A Case Report of Severe Headache after Decompression Craniotomy by Cerebellar Infarction Successfully Treated with a Kampo Formulation Goreisan

VernacularTitle:五苓散が奏効した小脳梗塞減圧開頭術後の激しい頭痛の一症例
Author: Katsutoshi TERASAWA ¹ ; Toru KOBAYASHI ² ; Makoto SUMIKOSHI ³ ; Masanori TSUJI ¹ ; Atsushi CHINO ¹
Author Information

1. Department of Japanese-Oriental (Kampo) Medicine, Chiba Central Medical Center
2. Department of Neuro-Surgery, Hoshi General Hospital
3. Sumikoshi Kodomo Clinic
Keywords: cerebellar infarction; headache; vertigo; vomiting; goreisan
From:Kampo Medicine 2021;72(1):54-57
CountryJapan
Language:Japanese
Abstract: We report a case of severe headache associated with cerebellar infarction was successfully treated with Kampo therapy. The patient complained of severe headache and vertigo in spite of standard therapy after the decompression craniectomy. However, his symptoms were relieved immediately by administration of goreisan. The pharmacological effect of Kampo formulation i.e. goreisan is still unknown, but this formulation has been used for headache with edema, vertigo and vomiting. According to the classic textbook, this formulation has a potential to improve water imbalance in the body, including brain edema. This Kampo medicine is seemed to be an alternative to manage such patients.