술 후유증 환자에 대한 침 및 침전기 자극술의 효과

  • Received : 2013.02.16
  • Accepted : 2013.04.16
  • Published : 2013.06.25

Abstract

The purpose of this study is to report a clinical progress of treatment of sequelae caused by removal of facial schwannoma through Korean medicine. A patient was diagnosed with facial schwannoma by MRI on 4th June 2012 in local university hospital, he had right facial palsy, auditory hypersensitivity, dizziness after removal of facial schwannoma. Between 25th July 2012 and 26th January 2013, he was treated with acupuncture, cupping, electro-acupuncture every week and observed by House-Brackmann facial nerve grading system(H-B scale) and MoReSS every month. He had 29 times treatments. At the first of treatment, his state was Grade IV (H-B scale), 4/8(facial nerve grading), 10 points during action 7 points during rest(MoReSS) and he had severe facial palsy, ill-acrimation, auditory hypersensitivity. At the middle of treatment, October 2012, symptoms improved. State was Grade III (H-B scale), 5/8(facial nerve grading), 7 points during action 3 points during rest(MoReSS). Severe facial palsy improved ; Forehead creasing and union motor function recovered, he was able to close his eyes so ill-acrimation improved. At the end of treatment, January 2012, state was Grade II (H-B scale), 7.5/8(facial nerve grading), 3 points during action 1 point during rest(MoReSS). He had only occasional tinnitus and auditory hypersensitivity. Acupuncture and electro-acupuncture are estimated to be good for facial palsy after removal of facial schwannoma. More cases are required to develop treatment of facial palsy.

Keywords

References

  1. 대한신경외과학회. 신경외과학. 서울, 중앙문화사, pp 196-199, 201-202, 2008.
  2. 新谷太. Steps to Internal Medicine;신경질환. 서울, 도서출판 정담, p 202, 2002.
  3. McMonagle, B., Al-Sanosi, A., Croxson, G., Fagan, P. Facial schwannoma: results of a large case series and review. J Laryngol Otol. 122(11):1139-1150, 2008. https://doi.org/10.1017/S0022215107000667
  4. 강나루, 탁명림, 변석미, 고우신, 윤화정. 말초성 안면마비 입원환자 250례에 대한 임상적 고찰. 한방안이비인후피부과학회지 23(3):109-121, 2010.
  5. 원재선, 주경옥, 조아름, 김지현, 김찬환. 급성기 안면마비 (Bell`s palsy) 환자의 예후 및 치료율에 대한 임상고찰 80례. 한방안이비인후피부과학회지 23(2):151-162, 2010.
  6. 김민정, 김종한, 박수연, 최정화, 정민영, 송진수, 이유진, 이지은, 양미성. 구안와사(말초성 안면신경마비) 입원환자 10 례에 대한 임상적 고찰. 대한한방안이비인후피부과학회지 22(2):128-138, 2009.
  7. 최은영, 김재우, 현진오, 현민경, 신원용, 임성우. 청신경초종 수술 후유증 환자 증례 1례. 대한한방내과학회지 25(3):551-558, 2004.
  8. House, J.W. Facial nerve grading systems. Laryngoscope. 93: 1056-1069, 1993.
  9. de Ru, J.A., Braunius, W.W., van Benthem, P.P., Busschers, W.B., Hordijk, G.J. Grading Facial Nerve Function: Why a New Grading System, the MoReSS, Should Be Proposed. Otology& Neurotology. 27: 1030-1036, 2006. https://doi.org/10.1097/01.mao.0000227896.34915.4f
  10. 홍원식. 精校黃帝內經靈樞. 서울, 동양의학연구원, p 102, 1995.
  11. 김현제. 최신침구학. 서울, 성보사, pp 616-618, 1983.
  12. 김세진, 설재욱, 신미숙, 김선종, 최진봉, 박형배. 첩대요법(테이핑 요법)을 이용한 구안와사의 치험례 보고. 한방재활의학 과학회지 15(4):147-155, 2005.
  13. 박재흥, 장선희, 이창환, 구지영, 전대성, 안창범, 김철홍, 송춘호, 윤현민. 말초성 안면신경마비에 대한 약침병행치료 효능의 임상적 고찰-자하거약침과 Sweet Bee Venom을 중심으로. 대한침구학회지 27(2):79-87, 2010.
  14. 최철훈, 송호섭. 파형에 따른 말초성 안면신경마비의 전침 복합 치료 효과. 대한침구학회지 27(5):43-50, 2010.
  15. 황지혜, 이동건, 이현진, 조현석, 김경호, 김갑성. 말초성안면 신경마비에 대한 SSP치료요법과 전침요법의 병행치료 효과. 대한침구학회지 24(4):69-80, 2007.
  16. 이재형. 전기치료학. 서울, 대학서림, pp 53-77, 273-304, 1995.
  17. Burton, J.R. Managing urinary incontimence in stroke patients-a common problem. Geriatr. 38(10):46-59, 1984.