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The Journal of Internal Korean Medicine > Volume 42(5); 2021 > Article
The Journal of Internal Korean Medicine 2021;42(5): 727-737.
doi: https://doi.org/10.22246/jikm.2021.42.5.727
고령의 만성콩팥병 환자에서 발생한 초기 신경학적 악화가 동반된 후방순환뇌경색 치험 1례
김준석, 이유나, 안유민, 백경민
대구한의대학교 부속 대구한방병원 심계내과학교실
A Case Report on Posterior Circulation Cerebral Infarction with Early Neurological Deterioration in an Elderly Patient with Chronic Kidney Disease
Jun-seok Kim, Yoo-na Lee, Yu-min An, Kyung-min Baek
Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University
Correspondence  Kyung-min Baek ,Tel: 053-770-2118, Fax: 053-770-2055, Email: kmb1004@hanmail.net
Received: September 10, 2021,   Accepted: October 27, 2021,   Published online: October 30, 2021.
ABSTRACT
Objectives:
This study investigated the effect of Korean medicine on an elderly patient with posterior circulation cerebral infarction, chronic kidney disease (CKD), and early neurological deterioration (END).

Methods:
The patient, who already had CKD, was treated with Korean medicine, comprising herbal medicine, acupuncture, moxa, and cupping combined with Western medicine (antiplatelet, diabetes) and physical therapy. A manual muscle test (MMT) and a modified Barthel index (MBI) were used to observe the treatment effects, and blood tests were performed to check estimated glomerular filtration rate (eGFR), creatinine and blood urea nitrogen (BUN), which represent renal function.

Results:
After the treatment, MMT, MBI, and renal function scores had increased.

Conclusions:
This study suggests that Korean medicine can effectively treat posterior circulation cerebral infarction with END in CKD, but further studies should be conducted.
Key words: Korean medicine, posterior circulation cerebral infarction, early neurological deterioration, chornic kidney disease, hemiparesis
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