Background and Objectives: Multiple system atrophy–cerebellar type (MSA-C) is a progressive neurodegenerative disorder characterized by gait and balance impairment, with limited treatment options. This report describes the short-term clinical changes after combined treatment with Korean medicine, including acupotomy, in a patient with MSA-C.Case Presentation: A 65-year-old woman with MSA-C was hospitalized for severe gait disturbances and postural instability. During a 15-day admission, she received combined Korean medicine treatment including acupotomy targeting the suboccipital soft tissues and cranial sites at Inja-bong (人字縫) and Pyeonghyeong-gu (平衡區), along with acupuncture, electroacupuncture, and cupping, while continuing rehabilitation. Outcomes were assessed using the Korean Version of the Scale for the Assessment and Rating of Ataxia (K-SARA), Berg Balance Scale (BBS), and EuroQol Visual Analog Scale (EQ-VAS). After treatment, the K-SARA scores improved from 24 to 17, BBS from 1 to 17, and EQ-VAS from 10 to 40. No treatment-related adverse events were observed.Conclusion: Combined Korean medicine, including acupotomy, may have contributed to short-term improvement in gait and balance in this patient diagnosed with MSA-C.
Sun et al. (Mon,) studied this question.