|
Chia-Ying Wang1 Jun-An Jian1 Chung-Chun Huang1*
1Department of Chinese Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taichung, Taiwan
|
|
Meningiomas are the most common primary brain tumors, however, there’s no specific guideline for treatment of meningiomas compared with other tumors, and surgery seems to be the main treatment modality for meningiomas. Due to 14.8% of patients developed new focal neurological deficits, and 12% occurred new-onset seizures, weighing the risk of postoperative complications against better chances of a cure is always a dilemma for those whom were asymptomatic with a benign meningioma. This article introduces a case of a 51-year-old female with postoperative hemiparalysis after a craniotomy for meningioma and occurred new-onset seizures 3 months later, who received Western medicine and traditional Chinese medicine—includes acupuncture and herbs combined therapy during the clinical course, and is relatively uncommon in the past studies. Our prescription was based on a concept that products such as inflammatory cells during the brain tissue healing are considered as phlegm stasis, thus, we could restore human qi circulation by decreasing phlegm stasis. Meanwhile, acupuncture treatment of meridian points and scalp acupuncture had been adopted to improve limb function, furthermore, self-care ability. On the other hand, increasing the dose of Depakine seemed to be more effective in new onset seizure control compared to TCM in this case, though we cannot sure the natural course of postoperative seizures.
【Keywords】Craniotomy; Hemiparalysis; Meningiomas; Traditional Chinese Medicine; Acupuncture
|
243.6 腦膜瘤術後偏癱之中西整合照護病例報告
