대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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보행장애와 치매를 주소로 하는 외상 후 수두증 환자의 한의 복합치료 1례

A Case Report of Korean Medicine Treatment for a Post-traumatic Hydrocephalus Patient Complaining of Gait Disturbance and Dementia

  • 정솔 (원광대학교 한의과대학 내과학교실) ;
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 황지현 (원광대학교 한의과대학 내과학교실) ;
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 전혜수 (원광대학교 한의과대학 침구의학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실)
  • Sol Jeong (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Hyo-won Jin (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Ji-hyun Hwang (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jeong-rim Bak (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Hye-soo Jeon (Dept. of Acupuncture and Moxibustion Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Byung-soon Moon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jong-min Yun (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 투고 : 2023.02.28
  • 심사 : 2023.04.04
  • 발행 : 2023.03.30
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초록

Objective: This clinical study describes the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia. Case presentation: A post-traumatic hydrocephalus patient complaining of gait disturbance and dementia was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After treatment, the patient showed improved K-MMSE, FIM, and MBI scores. Conclusion: This clinical case study provides evidence of the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia.

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참고문헌

  1. Sarkari A, Gupta DK, Sinha S, Kale SS, Mahapatra AK. Post-traumatic hydrocephalus: Presentation, management and outcome - An apex trauma centre experience. Indian J Neurotrauma 2010;07(2):135-8. doi:10.1016/S0973-0508(10)80028-0
  2. Guyot LL, Michael DB. Post-traumatic hydrocephalus. Neurol Res 2000;22(1):25-8. doi:10.1080/01616412.2000.11741034
  3. Iaccarino C, Carretta A, Nicolosi F, Morselli C. Epidemiology of severe traumatic brain injury. J Neurosurg Sci 2018;62(5):535-41. doi:10.23736/S0390-5616.18.04532-0
  4. Ojemann RG, Fisher CM, Adams RD, Sweet WH, New PFJ. Further Experience with the Syndrome of "Normal" Pressure Hydrocephalus. J Neurosurg 1969;31(3):279-94. doi:10.3171/jns.1969.31.3.0279
  5. Marmarou A, Foda MAAE, Bandoh K, Yoshihara M, Yamamoto T, Tsuji O, et al. Posttraumatic ventriculomegaly: hydrocephalus or atrophy? A new approach for diagnosis using CSF dynamics. J Neurosurg 1996;85(6):1026-35. doi:10.3171/jns.1996.85.6.1026
  6. Reddy GK. Ventriculoperitoneal shunt surgery and the incidence of shunt revision in adult patients with hemorrhage-related hydrocephalus. Clin Neurol Neurosurg 2012;114(9):1211-6. doi:10.1016/j.clineuro.2012.02.050
  7. Tribl G, Oder W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus. Brain Inj 2000;14(4):345-54. doi:10.1080/026990500120637
  8. Wen L, Wan S, Zhan RY, Li G, Gong JB, Liu WG, et al. Shunt implantation in a special sub-group of post-traumatic hydrocephalus-patients have normal intracranial pressure without clinical representations of hydrocephalus. Brain Inj 2009;23(1):61-4. doi:10.1080/02699050802635265
  9. Chen Q, Feng Z, Tan Q, Guo J, Tang J, Tan L, et al. Post-hemorrhagic hydrocephalus: Recent advances and new therapeutic insights. J Neurol Sci 2017;375:220-30. doi:10.1016/j.jns.2017.01.072
  10. Rufus P, Moorthy RK, Joseph M, Rajshekhar V. Post Traumatic Hydrocephalus: Incidence, Pathophysiology and Outcomes. Neurol India 2021;69(Supplement):S420-8. doi:10.4103/0028-3886.332264
  11. Choi YJ, Bae YR, Shin SM, Kim KT, Ko H. A Case Report of Treatment for Aphasia in Patients with Cerebral Infarction with Hydrocephalus. J Korean Orient Intern Med 2020;41(1):97-110. doi:10.22246/jikm.2020.41.1.97
  12. Park JB, Kim TY, O MK, Ha KS, Shin HS. A case report of pediatric patient with five retardations and five flaccidities caused by hydrocephalus. J Pediatr Korean Med 2006;20(3):1-10.
  13. An JW, Kim JY. A Clinical Study of Patient with Hydrocephalus caused by Post Traumatic Brain Injury. J Oriental Rehab Med 2002;12(1):9-16.
  14. Young JH, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke. Ann Rehabil Med 2007;31(3):283-97.
  15. Stineman MG, Shea JA, Jette A, Tassoni CJ, Ottenbacher KJ, Fiedler R, et al. The Functional Independence Measure: tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories. Arch Phys Med Rehabil 1996;77(11):1101-8. doi:10.1016/s0003-9993(96)90130-6
  16. Kang Y, Na D, Hahn S. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. Published online April 1, 1997. Accessed February 27, 2023. https://www. semanticscholar.org/paper/A-validity-study-onthe-Korean-Mini-Mental-State-in-Kang-Na/d b0e738e930c49d726b1c0ae98735b02a8be6c16
  17. Duinkerke A, Williams MA, Rigamonti D, Hillis AE. Cognitive Recovery in Idiopathic Normal Pressure Hydrocephalus After Shunt. Cogn Behav Neurol 2004;17(3):179-84. doi:10.1097/01.wnn.0000124916.16017.6a
  18. Park B, Hong SC, Park SW, Yi CS, Ha YK, Choi DJ. Herbal medicine for hemorrhage-related hydrocephalus: A systematic review of randomised controlled trials. Complement Ther Med 2018;39:146-53. doi:10.1016/j.ctim.2018.06.003
  19. Andren K, Wikkelso C, Tisell M, Hellstrom P. Natural course of idiopathic normal pressure hydrocephalus. J Neurol Neurosurg Psychiatry 2014;85(7):806-10. doi:10.1136/jnnp-2013-306117
  20. Krauss JK, Halve B. Normal pressure hydrocephalus: survey on contemporary diagnostic algorithms and therapeutic decision-making in clinical practice. Acta Neurochir (Wien) 2004;146(4):379-88;discussion 388. doi:10.1007/s00701-004-0234-3
  21. Toma AK, Papadopoulos MC, Stapleton S, Kitchen ND, Watkins LD. Systematic review of the outcome of shunt surgery in idiopathic normal-pressure hydrocephalus. Acta Neurochir (Wien) 2013;155(10):1977-80. doi:10.1007/s00701-013-1835-5
  22. Trungu S, Scollato A, Ricciardi L, Forcato S, Polli FM, Miscusi M, et al. Clinical Outcomes of Shunting in Normal Pressure Hydrocephalus: A Multicenter Prospective Observational Study. J Clin Med 2022;11(5):1286. doi:10.3390/jcm11051286