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Acupuncture for pediatric patients with cardiogenic stroke sequelae: A CARE-compliant case report
Ruiqiao Guan1, Luling Wang2, Jing Chen3
1Department of Chinese Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian City, Liaoning Province, China.
Insights
Acupuncture shows promise in treating pediatric cardiogenic stroke sequelae. This case study highlights significant improvement in limb and hand function for a child after stroke, suggesting acupuncture as a viable treatment option.
Area of Science:
- Neurology
- Traditional Chinese Medicine
- Pediatrics
Background:
- Pediatric strokes often stem from cardiac issues, necessitating prompt intervention for neurological recovery and improved quality of life.
- Current literature lacks reports on acupuncture for pediatric stroke treatment.
- This case involves a pediatric patient in the poststroke phase of a cardiogenic stroke, presenting with specific physical impairments.
Purpose of the Study:
- To report on the use of acupuncture for treating a pediatric patient with sequelae of cardiogenic stroke.
- To explore the potential efficacy of Traditional Chinese Medicine in managing poststroke conditions in children.
Main Methods:
- A 4-year-old female patient diagnosed with late-stage pediatric cardiogenic stroke was treated.
- Diagnosis was confirmed via physical examination, imaging, and medical history.
- Treatment involved acupuncture using Jiaji acupoints with the Panlong needling technique and modified "Xingnao Kaiqiao" therapy, consistent with Traditional Chinese Medicine diagnosis of stroke due to phlegm and blood stasis.
Main Results:
- The patient experienced significant improvements in impaired right limb movement and right-hand function after 5 months of acupuncture treatment.
- Clinical symptoms such as head bobbing and apraxia showed marked recovery.
Conclusions:
- Acupuncture therapy, specifically the "Xingnao Kaiqiao" method, may be an effective treatment for poststroke sequelae in pediatric patients.
- This case suggests acupuncture as a potential therapeutic option for children recovering from stroke.
Rationale:
Pediatric strokes frequently result from underlying heart conditions. Early diagnosis and treatment are essential for restoring neurological function in patients and enhancing their quality of life. Currently, there are no reports on acupuncture treatment for pediatric strokes. We report a case of a patient in the poststroke phase of cardiogenic stroke. This child was found to have a deficiency in the oval fossa of the interatrial septum and exhibited clinical symptoms, such as head bobbing and impaired movement of the right limbs, following surgical events.
Patient Concerns:
A 4-year-old girl with a cardiogenic stroke (late stage) presented to our clinic with weakness in the right upper limb and right-hand apraxia.
Diagnoses:
The diagnosis of pediatric cardiogenic stroke (poststroke phase) was confirmed through physical examination, imaging, and medical history. In this case, the Traditional Chinese Medicine diagnosis is classified as stroke (obstruction of phlegm and blood stasis).
Interventions:
Based on the patient's condition, we used the Jiaji acupoint with the Panlong needling technique combined with a modified "Xingnao Kaiqiao" acupuncture therapy.
Outcomes:
After 5 months of treatment, the child's impaired movement of the right limbs and hand function improved significantly.
Lessons:
This case suggests that acupuncture can be an effective method for treating poststroke sequelae in children.
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