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소음인 알츠하이머 환자의 외상성 지주막하 출혈로 인한 섬망과 인지저하 치험 1례

A Case Report of Delirium and Cognitive Decline Caused by Traumatic Subarachnoid Hemorrhage in Soeumin Alzheimer Patient

  • 박경훈 (동의대학교 부속 한방병원 사상체질과) ;
  • 김종원 (동의대학교 한의과대학 사상체질과) ;
  • 전수형 (동의대학교 한의과대학 사상체질과)
  • Park, Gyung-hun (Department of Sasang Constitutional Medicine, Dong-eui University Korean Medicine Hospital) ;
  • Kim, Jong-Won (Department of Sasang Constitutional Medicine, Dong-eui University Korean Medicine Hospital) ;
  • Jeon, Soo-Hyung (Department of Sasang Constitutional Medicine, Dong-eui University Korean Medicine Hospital)
  • 투고 : 2019.12.09
  • 심사 : 2019.12.20
  • 발행 : 2019.12.31

초록

Objectives This study is to investigate the effect of sasang constitutional medicine on the delirium and cognitive decline caused by traumatic subarachnoid hemorrhage in a soeumin alzheimer patient Methods We have treated a 79-year-old Soeumin patient mainly with Doksampalmul-tang. She was already suffering from Alzheimer's disease. After traumatic subarachnoid hemorrhage, there were symptoms of delirium and cognitive decline. The degree of improvement was checked by K-MMSE and K-MOCA scores. Results The K-MMSE score improved from 0 to 11 and the K-MOCA score from 0 to 3. Conclusions Sasang constitutional medicine has been effective in the treatment of delirium and cognitive decline caused by traumatic subarachnoid hemorrhage.

키워드

참고문헌

  1. Korean Neurological Association. Textbook of Neurology. 3rd ed. Seoul, Korea: Beommun Education, 2017:406-408
  2. Kim YJ, Kim JH, Kim CH, Lee CH. Delirium after Combined Epidural-General Anesthesia in a Elderly Patient: A Case Report. Korean J Anesthesiol. 1999;36(1):165-8. (Korean) https://doi.org/10.4097/kjae.1999.36.1.165
  3. McManus J, Pathansali R, Stewart R, Macdonald A, Jackson S. Delirium post-stroke. Age Ageing. 2007;36(6):613-8. https://doi.org/10.1093/ageing/afm140
  4. Caeiro L, Ferro JM, Albuquerque R, Figueira ML. Delirium in the first days of acute stroke. J Neurol. 2004;251:171-8. https://doi.org/10.1007/s00415-004-0294-6
  5. Siddiqi N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age Ageing. 2006;35(4):350-64. https://doi.org/10.1093/ageing/afl005
  6. The Korean Society of Oriental Neuropsychiatry Textbook Compilation Committee. Oriental Neuropsychiatry. 4th ed. Seoul, Korea: mavor. 2018:434
  7. Choi BM, Lee SY. The oriental-western literatural study of Delirious speech and Fading murmuring. J Haehwa Medicine. 2000;9(1):745-61. (Korean)
  8. Jung JE, Jung WH, Seo SK, Kang JH, Han DN. The Effect of Oriental Medical Treatments on the Patients with Delirium ; 4 Cases Report. JKMR. 2009;19(2):303-13. (Korean)
  9. Ban DJ, Lee HS, Kang TG, Han KS, Bae HS, Park SS. Two Case Reports of Taeumin Delirium Patients. J Sasang Constitut Med. 2007;19(3):257-69 (Korean)
  10. Park SR, Lee SM, Choi SH, Jung YH, Lee SK. A Case Study of Small-Cell Lung Cancer with Multiple Brain Metastases Patient who Showed Improvement of Delirium and Performance Status. J Sasang Constitut Med. 2014;26(4):400-8. (Korean) https://doi.org/10.7730/JSCM.2014.26.4.400
  11. Gustafson Y, Olsson T, Eriksson S, Asplund K, Bucht G. Acute confusional states (Delirium) in stroke patients. Cerebrovasc Dis. 1991;1:257-64. https://doi.org/10.1159/000108852
  12. Langhorne P, Stott D, Robertson L, MacDonald J, Jones L, McAlpine C, et al. Medical complications after stroke: a multicenter study. Stroke. 2000;31(6):1223-9. https://doi.org/10.1161/01.STR.31.6.1223
  13. Lonergan E, Britton AM, Luxenberg J, Wyller T. Antipsychotics for delirium. Cochrane Database Syst Rev. 2007;18(2):CD005594.
  14. Oldenbeuving AW, de Kort PL, Jansen BP, Roks G, Kappelle LJ. Delirium in acute stroke: a review. Int J Stroke. 2007;2(4):270-5. https://doi.org/10.1111/j.1747-4949.2007.00163.x