Manual Acupuncture Effect on Vertigo and Tinnitus in Patient with Labyrinthitis: A Case Report

  • Cindy Notonegoro Department of Medical Acupuncture, dr. Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia Medical Acupuncture Specialist Program, Faculty of Medicine Universitas Indonesia, Jakarta, 10430, Indonesia
  • Christina Simadibrata Department of Medical Acupuncture, dr. Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia Medical Acupuncture Specialist Program, Faculty of Medicine Universitas Indonesia, Jakarta, 10430, Indonesia

Abstract

Labyrinthitis is an inflammatory disease of the inner ear perilymphatic cavity and the most common cause of prolonged spontaneous vertigo.  Other symptoms are tinnitus and sensorineural hearing loss.  Acupuncture is one of the non-pharmacological therapeutic modalities to improve symptoms of labyrinthitis. A 54-year-old woman complained of vertigo that is preceded by tinnitus in both ears since the last 6 months.  She was diagnosed with labyrinthitis.  Had taken amoxicillin and decadryl for 5 days, betaserc and dimenhydrinate when she felt dizzy, and amlodipine as a routine drug for her hypertension.  Physical examination showed vital signs within normal limits, grade 2 obesity, positive Romberg test, and THI score 18.  Manual acupuncture was performed at acupoints GV20, GB20, TE17, TE21, SI19, GB2, GB8, TE5, LI4, KI3, PC6 and LR3 with 20 minutes retention.  After the first therapy, vertigo complaints disappeared and after 12 treatments (twice a week), frequency and intensity of tinnitus became less, with THI score of 6. Therefore, acupuncture can relieve vertigo and improve tinnitus which can be seen by a decrease of THI score.


Keywords: acupuncture, labyrinthitis, tinnitus, vertigo

References

Banasik, Jacquelyn L. Copstead, L.-E. C. (2019) Pathophysiology. Sixth Edit. St. Louis, Missouri: Elsevier Inc.
Bracey, G. W. (2009) ‘Basic information’, Phi Delta Kappan, 91(2), pp. 97–98. doi: 10.1177/003172170909100225.

Cai, W. et al. (2019) ‘Thermal Effects of Acupuncture by the Infrared Thermography Test in Patients With Tinnitus’, Journal of Acupuncture and Meridian Studies. Elsevier Ltd, 12(4), pp. 131–135. doi: 10.1016/j.jams.2019.05.002.

Chen, S., Zhao, M. and Qiu, J. (2019) ‘Acupuncture for the treatment of sudden sensorineural hearing loss: A systematic review and meta-analysis: Acupuncture for SSNHL’, Complementary Therapies in Medicine. Elsevier Ltd, 42, pp. 381–388. doi: 10.1016/j.ctim.2018.12.009.

Cho, Z. H. (2000) ‘Acupuncture-stimulated Auditory-cortical Activation observed by fMRl -A case of Acupoint SJ5 Stimulation’, 2(c), p. 2000.

Cho, Z. H. et al. (2006) ‘Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms’, Acta Neurologica Scandinavica, 113(6), pp. 370–377. doi: 10.1111/j.1600-0404.2006.00600.x.

Deng, D. et al. (2016) ‘Changes in Regional Brain Homogeneity Induced by Electro-Acupuncture Stimulation at the Baihui Acupoint in Healthy Subjects ’:, 0(0), pp. 1–6. doi: 10.1089/acm.2015.0286.

Filshie, Jacqueline; White, Adrian; Cummings, M. (2016) Medical acupuncture: A western scientific approach. 2nd ed, Elsevier. 2nd ed. Edited by M. Filshie, Jacqueline; White, Adrian; Cummings. London: Elsevier Ltd.

Goddard, J. C. and Slattery, W. H. (2002) Infections of the Labyrinth. Sixth Edit, Cummings Otolaryngology. Sixth Edit. Elsevier Inc. doi: 10.1016/B978-1-4557-4696-5.00153-6.

Haker, E., Egekvist, H. and Bjerring, P. (2000) ‘Effect of sensory stimulation ( acupuncture ) on sympathetic and parasympathetic activities in healthy subjects’, 79, pp. 52–59.

Harry (2011) Pengaruh akupunktur terhadap penurunan skor Tinnitus Handicap Inventory (THI) pada pasien tinitus. Universitas Indonesia.

Henkel, C. K. (2018) ‘The Auditory System’, in Haines, Duane; Mihailoff, G. (ed.) Fundamental Neuroscience for Basic and Clinical Applications. 5th Editio. Elsevier, pp. 306–319.

Herendeen, N. E. (2009) ‘Labyrinthitis’, Phi Delta Kappan, pp. 97–98. doi: 10.1177/003172170909100225.

Jamal, L. et al. (2012) ‘The level and distribution of the GABA B R1 and GABA B R2 receptor subunits in the rat ’ s inferior colliculus’, 6(November), pp. 1–18. doi: 10.3389/fncir.2012.00092.

Jie, C. (2005) ‘Treatment of 38 Cases of Sudden Deafness by Acupuncture plus Acupoint-injecting Method’, 3(5), pp. 24–25.

Kerber, K. A. and Baloh, R. W. (2020) 46 - Neuro-otology: Diagnosis and Management of Neuro-otological Disorders. Seventh Ed, Bradley’s Neurology in Clinical Practice, 2-Volume Set. Seventh Ed. Elsevier Inc. doi: 10.1016/B978-0-323-28783-8.00046-6.

Kuzucu, I. K. O. (2020) ‘Acupuncture Treatment in Patients with Chronic Subjective’, 32(1), pp. 24–28. doi: 10.1089/acu.2019.1367.

Lalwani, A. K. and McGuire, J. F. (2010) Pharmacologic and Molecular Therapies of the Cochlear and Vestibular Labyrinth. Sixth Edit, Cummings Otolaryngology - Head and Neck Surgery. Sixth Edit. Elsevier Inc. doi: 10.1016/b978-0-323-05283-2.00156-7.

Maeda, T. et al. (2014) ‘Therapeutic effect of electroacupuncture in a p75 knockout mouse model of progressive hearing loss’, Acupuncture in Medicine, 32(1), pp. 90–92. doi: 10.1136/acupmed-2013-010450.

Melorose, J., Perroy, R. and Careas, S. (2013) Human Physiology De Unglaub Silverthorn. doi: 10.1017/CBO9781107415324.004.

Naderinabi, Bahram; Soltanipour, Soheil; Nemati, Shadman; Saberi, Alia; Parastesh, S. (2018) ‘Acupuncture for chronic nonpulsatile tinnitus: A randomized clinical trial’, Caspian J Intern Med, 9(March 2017), pp. 38–45. doi: 10.22088/cjim.9.1.

Rivas-vilchis, J. F., Hernández-sánchez, F. and González-camarena, R. (2007) ‘Assessment of the Vascular Effects of PC6 ( Neiguan ) Using the Second Derivative of the Finger Photoplethysmogram in Healthy and Hypertensive Subjects’, 35(3), pp. 427–436.

Shan, Y. et al. (2014) ‘An fMRI Study of Neuronal Specificity in Acupuncture : The Multiacupoint Siguan and Its Sham Point’, 2014.

Smith, T. et al. (2020) ‘Vestibular Neuronitis ( Labyrinthitis ) Pathophysiology’, pp. 1–6.

Szmuilowicz, J. and Young, R. (2019) ‘Infections of the Ear’, Emergency Medicine Clinics of North America, 37(1), pp. 1–9. doi: 10.1016/j.emc.2018.09.001.

Yulia, E. (2017) Pengaruh terapi kombinasi akupunktur dengan terapi rehabilitasi VRT terhadap perbaikan skor Dizziness Handicap Inventory (DHI) pada pasien vertigo gangguan keseimbangan vestibuler perifer (non BPPV). Universitas Indonesia.

Zhu, B. et al. (2015) ‘Acupuncture at KI3 in healthy volunteers induces specific cortical functional activity : an fMRI study’, BMC Complementary and Alternative Medicine. BMC Complementary and Alternative Medicine, pp. 1–12. doi: 10.1186/s12906-015-0881-3.

Zizmor, J. and Noyek, A. M. (1974) Inflammatory diseases of the temporal bone. Fifth Edit, Radiologic Clinics of North America. Fifth Edit. Mosby, Inc. doi: 10.1016/b978-0-323-05355-6.00018-5.
Published
2021-06-28
How to Cite
NOTONEGORO, Cindy; SIMADIBRATA, Christina. Manual Acupuncture Effect on Vertigo and Tinnitus in Patient with Labyrinthitis: A Case Report. Journal of Agromedicine and Medical Sciences, [S.l.], v. 7, n. 2, p. 94-97, june 2021. ISSN 2714-5654. Available at: <https://jurnal.unej.ac.id/index.php/JAMS/article/view/23803>. Date accessed: 05 dec. 2021. doi: https://doi.org/10.19184/ams.v7i2.23803.
Section
Original Research Articles