台北中医医学杂志

97.10 针刺治疗海绵状血管畸形术後复视病例
针刺治疗海绵状血管畸形术後复视病例
Acupuncture Treatment on Cavernous Malformations Post-Operational Diplopia:Case Study
张继元1,2 张凯惟1 曾元卜1 蔡承宏1 龚彦颖1,3 陈方佩1,3 吴大鹏1*  台北荣民总医院传统医学部
2 中国医药大学中医学系
3 国立阳明大学传统医药研究所
【摘要】
本案例为一33 岁女性患者因两次剧烈头痛伴随癫癇发作於坜新医院神经内科就诊,MRI 显示左侧颞部病灶部位出血,左侧挢脑海绵状血管畸形,经评估後2019/6/27 在台北荣总做开颅手术,术後左眼视野正常,右眼视野变小,外侧60 度以後视物不清,横线呈曲度,视四方形物体下边较上边长,双眼复视。2019/7/24 因间歇性头痛伴随右脸麻木感、右手掌麻、右侧无力、左眼睑下垂与头晕入院评估,诊断左侧颞部病灶部位再次出血,患者已有三个月身孕,会诊妇产科评估後再次进行手术,术後呈现双眼复视加剧,至台北荣总传统医学部进行针刺治疗。目前复视渐渐改善,视物模糊、左眼睑下垂、手脚麻木皆获得良好改善。
【关键词】海绵状血管畸形、复视、针灸
 
Chi-Yuan Chang1,2Ching-Mao Chang1,3Yen-Ying Kung1,3Fang-Pey Chen 1,3
Ta-Peng Wu1*
1Center for Traditional Medicine, Taipei Veterans General Hospital, Taiwan
2School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taiwan
3National Yang-Ming University, School of Medicine, Institute of Traditional Medicine
【Summary】
This is a case of acupuncture treatment of diplopia after the removal of cavernous malformation surgery. The acupuncture treatment was successful and well received.
This case showed a thirty-three-year-old female patient who had severe headache and one onset of epilepsy. She initially received treatment and MRI examination in the department of Neurology, Landseed International Hospital. MRI showed bleeding on the left temporal lesion and cavernous malformation in the left pons. After evaluation, she decided to have craniotomy in Taipei Veteran General Hospital on 2019/06/27. After the surgery,aside from diplopia, the she
also experienced dizziness, photophobia, weakened sense of distance and unsteady gait. She was then hospitalized again on 2019/07/24 with intermittent headache accompanied by numbness in the right face, right palm numbness, weakness in the right side, left eyelid ptosis, and dizziness. With the knowledge of pregnancy, the patient underwent her second craniotomy on 2019/08/01. Diplopia exacerbated after the operation. She later sought help in the department of acupuncture in Taipei Veteran General Hospital. The patient came once a week for scalp needle and body needle treatment. During treatment, diplopia, blurred vision, drooping eyelid, weakness and numbness gradually improved.
【Keywords】Diplopia, Acupuncture, Chinese medicine treatment