腦中風後遺症病例報告

Case Report of Stroke Sequelae Patient

一名46歲男性，中風後有突發性左側肢體無力及頭暈、嘔吐，右臉麻痹並且無法吞嚥，意識清楚。經醫院MRI檢查後診斷為右小腦與右後延腦缺血性梗塞。四個月後於本院針灸科治療，主訴為走路不穩，右臉感覺異常、左手、左腳感覺麻木，右上肢無力感約4個多月。經治療三個月後，患者右側臉部涼感由深層轉自淺層，左側上下肢感覺開始恢復，覺下半身較沈重感，右上肢可做部分精細動作如扣扣子、拿筷子吃飯，走路較平穩。目前仍持續門診追蹤治療中。

One male stroke patient with clear consciousness was admitted to the Welcare Hospital in Dubai for sudden onset left sided limb weakness, vomiting, dizziness, right sided facial palsy and difficulty in swallowing. With MRI examination, he was diagnosed with ischemic infarction occurred on right cerebellum and right posterior medulla. Four months later, he started acupuncture treatment at this hospital (Zhongxing Branch, Taipei City Hospital). The presentation included trouble walking, numbness of his right face, left hand and left leg, and weakness of his right upper limb for more than four months. After 3-month treatment, his right sided facial numbness was eased and left limbs sensory recovery also improved. We also helped him recover some fine motor function of his right upper limb (such as eating with chopsticks, taking the button) and feel stable when he walks. This patients is still under follow-up and treatment on a regular basis.