Case Report
Insomnia Disease Treatment in Acupuncture - A Case Study in Bangladesh
Dr. SM. Shahidul Islam, Dr. Boxu Lang, Sabina Yasmin, Dr. Rehana Akter Lima
Middle East Journal of Medical Case Reports; 45-47.
DOI: https://doi.org/10.36348/merjmcr.2024.v04i06.001
As of its popularity in eastern medicine, acupuncture treatment may help insomniacs get a good night's rest. Insomnia seems to be on the rise in the contemporary world, negatively impacting not just people's capacity to function but also their quality of life. Even if pharmaceutical therapy is beneficial, it often comes with serious side effects. The practice of acupuncture to treat insomnia has a long history in China and has recently gained widespread acceptance in the West. Numerous studies have demonstrated therapeutic uses of acupuncture for the treatment of insomnia, with many also discussing the possible processes behind the therapy. An attempt at a comprehensive overview of the relevant research will be made in this section. This research was an observational study conducted in Dhaka at Suo-Xi Hospital, Shann Tower, Chamelibag, Shantinagar Dhaka, Bangladesh. A 28-year-old man presented to the clinic complaining of sleeplessness dating back three years. We used a combination of Chinese medicine and acupuncture on the patient's scalp to help them sleep better. Excellent outcomes were found in the study's subsequent follow-up. After 12 days of acupuncture, the sleeplessness that had plagued the patient for three years began to subside. Treatment with acupuncture has been shown to aid in the functional recovery of insomnia sufferers.
Case Report
Bilateral Subdural Hematoma Following Spinal Anesthesia for Cesarean Delivery: A Rare Complication of Post-Dural Puncture Headache
Nasrin Moradian, Milad Mohamad Yari
Middle East Journal of Medical Case Reports; 48-50.
DOI: https://doi.org10.36348/merjmcr.2024.v04i06.002
Spinal anesthesia is a widely used and preferred technique for cesarean delivery due to its safety and effectiveness, though complications like post-dural puncture headache (PDPH) are well-documented, with progression to bilateral subdural hematoma (SDH) being exceedingly rare. This report describes a 34-year-old woman with no prior medical history who underwent elective cesarean delivery under spinal anesthesia and developed a positional headache two days postoperatively, which later became constant and was accompanied by right hemiparesis and visual disturbances. Brain imaging confirmed bilateral SDH, and the patient was managed conservatively with analgesics, corticosteroids, and supportive care, achieving full functional recovery with no significant neurological deficits at three months. This case highlights the importance of early recognition of neurological symptoms and prompt imaging in patients with persistent or worsening postoperative headaches, emphasizing the need for clinicians to consider SDH as a potential complication of PDPH.
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