Creutzfelt Jacob Disease 의증 환자에 대한 임상보고

Abstract

A Case Study of the Creutzfelt Jacob Disease Suspected Patient Lee Hee-Seung, Kang Tae-Gon, Kim Jung-Ju, Han kyoung-Suk, Bae Hyo-Sang, Park Sung-Sik. Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Dongguk University 1. Objectives Creutzfelt Jacob Disease is one of a group of neurodegenerative disorders causing spongiform encephalopathies due to a infection of prion or unconventional slow virus on central nerve system. The diagnosis of this disease is not easy and there is currently no cure. This article is to report our case about a female patient who was not diagnosed as CJD at the early period so that we treated her with Yangkyuksanhwa-tang(凉膈散火湯) and Jihwangbaekho-tang(地黃白虎湯). 2. Methods Magnetic resonance imaging(brain MRI), blood test and computer tomography were performed. The treatment for this patient was clinically based on Sasang Constitutional Medicine. 3. Results and Conclusions (1)Visual field defect, ataxia, myoclonus, sweating and dysuria were the main symptoms of the patient. (2)The pathological change in parenchyme was not revealed during the early periods by MR imaging. So the diagnosing CJD was not possible during the time in this case. (3)Jihwangbaekho-tang(地黃白虎湯) improved her myoclonus and sweating. But her mental disorder and the progress of the pathological change in the parenchyme was not able to be treated.