Case of multiple cranial nerve injury.
10.13703/j.0255-2930.20250218-k0004
- Author:
Jinrong YAN
1
;
Ran LI
2
;
Yuhang JIANG
2
;
Zehao CHEN
2
;
Shanshan YAN
2
;
Jiakai HE
3
;
Baohui JIA
4
Author Information
1. Beijing University of CM, Beijing 100020, China.
2. Department of Acupuncture and Moxibustion, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing
3. Department of TCM, Peking University People's Hospital.
4. 4Department of Rehabilitation Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing
- Publication Type:English Abstract
- Keywords:
acupuncture and moxibustion;
electroacupuncture;
multiple cranial nerve injury;
post-gamma knife radiosurgery;
rehabilitation;
warming acupuncture
- MeSH:
Humans;
Acupuncture Points;
Acupuncture Therapy;
Cranial Nerve Diseases/therapy*
- From:
Chinese Acupuncture & Moxibustion
2025;45(6):742-744
- CountryChina
- Language:Chinese
-
Abstract:
This article reports a case of multiple cranial nerve injury after gamma knife radiosurgery treated with acupuncture and moxibustion combined with rehabilitation therapy. The patient presented with weakness of facial and tongue muscles, hoarseness, choking on water, and swallowing difficulties. The syndrome was attributed to qi and blood deficiency, and blood stasis obstructing the collaterals. The treatment principle focused on replenishing qi and blood, promoting blood circulation and unblocking collaterals. Yintang (GV24+), Lianquan (CV23), Qihai (CV6), Guanyuan (CV4), and Cuanzhu (BL2), Yangbai (GB14), Jingming (BL1), Sizhukong (TE23), Yingxiang (LI20), Sibai (ST2), Juliao (ST3), Quanliao (SI18), Dicang (ST4), Jiache (ST6), Xiaguan (ST7), Taiyang (EX-HN5) on the affected side, bilateral Jinjin (EX-HN12), Yuye (EX-HN13), Hegu (LI4), Zusanli (ST36), Sanyinjiao (SP6), Tianshu (ST25) were selected. Among these, bilateral Jinjin (EX-HN12) and Yuye (EX-HN13) were treated with pricking, Dicang (ST4) and Jiache (ST6) on the affected side were connected to an electroacupuncture device, and warming acupuncture was applied at Guanyuan (CV4). Rehabilitation therapy and electromyographic biofeedback were also incorporated. The treatments were given 2-3 times a week. After 18 months of intermittent treatment, the patient reported significant improvement, House Brackmann (H-B) facial nerve function grade was Ⅳ, and Sunnybrook facial nerve rating scale score was 53 points. After 2-month of follow-up, the patient reported normal swallowing ability and restored social engagement.
