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KMID : 0363320190400050920
Journal of Korean Oriental Internal Medicine
2019 Volume.40 No. 5 p.920 ~ p.928
Korean Medical Treatment of Cognitive Impairments after Traumatic Epidural Hemorrhage: A Case Report
Song Joo-Yeon

Kim Young-Ji
Kim Hak-Kyeom
Hong Seung-Cheol
Park Song-Won
Ahn Lib
Jung Ji-Chun
Abstract
Objectives: After epidural hemorrhage, sequelae may cause cognitive impairments, such as attention, memory, and performance disturbances. This case study reports on the use of traditional Korean medicine in a patient with cognitive impairments after a traumatic epidural hemorrhage.

Methods: During the 46-day hospitalization period, traditional Korean medicine treatments, including Sunkihwalhyul-tang-gamibang, Ukgan-san-gajinpibanha Granule, Kyungohk-go, acupuncture, and cupping, were administered. The degree of cognitive impairment was measured based on the Mini Mental State Examination-Korea (MMSE-K), Modified Barthel Index (MBI), and correct answer ratio.

Results: After traditional Korean medicine treatment, the MMSE-K score increased from 13 to 19 and the MBI score increased from 63 to 71. The patient¡¯s conversations in daily life also proceeded more smoothly than before hospitalization, and the correct answer ratio rose.

Conclusion: This case reports the improvement of cognitive impairment after traumatic epidural hemorrhage in response to traditional Korean medicine treatment; further study is needed.
KEYWORD
traumatic epidural hemorrhage, cognitive impairments, Sunkihwalhyul-tang, Ukgan-san-gajinpibanha, case report
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