Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Filum Terminale Lipoma with Herniated Intervertebral Disc Treated with Traditional Korean Medicine: A Case Report

  • Kim, Sang-Gyun (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Park, Ju-Hun (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Park, Han-Bin (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Yoo, Dong-Hwi (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Jang, Won-Suk (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Shin, Won-Bin (Department of Internal Medicine of Korean Medicine, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Choi, Kang-Eah (Department of Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Cho, Hyun-Woo (Department of Rehabilitation Medicine of Korean Medicine, Haeundae Jaseng Hospital of Korean Medicine)
  • Received : 2020.04.27
  • Accepted : 2020.08.26
  • Published : 2020.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Filum terminale lipoma is an inherited lumbosacral abnormality that can cause tethered cord syndrome. This report describes an unusual case of lumbago and sciatica, pain suspected to be caused by a filum terminale lipoma where a herniated intervertebral disc had occurred. The patient was hospitalized for 43 days and received integrative Korean medicine treatment, including acupuncture, pharmacopuncture, Chuna therapy, cupping therapy, physiotherapy and herbal medicine. Treatment effectiveness was assessed using the numerical rating scale, Oswestry Disability Index, European Quality of Life 5-Dimensions, and patient symptoms. After inpatient treatment, the pain the patient suffered was significantly reduced, and the evaluation indices scores reflected this. Integrative Korean remedies may be an effective option for lower back pain and lower extremity symptoms which are caused by filum terminale lipoma where a herniated intervertebral disc has occurred. Additional clinical research is required to support this observation.

Keywords

References

  1. Cools MJ, Al-Holou WN, Stetler WR Jr, Wilson TJ, Muraszko KM, Ibrahim M et al. Filum terminale lipomas: Imaging prevalence, natural history, and conus position. J Neurosurg Pediatr 2014;13:471-588. https://doi.org/10.3171/2014.2.PEDS13487
  2. Hayashi T, Kimiwada T, Kohama M, Shirane R, Tominaga T. Minimally Invasive Surgical Approach to Filum Lipoma. Neurol Med Chir 2018;58:132-137. https://doi.org/10.2176/nmc.oa.2017-0200
  3. Usami K, Lallemant P, Roujeau T, James S, Beccaria K, Levy R et al. Spinal lipoma of the filum terminale: review of 174 consecutive patients. Childs Nerv Syst 2016;32:1265-1272. https://doi.org/10.1007/s00381-016-3072-8
  4. Jeon JA, Yoo WJ, Lim YS, Kim YJ, Lee EJ, Sung MS et al. Fat-Containing Lesions in Vertebrae and Spinal Canal: A Pictorial Review. J Korean Radiol Soc 2007;56:1-12. [in Korean]. https://doi.org/10.3348/jkrs.2007.56.1.1
  5. Jackson C, Yang BW, Bi WL, Chiocca EA, Groff MW. Adult Tethered Cord Syndrome Following Chiari Decompression. World Neurosurg 2018;112:205-208. https://doi.org/10.1016/j.wneu.2018.01.165
  6. Lew SM, Kothbauer KF. Tethered cord syndrome: An Updated Review. Pediatr Neurosurg 2007;43:236-248. https://doi.org/10.1159/000098836
  7. Ha IH, Park WS, Woo I, Kim HN, Kho DH, Yoon YS. Correlation between Horizontal Visual Analogue Scale, Vertical Visual Analogue Scale and Numerical Rating Scale for Pain Measurement. J Orient Med Rehabil 2006;16:125-133. [in Korean].
  8. Kim SH, Jo MW, Ahn J, Shin S, Park J, Ock M et al. The EQ-5D-5L valuation study in Korea. Qual Life Res 2016;25:1845-1852. https://doi.org/10.1007/s11136-015-1205-2
  9. Kim DY, Lee SH, Lee HY, Lee HJ, Chang SB, Chung SK et al. Validation of the Korean Version of the Oswestry Disability Index. Spine 2005;30:123-127. https://doi.org/10.1097/01.brs.0000148999.21492.53
  10. Drake JM. Surgical management of the tethered spinal cord-walking the fine line. Neurosurg Focus 2007;23:E4. https://doi.org/10.3171/FOC-07/08/E4
  11. Jung JH, Kim WW, Seong IH, Lee KS, Cho CY, Kum CJ et al. The Study on Effectiveness of Oriental Medicine Treatment for Lumbar Disc Herniation Inpatients on 208 Cases. J Orient Rehabil Med 2013;23:77-86. [in Korean].
  12. Kim HJ, Lee SH, Choi JH, Noh JH, Kim MY, Jang JW et al. Effects of Traditional Korean Medicine Treatment on Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study. J Acupunct Res 2017;34:172-179. https://doi.org/10.13045/jar.2017.02215
  13. Chung HJ, Lee HS, Shin JS, Lee SH, Park BM, Youn YS et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both invitro and in vivo animal models. J Ethnopharmacol 2010;130:450-459. https://doi.org/10.1016/j.jep.2010.05.020
  14. Cho HK, Kim SY, Choi MJ, Baek SO, Kwan SG, Ahn SH. The Effect of GCSB-5 a New Herbal Medicine on Changes in Pain Behavior and Neuroglial Activation in a Rat Model of Lumbar Disc Herniation. J Korean Neurosurg Soc 2016;59:98-105. https://doi.org/10.3340/jkns.2016.59.2.98
  15. Kim TH, Yoon SJ, Lee WC, Kim JK, Shin JS, Lee SH et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J Ethnopharmacol 2011;136:297-304. https://doi.org/10.1016/j.jep.2011.04.037
  16. Kalichman L, Vulfsons S. Dr y needling in the management of musculoskeletal pain. J Am Board Fam Med 2010;23:640-646. https://doi.org/10.3122/jabfm.2010.05.090296
  17. Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M et al. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med 2018;18:115. https://doi.org/10.1186/s12906-018-2187-8
  18. Lee NW, Kim GH, Heo I, Kim KW, Ha IH, Lee JH et al. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med 2017;2017:8218139.