An Ayurvedic Management of Tumefactive demyelination of Spinal cord w.s.r to Pangu - A Case Report

BACKGROUND: Pangu is a disease caused by vitiated Vata. It is described among 80 Vata rogas. The normal role of Vata is to regulate motor and sensory systems, and its imbalance leads to a decline in these functions. Pangu originates in the Kati region, possibly involving Katyasritavata i,e Apana Vayu along with Vyana Vayu. Paraplegia involves the paralysis of the lower extremities. Although weakness in the lower limbs may arise from peripheral nerve or muscle diseases, the terms paraparesis and paraplegia are typically used to describe manifestations resulting from lesions in the dorsal and lumbosacral region of the spinal cord. OBJECTIVE: To evaluate the impact of Ayurveda treatment, comprising of external Panchakarma therapies and internal medications in management of Pangu (Paraplegia) METHODOLOGY: Here is case report of patient, 26 years old female presented with complaints of loss of balance while walking and with reduced muscle power and sensation over her both lower limbs, who was diagnosed with Tumefactive demyelinating lesions of spinal cord. She underwent D11 D12 Laminectomy & Subtotal excision of SOL (Space occupying lesions) under GA. Post-surgically weakness of both lower limbs got aggravated, she was unable to walk without support. She was admitted and treated in lines of Pangu. RESULTS: Significant improvement was observed in complaints of weakness of both lower limbs. Initially Muscle power was 3/5 in right lower limbs, 4/5 in left lower limb. At the time of discharge power was 5/5 and could able to walk without support. CONCLUSION: This case highlights the potential of Ayurveda Panchakarma therapies and internal medications, as effective interventions in managing Pangu w.s.r to Tumefactive demyelination of Spinal cord.