KMID : 1145020230400010078
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Journal of Acupuncture Research 2023 Volume.40 No. 1 p.78 ~ p.89
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Effect of Complex Korean Medical Treatment on Spinal Epidural Hematoma: A Case Report
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Choi Youn-Young
Kim Young-Kyung Won Eun-Sol Park Chae-Hyun Ryu Hwa-Yeon Kang Jae-Hui Lee Hyun
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Abstract
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This paper presents the clinical outcome of an 82-year-old female who experienced sudden back pain combined with lower limb paresthesia and weakness after epidural steroid injection. The magnetic resonance imaging of the thoracolumbar spine showed a spinal epidural hematoma (SEH) extending from T8 to L4. She was treated non-operatively in the traditional Korean medicine (TKM) hospital. The patient¡¯s progress was assessed using the Numerical Rating Scale (NRS), American Spinal Injury Association (ASIS), Spinal Cord Independence Measure version III (SCIM III), and self-reported symptoms. During the 22-day hospitalization period, the NRS score decreased from 7 to 2 points, the motor score on the ASIS scale increased from 65 to 95 points. The subjective sense of lower extremities was felt by 1 increased to 8. The SCIM III score increased from 32 to 69 points. These results suggest that TKM could effectively reduce pain and aid the rehabilitation of patients with SEH.
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KEYWORD
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Acupuncture, Korean traditional medicine, Spinal epidural hematoma, Spinal injury
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