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A Case Report on Cervicogenic Dizziness and Headache Treated with Korean Medicine in a Hospitalized Patient

한방병원에 입원한 경추성 현훈 및 두통 환자에 대한 한방 치료 1례

  • Gil-geun Baek (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Sang-yoon Kim (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Yen-min Wang (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Sang-hun Yun (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Yu-jin Lee (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Hyung-chul Lee (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Man-ho Kang (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Sung-hwan Park (Dept. of Internal Medicine, Ja-Seng Korean Medicine Hospital)
  • 백길근 (자생한방병원 한방내과) ;
  • 김상윤 (자생한방병원 한방내과) ;
  • 왕연민 (자생한방병원 한방내과) ;
  • 윤상훈 (자생한방병원 한방내과) ;
  • 이유진 (자생한방병원 한방내과) ;
  • 이형철 (자생한방병원 한방내과) ;
  • 강만호 (자생한방병원 한방내과) ;
  • 박성환 (자생한방병원 한방내과)
  • Received : 2023.09.07
  • Accepted : 2023.11.07
  • Published : 2023.10.30

Abstract

Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cervicogenic dizziness and headache. Methods: We used Korean medicine treatments (herbal medicines, acupuncture, pharmaco-acupuncture, and Chuna) to treat a hospitalized patient with cervicogenic dizziness and headache. The treatments were assessed using the Korean Dizziness Handicap Inventory (K-DHI) to evaluate the degree of dizziness. The Numerical Rating Scale (NRS) was used to evaluate headaches and post-traumatic neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) scale. Results: The patient's NRS and EQ-5d scores improved after treatment. The change in the K-DHI scores showed that the patient's cervicogenic dizziness symptoms were relieved. Conclusions: The results of this study suggest that Korean medicine therapies may be effective for treating cervicogenic dizziness and headaches.

Keywords

References

  1. National Institute for Korean Medicine Development. Dizziness Clinical Practice Guideline of Korean Medicine. Paju: Koonja; 2021, p. 2-3. 
  2. Devaraja K. Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management. European Archives of Oto-Rhino-Laryngology 2018;275(10):2421-33.  https://doi.org/10.1007/s00405-018-5088-z
  3. Hwang DG, Kim EJ, Choi KH, Heo SJ, Youn DW. A Case Report on a Patient with Cervical Vertigo Who Improved with a Combination of Korean Medicine Treatments. J Int Korean Med 2017;38(3):392-400.  https://doi.org/10.22246/jikm.2017.38.3.392
  4. Kim YE, Chung IC, Cha YY, Han IS, Park IH. Electro-Acupuncture for Cervical Vertigo: A Systematic Review and Meta-analysis. Journal of Korean Medicine Rehabilitation 2021;31(1):109-18.  https://doi.org/10.18325/jkmr.2021.31.1.109
  5. Kim EM, Jo HG. Herbal Medicine and Local Acupuncture Point Stimulation Administration and Their Clinical Effect on Quality of Life for Cervicogenic Dizziness(CGD) Patient : A CARE Guideline Compliant Case Report. J Int Korean Med 2020;41(3):414-23.  https://doi.org/10.22246/jikm.2020.41.3.414
  6. Park NR, Choi SM, Yang DH, Woo CH, An HD. Chuna Manual Therapy for Cervicogenic Dizziness : A Systematic Review. The Journal of Chuna Manual Medicine for Spine & Nerves 2018;13(2):11-21. 
  7. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ, et al. The study of standardization for a korean adaptation of self-report measures of dizziness. J Korean Balance Society 2004;3(2):307-25. 
  8. Brooks R, Group E. EuroQol: the current state of play. Health policy 1996;37(1):53-72.  https://doi.org/10.1016/0168-8510(96)00822-6
  9. Kim JY, Kim WH, Lee JS, Oh HM, Kim DW, Choi DJ. The Diagnosis and Treatment of the Cervical Vertigo. Korean Journal of Otorhinolaryngology -Head and Neck Surgery 2015;58(3):177-81.  https://doi.org/10.3342/kjorl-hns.2015.58.3.177
  10. Ryan GM, Cope S. Cervical vertigo. Lancet 1955;269(6905):1355-8.  https://doi.org/10.1016/S0140-6736(55)93159-7
  11. Bracher ES, Almeida CI, Almeida RR, Duprat AC, Bracher CB. A combined approach for the treatment of cervical vertigo. J Manipulative Physiol Ther 2000;23(2):96-100.  https://doi.org/10.1016/S0161-4754(00)90074-5
  12. Li Y, Peng B. Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician 2015;18(4):E583-95.  https://doi.org/10.36076/ppj.2015/18/E583
  13. Kentala E, Rauch SD. A practical assessment algorithm for diagnosis of dizziness. Otolaryngol Head Neck Surg 2003;128(1):54-9.  https://doi.org/10.1067/mhn.2003.47
  14. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2000;30(12):755-66.  https://doi.org/10.2519/jospt.2000.30.12.755
  15. Li YC, Peng BG. Pathogenesis, diagnosis, and treatment of cervical vertigo. Pain Physician 2015;18(4):E583-95.  https://doi.org/10.36076/ppj.2015/18/E583
  16. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J General Pract 1998;48(429):1131-5. 
  17. Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English longitudinal study of ageing. Age and Ageing 2008;37(3):300-5.  https://doi.org/10.1093/ageing/afn019
  18. Treleaven J. Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain. Journal of orthopaedic & sports physical therapy 2017;47(7):492-502.  https://doi.org/10.2519/jospt.2017.7052
  19. Rye HC, Park JB, Shin HS, Lee JH, Kim JH. The Effect of Yanghyulgupung-tang on Dupung Caused by Cerebral Infarction. J Int Korean Med 2004;25(4):186-91. 
  20. Jin SR, Park MJ, Oh EJ, Oh JH, Kim KH, Song WS, et al. A Case Report of Tension Headache Treated with Yanghyeolgeopung-tang. The Journal of Internal Korean Medicine 2022;43(2):303-10.  https://doi.org/10.22246/jikm.2022.43.2.303
  21. Cho NH, Kim MR, Jeong H, Yang SH. A Case Report of Prescribing Yanghyeolgeopung-tang (yangxuequfengtang) to Two Patients with Cervical Disc Herniation and Headache. J Korean CHUNA Manual Med for Spine & Nerves 2011;6(2):33-44.