The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Anomic Aphasia after Putaminal Hemorrhage Improved by Korean Medical Treatment Including Head Acupuncture

두침 요법을 포함한 한의 치료로 호전된 피각 출혈 후 명칭 실어증 치험 1례

  • Kim, Ha-ri (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeong, Hye-seon (Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong) ;
  • Choi, Jeong-woo (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeon, Gyu-ri (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Seong-uk (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Jung-mi (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ko, Chang-nam (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Seung-yeon (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 김하리 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 정혜선 (강동경희대학교병원 뇌신경센터 한방내과) ;
  • 최정우 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 전규리 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박성욱 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 고창남 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (경희대학교 대학원 한방순환신경내과학교실)
  • Received : 2020.11.06
  • Accepted : 2020.12.31
  • Published : 2020.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Aphasia is a language disorder that results from brain damage and typically occurs after a stroke. The purpose of this case report was to describe the effects of Korean medical treatment on anomic aphasia after a putaminal hemorrhage. We used Korean medical treatment, including head acupuncture and herbal medicine (Hyungbangsabaek-san) therapy, on a patient who was admitted to the hospital for 19 days. The clinical symptoms were assessed with the Korean version of the Western Aphasia Battery (K-WAB), and quality of life was evaluated with Korean version of Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 19 days of treatment, the K-WAB scores were increased from 17 to 19 in the spontaneous speech score, from 7.55 to 9.85 in the comprehension score, from 9 to 9.4 in the speaking score, and from 5.8 to 9.7 in the naming score. The AQ score was increased from 78.7 to 95.9, and the K-SAQOL-3 score was increased from 2.64 to 3.26. In conclusion, the study findings suggested that Korean medical treatment could be an effective option for treating symptoms and improving quality of life in patients with aphasia after stroke.

Keywords

References

  1. Damasio AR. Aphasia. N Engl J Med 1992;326(8):531-9. https://doi.org/10.1056/NEJM199202203260806
  2. Berthier ML. Poststroke aphasia: epidemiology, pathophysiology and treatment. Drugs Aging 2005;22(2):163-82. https://doi.org/10.2165/00002512-200522020-00006
  3. Juttler E, Steiner T. Treatment and prevention of spontaneous intracerebral hemorrhage: comparison of EUSI and AHA/ASA recommendations. Expert Rev Neurother 2007;7(10):1401-16. https://doi.org/10.1586/14737175.7.10.1401
  4. Bogousslavsky J, Van Melle G, Regli F. The Lausanne Stroke Registry: analysis of 1,000 consecutive patients with first stroke. Stroke 1988;19(9):1083-92. https://doi.org/10.1161/01.STR.19.9.1083
  5. Kertesz A. Recovery of aphasia. In: Feinberg TE, Farah MJ. editors. Behavioral neurology and neuropsychology. New York: McGraw-Hill; 1997, p. 167-82.
  6. Nouwens F, Visch-Brink EG, Van de Sandt-Koenderman MM, Dippel DW, Koudstaal PJ, de Lau LM. Optimal timing of speech and language therapy for aphasia after stroke: more evidence needed. Expert Rev Neurother 2015;15(8):885-93. https://doi.org/10.1586/14737175.2015.1058161
  7. Chapey R. Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2001, p. 235-45.
  8. Brady MC, Clark AM, Dickson S, Paton G, Barbour R. The impact of stroke-related dysarthria on social participation and implications for rehabilitation. Disabil Rehabil 2011;33(3):178-86. https://doi.org/10.3109/09638288.2010.517897
  9. Kertesz A. Aphasia and Associated Disorders: Taxonomy, Localization, and Recovery. New York: Grune and Stration: 1979.
  10. Kertesz A. The Western Aphasia Battery-Revised. New York: Grune &Stratton; 2015.
  11. Kim SJ, Shin JC, Kim DY, Kim H. Korean version of Stroke and Aphasia Quality of Life Scale-39 (KSAQOL-39): its validity and reliability. J Rehabil Res Dev 2012;16(4):245-65.
  12. Mayo NE, Korner-Bitensky NA, Becker R. Recovery time of independent function post-stroke. Am J Phys Med Rehabil 1991;70(1):5-12. https://doi.org/10.1097/00002060-199102000-00003
  13. Paolucci S, Antonucci G, Gialloreti LE, Traballesi M, Lubich S, Pratesi L, et al. Predicting stroke impatient rehabilitation outcome: the prominent role of neuropsychological disorders. Eur Neurol 1996;36(6):385-90. https://doi.org/10.1159/000117298
  14. Dalemans RJ, De Witte LP, Beurskens AJ, Van DH, Heuvel WJ, Wade DT. An investigation into the social participation of stroke survivors with aphasia. Disabil Rehabil 2010;32(20):1678-85. https://doi.org/10.3109/09638281003649938
  15. Alexander MP, Hillis AE. Aphasia. Handb Clin Neurol 2008;88:287-309. https://doi.org/10.1016/S0072-9752(07)88014-6
  16. Okuda B, Kawabata K, Tachibana H, Sugita M, Tanaka H. Postencephalitic pure anomic aphasia: 2-year follow-up. J Neurol Sci 2001;187(1-2):99-102. https://doi.org/10.1016/S0022-510X(01)00524-X
  17. Blumstein SE. Psycholinguistic Approaches to the Study of Syndromes and Symptoms of Aphasia. In: Neurobiology of Language. 1st ed. San Diego: Academic Press; 2015, p. 923-33.
  18. Shewan CM, Kertesz A. Reliability and validity characteristics of the Western Aphasia Battery (WAB). J Speech Hear Disord 1980;45(3):308-24. https://doi.org/10.1044/jshd.4503.308
  19. Kim LH, Park HC, You G, Jeong EH. A Critical Review on the Communication Disorders in Donguibogam. Commun Sci Dis 2006;11(3):113-28.
  20. Kang AR, Woo JM, Lee MR, Kim SB, Cho KH, Moon SK, et al. Two Case Studies of Scalp Acupuncture on Post-stroke Global Aphasia Patients. Korean J Intern Med 2016;37(2):265-72.
  21. Lee HG, Son JH, Kang AR, Cho KH, Moon SK, Jung WA. Cases of a Patient with Aphasia Treated with Traditional Korean Medicine and Speech Therapy. J Korean Orient Med 2015;spr;184-91.
  22. The Korean Acupuncture and Moxibustion Society Textbook Publishing community. The Textbook of Acupuncture and Moxibustion. Kyeonggi: Jipmundang; 2008, p. 41-51, 68, 308.
  23. Cho ZH, Kim KY, Kim HK, Lee BR, Kang CK, Na CS, et al. Correlation between Acupuncture Stimulation and Cortical Activation. J Acupunct Res 2001;18(3):105-13.
  24. Shin YJ, Park JH, Baek KM, Chang WS, Choi YK. An Evaluation of Effectiveness of Scalp Acupuncture on Post-stroke Dysarthria Group through Graphed Vowel Space. Korean J Intern Med 2008;29(2):413-20.
  25. Lee HG, Jung DJ, Choi YM, Yook TH, Song BY, Jeong SG, et al. A Systematic Literature Review on Clinical Research in Human Utilized Electroacupuncture in Korea. J Acupunct Res 2013;30(5):139-53. https://doi.org/10.13045/acupunct.2013053
  26. Zhao N, Zhang J, Qiu M, Wang C, Xiang Y, Wang H, et al. Scalp acupuncture plus low-frequency rTMS promotes repair of brain white matter tracts in stroke patients: A DTI study. J Integr Neurosci 2018;17(1):125-39. https://doi.org/10.3233/JIN-170043
  27. Selenge G. The Effect of Scalp Acupuncture and rTMS on Neuromotor Function in Photothrombotic Stroke Rat Model. Master's Thesis. Chonnam National University 2015:31.
  28. Jang IH, Moon ID, Jang J, Lee SH. A comparative study on Scalp Acupuncture Treatment for Aphasia induced Acute Stroke. Zhongguo Zhen Jiu 1993;3:6-8.
  29. Lee SK, Song IB. The Discourse on the Constitutional Symptoms and Diseases of Sansangin on the Dongyi Suse Bowon. J Sasang Constitut Med 1999;11(2):16-22.

Cited by

  1. 뇌졸중 환자의 실어증에 대한 전침 치료 : 체계적 문헌 고찰 vol.42, pp.3, 2020, https://doi.org/10.22246/jikm.2021.42.3.323