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A Case of Syringomyelia with Back and Shoulder Pain

  • Choi, Hyun Young (Department of Acupuncture & Moxibustion Medicine, Semyung University Jecheon Hospital of Korean Medicine) ;
  • Jeong, Jae Eun (Department of Acupuncture & Moxibustion Medicine, Semyung University Jecheon Hospital of Korean Medicine) ;
  • Lee, Jae Sung (Department of Acupuncture & Moxibustion Medicine, Semyung University Chungju Hospital of Korean Medicine) ;
  • Park, Jang Mi (Department of Acupuncture & Moxibustion Medicine, Semyung University Chungju Hospital of Korean Medicine) ;
  • Lee, Cham Kyul (Department of Acupuncture & Moxibustion Medicine, Semyung University Chungju Hospital of Korean Medicine) ;
  • Lee, Eun Yong (Department of Acupuncture & Moxibustion Medicine, Semyung University Chungju Hospital of Korean Medicine) ;
  • Jo, Na Young (Department of Acupuncture & Moxibustion Medicine, Semyung University Jecheon Hospital of Korean Medicine) ;
  • Roh, Jeong Du (Department of Acupuncture & Moxibustion Medicine, Semyung University Jecheon Hospital of Korean Medicine)
  • 투고 : 2018.11.09
  • 심사 : 2018.12.28
  • 발행 : 2019.02.28

초록

The purpose of this study was to describe the treatment of the clinical symptoms of syringomyelia using Korean medicine. A patient with syringomyelia complained of back and shoulder pain, numbness of the upper right limb, headaches and dyspnea. He was treated with herbal medicine, acupuncture, moxibustion, and physical therapy. The Visual analog scale (VAS) was used to score sensory symptoms (pain, numbness) and Modified Borg scale (mBorg) was used to score dyspnea. After the treatment, his symptoms were relieved. The patient's chief complaint was back and shoulder pain which was reduced greatly from a VAS score of 6 between 1-2. The results in this study may contribute to the development of the Korean medicine field of syringomyelia in the future.

키워드

참고문헌

  1. Sgouros S, Williams B. Management and outcome of posttraumatic syringomyelia. J Neurosurg 1996;85:197-205. https://doi.org/10.3171/jns.1996.85.2.0197
  2. Oh YK, Choi YG, Lee KW, Ko WI, Park IS, Baik MW, et al. Post-Traumatic Syringomyelia Treated with Expansile Duraplasty and Syringosubarachnoid Shunt : Case Report. J Korean Neurosurg Soc 2000;29:1389-1395. [in Korean].
  3. Kang JW, Im BI. Original Articles : Clinical Observation on Syringomyelia. Korean J Med 1971;14:27-32. [in Korean].
  4. Cohodarevic T, Mailis A, Montanera W. Syringomyelia: Pain, sensory abnormalities, and neuroimaging. J Pain 2000;1:54-66. https://doi.org/10.1016/S1526-5900(00)90088-9
  5. Lindsay KW, Bone I, Fuller G. Neurology and neurosurgery illustrated, 4th ed. Seoul (Korea): EPUBLIC; 2006. p. 562-564.
  6. Lyons BM, Brown DJ, Calvert JM, Woodward JM, Wriedt CHR. The diagnosis and management of post traumatic syringomyelia. Paraplegia 1987;25:340-350.
  7. Rossier AB, Foo D, Shillito J, Dyro FM. Posttraumatic cervical syringomyelia. Incidence, clinical presentation, electrophysiological studies, syrinx protein and results of conservative and operative treatment. Brain 1985;108:439-461. https://doi.org/10.1093/brain/108.2.439
  8. Hwang EH, Kim JY. A Clinical Report on Cervical Syringomyelia Treated by Oriental Medicine Therapy, 1 Case Report. J Oriental Rehab Med 2005;15:187-194. [in Korean].
  9. Ball MJ, Dayan AD. Pathogenesis of syringomyelia. Lancet 1972;300:799-801. https://doi.org/10.1016/S0140-6736(72)92152-6
  10. B Williams. On the pathogenesis of syringomyelia: a review. J R Soc Med 1980;73:798-806. https://doi.org/10.1177/014107688007301109
  11. Gardner WJ. Hydrodynamic mechanism of syringomyelia: Its relationship to myelocele. J Neurol Neurosurg Psychiatry 1965;28:247-259. https://doi.org/10.1136/jnnp.28.3.247
  12. Hadley DM. The Chiari malformations. J Neurol Neurosurg Psychiatry 2002;72:ii38-ii40.
  13. Umbach I, Heilporn A. Review article: post-spinal cord injury syringomyelia. Paraplegia 1991;29:219-221.
  14. Sgouros S, Williams B. Management and outcome of posttraumatic syringomyelia. J Neurosurg 1996;85:197-205. https://doi.org/10.3171/jns.1996.85.2.0197
  15. Bohlman HH, Ducker TB, Lucas JT. Spine and spinal cord injury. In: The spine, 2nd ed. Philadelphia (PA): WB Saunders; 1982. p. 661-756.
  16. Barbaro NM, Wilson CB, Gutin PH, Edwards MS. Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting. J Neurosurg 1984;61:531-538. https://doi.org/10.3171/jns.1984.61.3.0531
  17. Rusbridge C, Jeffery ND. Pathophysiology and treatment of neuropathic pain associated with syringomyelia. Vet J 2008;175:164-172. https://doi.org/10.1016/j.tvjl.2006.12.007
  18. Jung BH, Jo JH, Choi SP, Na HW, Kim KW. Case Report of Syringomyelia with Herniated Intervertebral Disc of Cervical Spine Treated by Korean Medicine Therapy. The Journal of Korea CHUNA manual medicine for spine & nerves 2013;8:97-104. [in Korean].
  19. Yoo HJ, Kim MK, Lee DH, Park J, Lee HH, Jeong SH. Case Report of Syringomyelia with Herniated Intervertebral Disc of Cervical Spine Treated by Korean Medicine Therapy. The Journal of Korea CHUNA manual medicine for spine & nerves 2015;10:107-116. [in Korean].
  20. Park SM, Kang BG, Han DJ, Lee JW, Kim HY, Lee I, et al. Case Report of Sensory Disturbance with Suspicious Syringomyelia. Korean J. Oriental Physiol Pathol 2008;22:246-251. [in Korean].