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http://dx.doi.org/10.22246/jikm.2018.39.5.1061

Korean Medical Treatment for Prolonged Central Hyperthermia Following Pontine Hemorrhage: A Case Report  

Yi, Chan-sol (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Park, Song-won (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Hong, Seungcheol (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Kim, Youngji (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Song, Juyeon (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Lee, Jeong-yun (Dept. of Brain and Cognitive Sciences, College of Natural Sciences, Seoul National University)
Shin, Gil-cho (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk university)
Choi, Dong-jun (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
Publication Information
The Journal of Internal Korean Medicine / v.39, no.5, 2018 , pp. 1061-1067 More about this Journal
Abstract
A patient had central fever following pontine hemorrhage. Central hyperthermia caused by stroke is a rare case, and it is difficult to control. There are few case reports about central hyperthermia in Korean medical treatment (KMT). The patient suffered central hyperthermia accompanied by tachycardia, dyspnea, and irritability. However, there was no evidence of infection. Thus, hypnotics, sedatives, and a minor tranquilizer (Lorazepam and Midazolam) was prescribed. Despite a temperature peak of $39.9^{\circ}C$, most of the symptoms were alleviated. The patient's average body temperature was about $37^{\circ}C$, which is higher than most people at $36.5^{\circ}C$. His symptoms were diagnosed as ascendant hyperactivity of liver Yang (肝陽上亢), and the patient was prescribed Shihogayonggolmoryo-tang. During the 44 days of KMT, there was no change in his average body temperature and no central hyperthermia over $39^{\circ}C$. This case report demonstrates the possibility of controlling central hyperthermia caused by pontine hemorrhage using KMT.
Keywords
central hyperthermia; ascendant hyperactivity of liver Yang; pontine hemorrhage; Korean medical treatment; case report;
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