The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Delayed Neuropsychiatric Sequalae with Reversible Quadriplegia after Carbon Monoxide Intoxication : A Case Report

일산화탄소에 기인한 Delayed Neuropsychiatric Sequalae 환자에서 발생한 사지 불완전마비 증례보고 1례

  • Ryu, Ju Young (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Min Ji (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Kang Wook (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Cho, Hyun Kyoung (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Yoo, Ho Ryong (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Seol, In Chan (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Yoon Sik (Department of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University)
  • 유주영 (대전대학교 한의과대학 심계내과학교실) ;
  • 김민지 (대전대학교 한의과대학 심계내과학교실) ;
  • 이강욱 (대전대학교 한의과대학 심계내과학교실) ;
  • 조현경 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실)
  • Received : 2018.07.27
  • Accepted : 2018.09.07
  • Published : 2018.09.30
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Abstract

Carbon monoxide poisoning leads to hypoxia, which eventually leads to tissue ischemia. The delayed neuropsychiatric syndrome can arise in the period from 4 days to 5 weeks following carbon monoxide poisoning. This case report describes a male who suffered from delayed sequelae after self-inflicted carbon monoxide poisoning. At the time of admission, he had symptoms of quadriplegia, both upper limb ankylosis, gait disturbance, and dysuria. He was treated with acupuncture, electro-acupuncture, physical therapy, and Uwhangchungsim-won. Paraplegia improved considerably after 7 days in hospital, and paralysis of the both upper extremities improved after 14 days in hospital. He was able to walk holding on to his wheelchair after 28 days in hospital. He was hospitalized for 55 days and was discharged from the hospital in a fine condition for everyday life. This case report suggests the possibility that korean medicine for delayed neuropsychiatric syndrome.

Keywords

References

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