시상, 중뇌, 소뇌경색으로 인한 안검하수, 안구운동장애를 호소하는 환자의 한방 치험 1례
A Case Report of a Thalamus, Midbrain, and Cerebellum Infarction Patient Suffering from Blepharoptosis and Ocular Motility Disorders Treated by Korean Medicine
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Objectives: This is a case report about the effect of Korean medicine on blepharoptosis and ocular motility disorders that occur with thalamus, midbrain, and cerebellum infarctions. Methods: The patient was treated using Korean medicine such as acupuncture, moxibustion, and herbal medicine (Boyanghwano-tang-gamibang). The change of blepharoptosis was evaluated by measurement of palpebral fissure width (PFW), marginal reflex distance-1 (MRD1), and marginal reflex distance-2 (MRD2). The change inocular motility disorders was evaluated by comparison using photographs of the extraocular movements of the patient. We used the Numeric Rating Scale-11 (NRS-11) of diplopia and dizziness to evaluate the effectiveness of treatment. Results: After treatment, blepharoptosis and ocular motility disorders were improved. The NRS-11 score of dizziness decreased from 10 to 7, and diplopia disappeared after Korean medicine treatment. Conclusions: According to this study, Korean medicine can be effective for treating blepharoptosis and ocular motility disorders in thalamus, midbrain, and cerebellum infarctions.
Abstract
Objectives: This is a case report about the effect of Korean medicine on blepharoptosis and ocular motility disorders that occur with thalamus, midbrain, and cerebellum infarctions. Methods: The patient was treated using Korean medicine such as acupuncture, moxibustion, and herbal medicine (Boyanghwano-tang-gamibang). The change of blepharoptosis was evaluated by measurement of palpebral fissure width (PFW), marginal reflex distance-1 (MRD1), and marginal reflex distance-2 (MRD2). The change inocular motility disorders was evaluated by comparison using photographs of the extraocular movements of the patient. We used the Numeric Rating Scale-11 (NRS-11) of diplopia and dizziness to evaluate the effectiveness of treatment. Results: After treatment, blepharoptosis and ocular motility disorders were improved. The NRS-11 score of dizziness decreased from 10 to 7, and diplopia disappeared after Korean medicine treatment. Conclusions: According to this study, Korean medicine can be effective for treating blepharoptosis and ocular motility disorders in thalamus, midbrain, and cerebellum infarctions.
참고문헌 (18)
- Korean Neurological Association, "Neurology", pp.559~577 (2015), panmun education
- 김지수, "뇌졸중과 안구 운동 장애", 대한뇌졸중영문학회지, 1(2), pp.126~138 (1999), 대한뇌졸중학회
- Chung SH, "A Case Report of Oculomotor Nerve Palsy Patient Treated by Traditional Korean Medicine", Korean Medical Hospital of Daejeon University, 23(2), pp.45~52 (2015)
- Noh SS, "Otolaryngology", pp.186~ (2011), Iljungsa
- Korean Acupuncture & Moxibustion Society Textbook Compliation Committee, "The acupuncture and moxibustion medicine", pp.599~604;844 (2012), Jipmoondang
- 정현애, "동안신경마비로 진단된 안검하수 환자에 대한 임상적 고찰", 동의생리병리학회지, 20(4), pp.1068~1072 (2006), 한의병리학회
- 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
- 이창희, "특발성 동안신경 마비환자 치료 1례에 대한 증례 보고", Journal of Acupuncture Research, 27(4), pp.233~238 (2010), 대한침구의학회
- 손정화, "복시 및 안구운동장애를 호소하는 동안신경마비 환자 치험 1례", 대한한방내과학회지, 38(2), pp.190~194 (2017), 대한한방내과학회
- 이재화, "중뇌 및 시상 출혈 환자에 나타난 단안의 부분 동안신경마비 증례보고", 동의생리병리학회지, 24(2), pp.333~337 (2010), 한의병리학회
- Tiffin PA, "Aquired palsy of the oculomotor, trochlear and abducens nerves", Eye(Lond), 10(3), pp.377~384 (1996)
- Park KH, "The Etiology and Clinical Feature of the Third, Fourth, and Sixth Cranial Nerve Palsy", Korean Journal of Opthalmology, 38(8), pp.1432~1434 (1997)
- 유윤선, "뇌졸중으로 인한 안검하수와 복시 증상에 조간익뇌탕을 투여한 치험 2례", 동의신경정신과학회지, 23(3), pp.117~128 (2012), 대한한방신경정신과학회[DOI]
- 박준영, "중추성 및 말초성 안구운동장애 사례에 대한 고찰- 한방치료를 시행한 3례를 중심으로", 대한한방내과학회지, 33(4), pp.599~608 (2012), 대한한방내과학회
- 엄예진, "시상, 중간뇌, 다리뇌 경색에 의한 안구운동장애 치험 1례", 한방안이비인후피부과학회지, 28(4), pp.130~141 (2015), 대한한방안이비인후피부과학회
- 노현석, "복시 및 안구운동장애를 호소하는 뇌간경색 환자의 한방 치험 1례", 대한한방내과학회지, 37(2), pp.345~351 (2016), 대한한방내과학회
- Wang CI, "Uirimgaechak", pp.85~ (1991), Iljungsa
- Korean Medical College Society Textbook Compilation Committee, "Herbal medicine", pp.333;345;348;392;447;458;462~463;485;549;577;579;630 (2011), Younglimsa
