뇌동맥류의 스텐트 보조 코일색전술 후에 발생한 동안신경 마비에 대한 한방치험 1례
A Case Report of Oculomotor Palsy Associated with Stent-Assisted Coil Embolization of Cerebral Aneurysm
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Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.
Abstract
Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.
참고문헌 (21)
- Asakura internal medicine, "Asakura internal medicine. 11e. Vol. 2" (2020), Woori Medical Books
- Mansour N, "Resolution of cranial nerve paresis after endovascular management of cerebral aneurysms", Surg Neurol, 68(5), pp.500~504 (2007)
- Kazekawa K, "Internal carotid aneurysms presenting with mass effect symptoms of cranial nerve dysfunction : efficacy and imitations of endosaccular embolization with GDC", Radiat Med, 21(2), pp.80~85 (2003)
- Stiebel-Kalish H, "Evolution of oculomotor nerve paresis after endovascular coiling of posterior communicating artery aneurysms : a neuroophthalmological perspective", Neurosurgery, 53(6), pp.1268~1274 (2003)
- Brisman JL, "Cerebral aneurysms", N Engl J Med, 355(9), pp.928~939 (2006)
- Birchall D, "Resolution of third nerve paresis after endovascular management of aneurysms of the posterior communicating artery", Am J Neuroradiol, 20(3), pp.411~413 (1999)
- Inamasu J, "Early resolution of third nerve palsy following endovascular treatment of a posterior communicating", Journal of neuroophthalmology, 22(1), pp.12~14 (2002)
- 곽재혁, "뇌동맥류의 코일색전술 후에 발생한 일과성완전기억상실증", 대한신경과학회지, 32(3), pp.175~177 (2014), 대한신경과학회
- Ferrell AS, "Visual complications after stent-assisted endovascular embolization of paraophthalmic and suprasellar variant superior hypophyseal aneurysms: the Duke Cerebrovascular Center experience in 57patients", World neurosurgery, 78(3-4), pp.289~294 (2014)
- Nishino K, "Cranial nerve palsy following transvenous embolization for a cavernous sinus dural arteriovenous fistula : association with the volume and location of detachable coils", J Neurosurg, 109(2), pp.208~214 (2008)
- Fukami T, "Central retinal vein occlusion after embolization for spontaneous carotid cavernous sinus fistula", No Shinkei Geka, 24(8), pp.749~753 (1996)
- Kikkawa DO, "Severe vision loss and neovascular glaucoma complicating superior ophthalmic vein approach to carotid-cavernous sinus fistula", Am J Ophthalmol, 124(6), pp.883~884 (1997)
- Kim DJ, "Results of transvenous embolization of cavernous dural arteriovenous fistula : a single-center experience with emphasis on complications and management", AJNR Am J Neuroradiol, 27(10), pp.2078~2082 (2006)
- Liu YL, "Late-onset abducens nerve palsy after endovascular treatment for carotid-cavernous fistula : two case reports", Neuroophthalmol, 38(3), pp.131~134 (2014)
- Capone S, "A fetal-type variant posterior communicating artery and its clinical significance", Cureus, 11(7), pp.e5064~ (2019)
- Ko JH, "Oculomotor nerve palsy caused by posterior communicating artery aneurysm : evaluation of symptoms after endovascular treatment", Interventional Neuroradiology, 17(4), pp.415~419 (2011)
- Heo J, "DONGUIBOGAM", pp.362~692 (1987), Namsandang
- 하원정, "익기보혈탕과 녹용 복용이 한방병원 외래 환자의 피로 증상과 심박변이도 결과에 미치는 영향: 후향적 차트 리뷰", 대한한의학회지, 43(3), pp.139~149 (2022), 대한한의학회
- 이제원, "우황청심원 관련 최근 연구 동향 : 국내 논문에 대한 고찰", 대한한방내과학회지, 31(4), pp.775~791 (2010), 대한한방내과학회
- Kang SI, "A study of the oriental medical therapy on headache", J Korean Med, 13(1), pp.324~335 (1992)
- 김도형, "중완(中脘)에 신기구 뜸시술이 뇌혈류 및 말초혈류 변화에 미치는 영향", 대한한방내과학회지, 35(1), pp.24~36 (2014), 대한한방내과학회[DOI]