title: Acupuncture helps regain postoperative consciousness in patients with traumatic brain injury: a case study.
abstract: OBJECTIVE
  This report of one case illustrates the potential effect of acupuncture therapy in addition to Western medicine for regaining postoperative consciousness in patients with traumatic brain injury (TBI).
  
  
  METHODS
  A 65-year-old man experienced a TBI after being involved in a motor vehicle accident. His initial Glasgow Coma Scale (GCS) score was E1V1M2, and brain computerized tomography showed a right-sided subdural hemorrhage. He received emergency medical treatment and underwent craniotomy to remove the lacerated portions of brain as well as subtemporal decompression, followed by a decompressive craniectomy the following day to remove an intracerebral hematoma due to late-onset temporo-parietal rebleeding. Twelve days after surgery, the patient remained in poor condition due to serious complications and the GCS was E2VeM4. His family then underwent counseling and he subsequently received acupuncture treatment.
  
  
  RESULTS
  This patient was treated with acupuncture three times each week, consisting of strong stimulation at GV26 (Shuigou) and the 12 Well points using the half-needling technique. After 3 weeks of consecutive treatment, his GCS score improved to E4VtM6. In addition, he regained consciousness and could tolerate rehabilitation programs.
  
  
  CONCLUSIONS
  We believe that an experienced physician may use acupuncture as complementary therapy in patients with TBI who fail to regain consciousness postoperatively.
authors.affiliation: Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosong District, Kaohsiung, Taiwan.
authors.forename: Ying-Jung
authors.initials: YJ
authors.lastname: Tseng
authors.forename: Yu-Chiang
authors.initials: YC
authors.lastname: Hung
authors.forename: Wen-Long
authors.initials: WL
authors.lastname: Hu
mesh_terms: D015670:Acupuncture Therapy; D000368:Aged; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000601:surgery; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D020202:Cerebral Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery; D003131:Combined Modality Therapy; D003243:Consciousness; D003399:Craniotomy; D019299:Decompression, Surgical; D015600:Glasgow Coma Scale; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012008:Recurrence; D014057:Tomography, X-Ray Computed