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KMID : 0363320210420020197
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Journal of Korean Oriental Internal Medicine
2021 Volume.42 No. 2 p.197 ~ p.206
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Case Report of Korean Medicine Treatment for a Patient with an Aneurysmal Subarachnoid Hemorrhage
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Kim Eun-Mi
Kim Ki-Tae
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Abstract
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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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KEYWORD
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case report, aneurysmal subarachnoid hemorrhage, acute subarachnoid hemorrhage, headache, vertigo, Yangkyuksanwha-tang, Korean medicine treatment
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