Acupuncture for pediatric patients with cardiogenic stroke sequelae: A CARE-compliant case report

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RATIONALE: Pediatric strokes frequently result from underlying heart conditions. Early diagnosis and treatment are essential for restoring neurological function in patients and enhancing their quality of life. Currently, there are no reports on acupuncture treatment for pediatric strokes. We report a case of a patient in the poststroke phase of cardiogenic stroke. This child was found to have a deficiency in the oval fossa of the interatrial septum and exhibited clinical symptoms, such as head bobbing and impaired movement of the right limbs, following surgical events. PATIENT CONCERNS: A 4-year-old girl with a cardiogenic stroke (late stage) presented to our clinic with weakness in the right upper limb and right-hand apraxia. DIAGNOSES: The diagnosis of pediatric cardiogenic stroke (poststroke phase) was confirmed through physical examination, imaging, and medical history. In this case, the Traditional Chinese Medicine diagnosis is classified as stroke (obstruction of phlegm and blood stasis). INTERVENTIONS: Based on the patient's condition, we used the Jiaji acupoint with the Panlong needling technique combined with a modified "Xingnao Kaiqiao" acupuncture therapy. OUTCOMES: After 5 months of treatment, the child's impaired movement of the right limbs and hand function improved significantly. LESSONS: This case suggests that acupuncture can be an effective method for treating poststroke sequelae in children.

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