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KMID : 0363320190400050938
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Journal of Korean Oriental Internal Medicine
2019 Volume.40 No. 5 p.938 ~ p.947
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A Patient with a Diagnosis of Spinal Neurofibroma and Complaining of Lower Back Pain: A Case Report, Including Two Follow-ups after Discharge
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Moon Hee-Young
Ryu Gwang-Hyun
Ju Ah-Ra
Choi Yo-Sup
Choo Won-Jung
Park Ji-Won
Kim Doo-Ri
Jeon Yong-Hyun
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Abstract
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Objective: This study was performed to report the changes in symptoms and radiological consequences of a patient diagnosed with spinal neurofibroma and complaining of lower back pain.
Methods: The patient was diagnosed with a spinal neurofibroma after MRI examination and was treated with traditional Korean medicine, including traditional Korean medication and acupuncture. We measured the change in symptom severity using a numerical rating scale (NRS) and the Oswestry Disability Index (ODI). We also used the EQ-5D (EuroQoL-5D) scale to assess the patient’s quality of life. In addition, we examined the change in the size of the cyst by MRI twice after discharge: at about 3 months after discharge and at about 8 months after discharge.
Results: After about 6 weeks of treatment, most pathological symptoms had decreased. The patient showed a decline in NRS and ODI scores and showed an increase in quality of life. The two MRI examinations after the discharge revealed a decrease in the size of the cyst.
Conclusions: Traditional Korean medicine can be a solution for patients with spinal neurofibroma causing neurological pain.
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KEYWORD
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neurofibroma, spinal neurofibroma, MRI examination, traditional Korean medicine
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