The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Case Report of Korean Medicine Treatment for a Patient with an Aneurysmal Subarachnoid Hemorrhage

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

  • Kim, Eun-mi (Dept. of Internal Medicine of Clinical Korean Medicine, Se-Myung University Jecheon Hospital) ;
  • Kim, Ki-tae (Dept. of Internal Medicine of Clinical Korean Medicine, Se-Myung University Jecheon Hospital)
  • 김은미 (세명대학교 부속 제천한방병원 내과학교실) ;
  • 김기태 (세명대학교 부속 제천한방병원 내과학교실)
  • Received : 2021.03.26
  • Accepted : 2021.06.02
  • Published : 2021.05.30
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Abstract

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.

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References

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