[논문]뇌동맥류 파열로 인한 지주막하 출혈 환자에서 중재적 치료 후 조절되지 않은 두통 치험 1례

김은미; 김기태

doi:10.22246/jikm.2021.42.2.197

뇌동맥류 파열로 인한 지주막하 출혈 환자에서 중재적 치료 후 조절되지 않은 두통 치험 1례
Case Report of Korean Medicine Treatment for a Patient with an Aneurysmal Subarachnoid Hemorrhage 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.2, 2021년, pp.197 - 206

김은미 (세명대학교 부속 제천한방병원 내과학교실) , 김기태 (세명대학교 부속 제천한방병원 내과학교실)

Abstract ▼ AI-Helper

Subarachnoid hemorrhage (SAH) is a disease that causes bleeding in the subarachnoid space; 70%-80% of nontraumatic subarachnoid hemorrhages are caused by saccular aneurysms. If the patient has already experienced a ruptured aneurysm that causes subarachnoid bleeding, rebleeding can result in a high mortality rate and serious sequelae. Therefore, if the patient can undergo surgical or interventional treatment, it should always be performed. This patient was diagnosed with acute aneurysmal subarachnoid hemorrhage and hydrocephalus. The patient was hospitalized for uncontrolled headache and vertigo after aneurysm coil embolization and ventriculoperitoneal shunting. The patient was treated with Yangkyuksanwha-tang and acupuncture and was observed with a symptom checklist for 25 days. Headache improved, from a visual analog scale (VAS) score of 7 to 0. Vertigo also improved, from a numeric rating scale (NRS) of 6 to 2, and the vertigo pattern changed from rotational to nonrotational. This case suggests that Korean medicine treatment is helpful in managing subarachnoid hemorrhage sequelae.

주제어

표/그림 (6)

그림 Fig. 1. Timeline of case.
표 Table 1. Composition of Yangkyuksanwha-tang
그림 Fig. 2. Progress of headache and vertigo. Headache was indicated by VAS, and vertigo was indicated by NRS.
그림 Fig. 3. Brain computed tomography (2020-09-16).
그림 Fig. 4. Brain computed tomography (2020-09-28).
그림 Fig. 5. Brain computed tomography (2020-10-06).

참고문헌 (19)

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