Skip to main content
Top
Published in: Neurocritical Care 2/2019

01-10-2019 | Acupuncture | Practical Pearl

Treating Therapy-Resistant Headache After Aneurysmal Subarachnoid Hemorrhage with Acupuncture

Authors: Joanna Dietzel, Torsten Eck, Taras Usichenko

Published in: Neurocritical Care | Issue 2/2019

Login to get access

Abstract

Introduction

Subarachnoid haemorrhage (SAH) is usually associated with severe headache, whereas the options of pharmacological analgesia are restricted. Acupuncture is a promising method in treatment of headaches associated with meningeal sensitivity or irritation, such as migraine or post-dural puncture headache.

Case Report

We report on 3 patients, who suffered severe headache due to aneurysmal SAH, and received acupuncture when pharmacological measures were exhausted. After acupuncture treatment all patients reported at least 50% pain reduction and could stop or reduce analgesics without side effects.

Discussion

Acupuncture may be an effective pain treatment method in patients suffering from headache due to SAH. Randomized trials using acupuncture as an add-on to standard analgesic therapy would help evaluate the role of acupuncture for this purpose.
Literature
1.
go back to reference Glisic EK, Gardiner L, Josti L, et al. Inadequacy of headache management after subarachnoid hemorrhage. Am J Crit Care. 2016;25:136–43.CrossRef Glisic EK, Gardiner L, Josti L, et al. Inadequacy of headache management after subarachnoid hemorrhage. Am J Crit Care. 2016;25:136–43.CrossRef
2.
go back to reference Morad AH, Tamargo RJ, Gottschalk A. The longitudinal course of pain and analgesic therapy following aneurysmal subarachnoid hemorrhage: a cohort study. Headache. 2016;56:1617–25.CrossRef Morad AH, Tamargo RJ, Gottschalk A. The longitudinal course of pain and analgesic therapy following aneurysmal subarachnoid hemorrhage: a cohort study. Headache. 2016;56:1617–25.CrossRef
3.
go back to reference Singh M, Guth JC, Liotta E, et al. Predictors of 30-day readmission after subarachnoid hemorrhage. Neurocrit Care. 2013;19:306–10.CrossRef Singh M, Guth JC, Liotta E, et al. Predictors of 30-day readmission after subarachnoid hemorrhage. Neurocrit Care. 2013;19:306–10.CrossRef
4.
go back to reference Ogden J, Utley T, Mee E. Neurological and psychological outcome 4 to 7 years after subarachnoid hemorrhage. Neurosurgery. 1997;41:25–34.CrossRef Ogden J, Utley T, Mee E. Neurological and psychological outcome 4 to 7 years after subarachnoid hemorrhage. Neurosurgery. 1997;41:25–34.CrossRef
5.
go back to reference Rabinstein AA, Lanzino G, Wijdicks EF. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2010;9:504–19.CrossRef Rabinstein AA, Lanzino G, Wijdicks EF. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2010;9:504–19.CrossRef
6.
go back to reference Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of episodic migraine. Cochrane Database Syst Rev. 2016;6:CD001218. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of episodic migraine. Cochrane Database Syst Rev. 2016;6:CD001218.
7.
go back to reference Dietzel J, Witstruck T, Adler S, Usichenko TI. Acupuncture for treatment of therapy-resistant post-dural puncture headache: a retrospective case series. Br J Anaesth. 2013;111:847–9.CrossRef Dietzel J, Witstruck T, Adler S, Usichenko TI. Acupuncture for treatment of therapy-resistant post-dural puncture headache: a retrospective case series. Br J Anaesth. 2013;111:847–9.CrossRef
8.
go back to reference Coeytaux RR, Befus D. Role of acupuncture in the treatment or prevention of migraine, tension-type headache, or chronic headache disorders. Headache. 2016;56:1238–40.CrossRef Coeytaux RR, Befus D. Role of acupuncture in the treatment or prevention of migraine, tension-type headache, or chronic headache disorders. Headache. 2016;56:1238–40.CrossRef
9.
go back to reference Xinnong C. Chinese acupuncture and moxibustion. 1st ed. Beijing: Foreign Languages Press; 1987. p. 429–32. Xinnong C. Chinese acupuncture and moxibustion. 1st ed. Beijing: Foreign Languages Press; 1987. p. 429–32.
10.
go back to reference WHO. Third WHO regional working group on standardization of acupuncture nomenclature. Seoul: WHO; 1987. WHO. Third WHO regional working group on standardization of acupuncture nomenclature. Seoul: WHO; 1987.
11.
go back to reference Ko CN, Lee IW, Cho SY, et al. Acupuncture for cerebral vasospasm after subarachnoid hemorrhage: a retrospective case–control study. J Altern Complement Med. 2013;19:471–3.CrossRef Ko CN, Lee IW, Cho SY, et al. Acupuncture for cerebral vasospasm after subarachnoid hemorrhage: a retrospective case–control study. J Altern Complement Med. 2013;19:471–3.CrossRef
12.
go back to reference Sun J, Liu Y, Zhang J, et al. Electroacupuncture improves cerebral vasospasm and functional outcome of patients with aneurysmal subarachnoid hemorrhage. Front Neurosci. 2018;12:724.CrossRef Sun J, Liu Y, Zhang J, et al. Electroacupuncture improves cerebral vasospasm and functional outcome of patients with aneurysmal subarachnoid hemorrhage. Front Neurosci. 2018;12:724.CrossRef
13.
go back to reference Cho SY, Lee DH, Shin HS, et al. The efficacy and safety of acupuncture for cerebral vasospasm after subarachnoid hemorrhage: study protocol for a randomized controlled trial. Trials. 2015;16:68.CrossRef Cho SY, Lee DH, Shin HS, et al. The efficacy and safety of acupuncture for cerebral vasospasm after subarachnoid hemorrhage: study protocol for a randomized controlled trial. Trials. 2015;16:68.CrossRef
14.
go back to reference He W, Zhao X, Li Y, Xi Q, Guo Y. Adverse events following acupuncture: a systematic review of the Chinese literature for the years 1956–2010. J Altern Complement Med. 2012;18:892–901.CrossRef He W, Zhao X, Li Y, Xi Q, Guo Y. Adverse events following acupuncture: a systematic review of the Chinese literature for the years 1956–2010. J Altern Complement Med. 2012;18:892–901.CrossRef
15.
go back to reference Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, Willich SN. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009;16:91–7.PubMed Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, Willich SN. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009;16:91–7.PubMed
Metadata
Title
Treating Therapy-Resistant Headache After Aneurysmal Subarachnoid Hemorrhage with Acupuncture
Authors
Joanna Dietzel
Torsten Eck
Taras Usichenko
Publication date
01-10-2019
Publisher
Springer US
Published in
Neurocritical Care / Issue 2/2019
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-019-00718-3

Other articles of this Issue 2/2019

Neurocritical Care 2/2019 Go to the issue