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

Article information

Acupunct. 2014;31(3):83-90
Publication date (electronic) : 2014 September 20
doi : https://doi.org/10.13045/acupunct.2014046
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 2014 August 12; Revised 2014 August 26; Accepted 2014 August 28.

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.

Keywords: 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.

The Change of American Spinal Injury Association (ASIA)

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

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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.

Fig. 1.

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.

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
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
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