Nurwati Ida, Handayani Selfi, Muhammad Faizal
Departement of Acupuncture, Faculty of Medicine, Sebelas Maret University, 57126, Indonesia.
Departement of Acupuncture, Faculty of Medicine, Sebelas Maret University, 57126, Indonesia; Departement of Anatomy and Embryology, Faculty of Medicine, Sebelas Maret University, 57126, Indonesia.
Int J Surg Case Rep. 2023 Apr;105:108108. doi: 10.1016/j.ijscr.2023.108108. Epub 2023 Apr 3.
Diplopia and ptosis are the most common symptoms of oculomotor nerve palsy, which may be caused by increased intracranial pressure causing cranial nerve palsies. If no significant improvement is noted following surgical correction or pharmacological therapies for the underlying cause, acupuncture treatment can be considered as adjuvant therapy to achieve complete functional resolution of the oculomotor nerve.
A 27-year-old male patient presented with ptosis and diplopia due to a postoperative craniotomy subdural hematoma (SDH). The patient received several sessions of acupuncture treatments which lasted a total of 45 days. The patient received manual acupuncture points of GB 20 and electrostimulator acupuncture points of ST 2, BL 2, GB 14, TE 23, EX HN 5, LI 4, bilaterally, and noticed improvement in the minor neurological deficits in diplopia and ptosis after 45 days.
Several filiform needle insertions with stimulation in designated nerve distribution areas cause neural stimulation. This is believed to cause local biochemical and neural stimulation, followed by the release of mediators.
Acupuncture can improve the neurological deficits associated with conditions such as ptosis and diplopia following SDH surgery.
复视和上睑下垂是动眼神经麻痹最常见的症状，其可能由颅内压升高导致颅神经麻痹引起。如果针对潜在病因进行手术矫正或药物治疗后未观察到明显改善，可考虑将针灸治疗作为辅助疗法，以实现动眼神经功能的完全恢复。
一名27岁男性患者因开颅术后硬膜下血肿（SDH）出现上睑下垂和复视。该患者接受了数次针灸治疗，总计持续45天。患者双侧接受了足少阳胆经20穴的手法针刺以及足阳明胃经2、足太阳膀胱经2、足少阳胆经14、手少阳三焦经23、经外奇穴印堂、手阳明大肠经4的电针刺激，45天后发现复视和上睑下垂等轻微神经功能缺损有所改善。
在指定神经分布区域进行多次毫针针刺并给予刺激可引起神经刺激。据信这会导致局部生化和神经刺激，随后释放介质。
针灸可改善与SDH手术后上睑下垂和复视等病症相关的神经功能缺损。
