DOI QR코드

DOI QR Code

Korean Medicine Treatment for Acute Cortical Subarachnoid Hemorrhage: A Case Report

급성 피질부 지주막하 출혈 환자 치험 1례

  • Jung, Nuri (Dept. of Korean Internal Medicine, Jae-chon Oriental Hospital of Se-Myung University) ;
  • Ko, Heung (Dept. of Korean Internal Medicine, Jae-chon Oriental Hospital of Se-Myung University) ;
  • Shin, Seon-mi (Dept. of Korean Internal Medicine, Jae-chon Oriental Hospital of Se-Myung University) ;
  • Kim, Kitae (Dept. of Korean Internal Medicine, Jae-chon Oriental Hospital of Se-Myung University)
  • 정누리 (세명대학교 부속 제천한방병원 한방내과학교실) ;
  • 고흥 (세명대학교 부속 제천한방병원 한방내과학교실) ;
  • 신선미 (세명대학교 부속 제천한방병원 한방내과학교실) ;
  • 김기태 (세명대학교 부속 제천한방병원 한방내과학교실)
  • Received : 2018.08.02
  • Accepted : 2018.10.27
  • Published : 2018.10.30

Abstract

This case report documents one patient with acute cortical cisternal subarachnoid hemorrhage. The patient had a central pain in the right upper limb and was treated with traditional Korean medicine in the Oriental Hospital of Se-Myung University. The patient was treated with Yangkyuksanwha-tang and acupuncture and followed up with a symptoms checklist and brain computed tomography (CT) scan. Initially, the frequency of right upper extremity pain was 18 per day, but this disappeared after treatment. CT follow up showed that subarachnoid hemorrhage was resolved. There were no side effects associated with treatment. This case shows that traditional Korean medicine treatment is effective in treating acute cortical subarachnoid hemorrhage.

Keywords

References

  1. Spitzer C, Mull M, Rohde V, Kosinski CM. Non-traumatic cortical subarachnoid haemorrhage:diagnostic work-up and aetiological background. Neuroradiology 2005:47(7):525-31. https://doi.org/10.1007/s00234-005-1384-6
  2. Refai D, Botros JA, Strom RG, Derdeyn CP, Sharma A, Zipfel GJ. Spontaneous isolated convexity subarachnoid hemorrhage :presentation, radiological findings, differential diagnosis, and clinical course. J Neurosurg 2008:109(6):1034-41. https://doi.org/10.3171/JNS.2008.109.12.1034
  3. Son SN, Choi DS, Kim YS, Kim SK, Kang HY, Park KJ, et al. Acute Non-Traumatic Cortical Subarachnoid Hemorrhage. Journal of Clinical Neurology 2011:29(3):252-6.
  4. Korean Stroke Society. Text book of STROKE ver 2. Seoul: Panmuneducation: 2017. p. 205.
  5. Riddoch G. The clinical features of central pain. London: Lancet: 1938. p. 1:1093-8.
  6. Tasker RR, de Carvalho G, Dostrovsky JQ. The history of central pain syndromes, with observations concerning pathophysiology and treatment. Pain and Central Nervous System Disease: The Central Pain Syndromes. New York: Raven Press: 1991. p. 31-58.
  7. Bowsher D. Central pain : clinical and physiological characteristics. J Neurol Neuro-surg Psychiatry 1996:61(1):62-9. https://doi.org/10.1136/jnnp.61.1.62
  8. Lee DI, Kim KS, Chae HS, Choi DY, Lee JD, Lee YH, et al. Effectiveness of Pain Management for Central Poststroke Pain on Rehabilitation. The Korean Journal of Pain 2002:15(1):63-8.
  9. Lee HJ, Kim SY, Lee SH, Seo DM, Lee DI, Kim KS, et al. Effect of East-West pain treatment for Central Poststroke Pain on alleviation of pain and Rehabilitation. The Journal of Korean Acupuncture & Moxibustion Society 2003:20(2):42-9.
  10. Jo CM, Kim HD, Kim KU, Choi HJ, Kim GH. Management for Undetermined Subarachnoid Hemorrhage. Journal of Korean Neurosurgical Society 1996:25(10):1970-6.
  11. Park YS, Kim YB, Huh SK, Lee KC. The Management Strategy of Spontaneous Subarachnoid Hemorrhage in Patients with Initial Negative Angiogram. J Korean Neurosurg Soc 2003:34(5):433-9.
  12. Ronkainen A, Hernesniemi J. Subarachnoid Haemorrhage of Unknown Aetiology. Acta Neurochir (Wien) 1992:119(1-4):29-34. https://doi.org/10.1007/BF01541778
  13. Department of internal medicine(Nephro-Endocrine system), College of Korean Medicine. Nephro- Endocrinology. Seoul: Koonja: 2013. p. 409.
  14. Jeong EJ, Roh JH, Moon SK, Cho KH, Kim YS, Bae HS, et al. Clinical Study of Paresthesia in Stroke Patients. J Korean Oriental Med 2001:22(2):41-52.
  15. Won DP. Dongeuisasang sinpyeon. Seoul: Haedongeuihaksa: 1999. p. 80-178, 192-3.
  16. Lo HS, Lee SM, Bae YC, Park HS, Lee JH, Song SY, et al. The effect of Yangkyuk-Sanhwa-Tang on Cytokine Production in the Patients with Cerebral Infarction. J of Sasang Constitutional Medicine 2004:16(1):120-9.
  17. Kim JS. Experimental Studies on the Effects of Yangkyuksanhwatang. J of Sasang Constitutional Medicine 1989:1(1):113-23.
  18. Oh YP, Seo SP. Jungyakchirheojijumakhagongchul hyeolsamsibneyongaesul. Kangseojunguihak 1990:21(6):12-4.
  19. Nam CG. Effects of Yangkyuksanhwatang on the hypertension and the lipid metabolism. Graduate school of Daejeon University 1995.
  20. Lee DW, Lee WC. The Effect of Yangkyuksanhoa-tang Extracts on the Morphological Changes of the Basilar Artery after Cerebral Subarachnoid Hemorrhage. J Korean Oriental Med 1999:20(2):146-56.