[Case of multiple cranial nerve injury]

Area of Science:

• Neurology
• Integrative Medicine
• Rehabilitation Therapy

Background:

• Multiple cranial nerve injury is a potential complication of gamma knife radiosurgery.
• Such injuries can lead to significant functional deficits, including facial muscle weakness and dysphagia.
• Current treatment options may have limitations, necessitating exploration of complementary therapies.

Purpose of the Study:

• To report a case of multiple cranial nerve injury following gamma knife radiosurgery.
• To evaluate the efficacy of acupuncture and moxibustion combined with rehabilitation therapy in treating these injuries.
• To document the functional recovery and patient outcomes.

Main Methods:

• Acupuncture and moxibustion were applied to specific acupoints based on TCM principles of replenishing qi and blood, and unblocking collaterals.
• Electroacupuncture and warming acupuncture techniques were utilized.
• Rehabilitation therapy, including electromyographic biofeedback, was integrated into the treatment regimen.
• Treatment was administered 2-3 times per week over 18 months, with a 2-month follow-up.

Main Results:

• The patient experienced significant improvement in facial nerve function, achieving a House Brackmann (H-B) facial nerve function grade of Ⅳ.
• The Sunnybrook facial nerve rating scale score improved to 53 points.
• Swallowing ability normalized, and social engagement was restored after treatment and follow-up.

Conclusions:

• Acupuncture and moxibustion, when combined with comprehensive rehabilitation therapy, can be an effective treatment for multiple cranial nerve injury post-gamma knife radiosurgery.
• This integrated approach offers a promising strategy for functional recovery and improved quality of life in affected patients.
• Further research is warranted to explore the broader applicability and mechanisms of this therapeutic combination.