어지럼증 및 오심을 호소하는 다발성 뇌신경마비 동반 람세이 헌트 증후군 환자 한의 치험 1례
A Case Report of Korean Medicine Treatment for a Patient with Ramsay Hunt Syndrome with Multiple Cranial Nerve Palsy Accompanied by Dizziness and Nausea
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초록
A 63-year-old female diagnosed with Ramsay Hunt syndrome with multiple cranial nerve palsy, presenting with severe dizziness and nausea, was treated using Korean medicine, including herbal medicine (Geopung-tang and Gyejibanhasaenggang-tang), acupuncture, pharmacopuncture, electroacupuncture, and moxibustion. The patient underwent a 58-day course of treatment during hospitalization, and the effects were evaluated using the Korean dizziness handicap inventory, the index of nausea, vomiting, and retching, the gastrointestinal symptom rating scale, and the numeric rating scale for dizziness and nausea. Vestibular function was assessed using the video head impulse test. After treatment, the patient showed significant improvement in dizziness, nausea, and her overall health condition. This case suggests that Korean medicine may offer an effective treatment for persistent dizziness and nausea in patients with Ramsay Hunt syndrome, particularly when conventional treatments are insufficient.
Abstract
A 63-year-old female diagnosed with Ramsay Hunt syndrome with multiple cranial nerve palsy, presenting with severe dizziness and nausea, was treated using Korean medicine, including herbal medicine (Geopung-tang and Gyejibanhasaenggang-tang), acupuncture, pharmacopuncture, electroacupuncture, and moxibustion. The patient underwent a 58-day course of treatment during hospitalization, and the effects were evaluated using the Korean dizziness handicap inventory, the index of nausea, vomiting, and retching, the gastrointestinal symptom rating scale, and the numeric rating scale for dizziness and nausea. Vestibular function was assessed using the video head impulse test. After treatment, the patient showed significant improvement in dizziness, nausea, and her overall health condition. This case suggests that Korean medicine may offer an effective treatment for persistent dizziness and nausea in patients with Ramsay Hunt syndrome, particularly when conventional treatments are insufficient.
참고문헌 (23)
- Park SY, "Herpes Zoster Oticus", Korean J Otolaryngol-Head Neck Surg, 57(2), pp.78~83 (2014)
- Lee SH, "Herpes zoster oticus with multiple cranial nerve involvement : 2 cases", Korean J Otorhinolaryngol-Head Neck Surg, 50(7), pp.635~638 (2007)
- Burke BL, "Immune responses to varicella-zoster in the aged", Arch Intern Med, 142(2), pp.291~293 (1982)
- Kuo MJ, "Early diagnosis and treatment of Ramsay Hunt syndrome : the role of magnetic resonance imaging", J Laryngol Otol, 109(8), pp.777~780 (1995)
- Uscategui T, "Corticosteroids as an adjuvant to antiviral treatment in Ramsay Hunt syndrome(herpes zoster oticus with facial palsy)in adults", Cochrane Database of Systematic Reviews, 3, pp.CD006852~ (2008)[DOI]
- Tan R, "The efficacy and safety of acupuncture for Ramsay Hunt syndrome: A protocol for systematic review", Medicine (Baltimore), 99(12), pp.e19582~ (2020)
- Han GC, "The study of standardization for a Korean adaptation of self-report measures of dizziness", J Korean Bal Soc, 3(2), pp.307~325 (2004)
- Kim YJ, "The index of nausea, vomiting, and retching", J Korean Acad Adult Nurs, 12(2), pp.278~285 (2000)
- Kwon SS, "Diagnostic validity of the Korean gastrointestinal symptom rating scale(KGSRS)in the assessment of gastro-esophageal reflux disease", Ewha Med J, 31(2), pp.73~80 (2008)
- Yang CJ, "Video Head Impulse Test", J Clinical Otolaryngol, 28(1), pp.29~35 (2017)
- Kim YJ, "A Case of Ramsay Hunt Syndrome Involving Multiple Cranial Nerves and Delayed Onset Facial Palsy", J Clin Otolaryngol, 26(1), pp.81~86 (2015)
- Lapresle J, "Cranial nerve ischemic arterial syndromes. A review", Brain, 109(1), pp.207~216 (1986)
- Kim YH, "Bilateral simultaneous facial nerve palsy : clinical analysis in seven cases", Otol Neurotol, 29(3), pp.397~400 (2008)
- Murakami S, "Treatment of Ramsay Hunt syndrome with acyclovir-prednisone : significance of early diagnosis and treatment", Ann Neurol, 41(3), pp.353~357 (1997)
- Hwang MW, "Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine : Greater Yin Symptomatology", J Sasang Constitut Med, 26(1), pp.45~54 (2014)
- The Whole Korean Medicine Bonchohak Professor Coedition, "Bonchohak", pp.125~137 (1992), Younglimsa
- Kang BS, "Herbal Medicine" (1988), YoungRimSa
- Taguchi Y, "Pramipexoleinduced dropped head syndrome in Parkinson's disease", Intern Med, 47(22), pp.2011~2012 (2008)
- Schroder L, "Unstable gaze in functional dizziness : a contribution to understanding the pathophysiology of functional disorders", Front Neurosci, 15, pp.685590~ (2021)
- Yang MS, "Current Research Trend on Acupuncture Treatment for Nerve Regeneration and Recovery : Based on the Data of PubMed", Korean J Acupunct, 31(4), pp.147~157 (2014)
- Treleaven J, "Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control", Man Ther, 13(1), pp.2~11 (2008)
- Kim DJ, "A case of chronic Meniere's disease improved by Korean medicine treatment including pharmacoacupuncture of cervical and temporomandibular area : A case report", J Korean Med, 44(3), pp.150~162 (2023)
- Ku JS, "Toxicological study of su-eohyeol pharmacopuncture in an in vivo micronucleus test in sprague-dawley rats", Korean J Acupunct, 39(2), pp.54~62 (2022)