A Case Report of Oculomotor Palsy Associated with Stent-Assisted Coil Embolization of Cerebral Aneurysm

Abstract

Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.

A Case Report of Quadriparesis due to Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Cerebral Aneurysm Rupture Improved after Treated with Korean Medicine Treatment Including <italic>Tonggyuhwalhyeol-tang-gagambang</italic>

“…한의학에서는 뇌출혈 후유증을 중풍(中風)의 범 주에서 화열증(火熱證), 습담증(濕痰證), 음허증(陰 虛證), 기허증(氣虛證)으로 분류하여 치료하고 9 , 중 풍에 활혈화어치법(活血化瘀治法)을 적용하는 연구 가 이뤄지고 있다 10,11 . 최근 뇌동맥류 및 지주막하 출혈에 대한 한의치료 증례보고는 중추성 통증, 반 코마이신 내성 장알균, 심부정맥혈전증, 현훈, 이 명, 동안신경마비 3례, 손발저림, 섬망과 인지저하, 두통으로, 사지마비에 대한 증례는 드물게 보고되 고 있다 [12][13][14][15][16][17][18][19][20][21][22] MMSE-K), 전반적퇴화척도(Global Deterioration Scale, GDS)를 시행하였다(Fig. 1).…”