The Clinical Study on Motor Power and Sensory Improvement of Paraplegia due to Spinal Subdural Hematoma with Korean Medical Treatments: A Case Report

Se Jung Oh; Seong Chul Lim; Yun Kyu Lee; Jae Soo Kim; Hyun Jong Lee

doi:10.13045/acupunct.2014046

J Acupunct Res > Volume 31(3); 2014 > Article

Oh, Lim, Lee, Kim, and Lee: The Clinical Study on Motor Power and Sensory Improvement of Paraplegia due to Spinal Subdural Hematoma with Korean Medical Treatments: A Case Report

Case Report

The Acupuncture 2014; 31(3): 83-90.

Published online: September 20, 2014

DOI: https://doi.org/10.13045/acupunct.2014046

The Clinical Study on Motor Power and Sensory Improvement of Paraplegia due to Spinal Subdural Hematoma with Korean Medical Treatments: A Case Report

Se Jung Oh, Seong Chul Lim, Yun Kyu Lee, Jae Soo Kim, Hyun Jong Lee^*

Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Daegu Hanny University

^*Corresponding author : Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Daegu Hanny University, 136, Sincheondong-ro, Suseong-gu, Daegu, 706-828, Republic of Korea, Tel : +82-53-770-2115, E-mail : whiteyyou@nate.com

Received August 12, 2014 Revised August 26, 2014 Accepted August 28, 2014

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Objectives :

The objective of this study is to report the clinical effects of Korean medical treatment for spinal subdural hematoma associated with anticoagulant drug.

Methods :

The patients were treated using acupuncture, electroacupuncture, herbal medication, moxibustion and physical treatment. And we checked American Spinal Injury Association scale, Spinal Cord Independence Measure Version III.

Results :

Motor score on the American Spinal Injury Association scale is increased 50 to 72. Sensory score on the American Spinal Injury Association scale is increased 124 to 170. Spinal Cord Independence Measure Version III is increased 18 to 26.

Conclusions :

This study suggest that Korean medical treatments are effective to spinal subdural hematoma patient.

Key Words: Spinal subdural hematoma; Paraplegia; Korean medical treatment.

Fig. 1.

Magnetic resonance imaging scan of cervical-thoracic spine sagittal view

Upper 3 pictures are T2-weighted, lower 3 pictures are T1-weighted.

(A) is right, (B) is central, (C) is left cut.

Fig. 2.

Magnetic resonance imaging scan of cervical-thoracic spine axial view

Upper 3 pictures are T2-weighted, lower 3 pictures are T1-weighted.

Table 1.

The Change of American Spinal Injury Association (ASIA)

	Date	3. 4	3. 25	4. 11	4. 22	5. 5	5. 26	7. 7	7. 28
ASIA impairment scale		B	C	C	C	C	C	C	C
Motor	Upper limb	50	50	50	50	50	50	50	50
Motor	Lower limb	0	3	10	11	14	15	17	22
	Total	50	53	60	61	64	65	67	72
Sensory	Light touch	68	75	75	75	82	82	82	84
Sensory	Pin prick	66	66	66	66	84	84	84	86
	Total	124	131	131	131	166	166	166	170

Table 2.

The Change of Spinal Cord Independence Measure III (SCIM III)

Date	3. 4	3. 25	4. 11	4. 22	5. 5	5. 26	7. 7	7. 28
Selfcare	8	8	8	8	8	8	9	9
Respiration and sphincter management	10	10	10	10	10	10	10	10
Mobility	0	0	0	0	0	2	6	7
Total	18	18	18	18	18	20	25	26

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