Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Korean Medicine for Gait Disturbance Accompanying Lower Limb Rigidity Caused by Bleeding of Spinal Cavernous Hemangioma: A Case Report

척추 해면상 혈관종 출혈로 인해 발생한 하지 강직감을 동반한 보행 장애에 대한 한의학 치료의 효과: 증례보고

  • Hyunjin Choi (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seung Ho Yu (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sangjoon An (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seyun Kim (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woochul Shin (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jae-Heung Cho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Won-Seok Chung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Mi-Yeon Song (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hyungsuk Kim (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 최현진 (경희대학교 대학원 임상한의학과) ;
  • 유승호 (경희대학교 대학원 임상한의학과) ;
  • 안상준 (경희대학교 대학원 임상한의학과) ;
  • 김세윤 (경희대학교 대학원 임상한의학과) ;
  • 신우철 (경희대학교 대학원 임상한의학과) ;
  • 조재흥 (경희대학교 대학원 임상한의학과) ;
  • 정원석 (경희대학교 대학원 임상한의학과) ;
  • 송미연 (경희대학교 대학원 임상한의학과) ;
  • 김형석 (경희대학교 대학원 임상한의학과)
  • Received : 2023.09.26
  • Accepted : 2023.10.20
  • Published : 2023.10.31
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Abstract

This case study showed improvement both in pain and gait disturbance caused by SCH. KM can be a positive treatment for reducing pain or improving gait disturbance caused by SCH, and it can be considered a treatment option for SCH. Future studies with a larger number of cases and longer period of follow-up in SCH with gait disturbance and rigidity are needed.

해면상 혈관종(cavernous hemangioma)은 인체 내 다양한 장기나 기관에서 발생할 수 있는 혈관기형으로, 순수 경막외 해면상 혈관종(pure epidural cavernous hemangioma)은 해면상 혈관종의 드문 경우에 속한다. 해면상 혈관종이 원인이 되어 발생한 증상에 한의학 치료를 적용한 연구가 드물게 보고되었으나, 순수 해면상 혈관종의 출혈로 인한 증상에 대한 것은 없었기에 관련 임상증례를 보고하고자 한다. 척추의 순수 해면상 혈관종으로 진단받은 51세 남성이 2022년도에 해면상 혈관종 출혈로 인해 발생한 보행장애에 대해 치료를 받기 위해 한방병원을 방문하였다. 척추의 순수해면상 혈관종 출혈로 인해 발생한 보행장애 환자는 침 치료, 전기 침 치료, 온침 치료, 한약, 추나, 뜸, 부항 치료를 시행 받았다. 평가지표는 25 foot walk test (25FW), timed up and go test (TUG), comfortable gait speed tests (CGS), 요통과 하지 통증에 대한 numeral rating scale (NRS), Berg balance score (BBS), Tinneti-score, manual muscle test (MMT), EuroQol-five dimension (EQ-5D), EQ-5D visual analog scale (EQ-5D VAS)이었으며, 25FW, TUG, CGS, NRS, BBS, EQ-5D (VAS)에서는 치료 후 호전을 보인 반면, Tinetti Score, MMT, EQ-5D의 지표는 치료 후에도 동일하게 유지되었다. 한의학은 척추 해면상 혈관종의 출혈로 인해 발생한 보행장애나 하지 강직감에 대한 치료의 한 방안으로 고려될 수 있다.

Keywords

References

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