양성돌발체위현기증 환자 치험 1례
Case Study of Peripheral Vertigo and Nausea Diagnosed as Benign Paroxysmal Positional Vertigo Improved by Traditional Korean Medicine
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective: We report a case of a 73-year-old Korean male with vertigo and nausea, both of which were brought about by head repositioning. The condition was diagnosed as benign paroxysmal positional vertigo (BPPV). Method: The patient was treated with acupuncture, electroacupuncture, cupping, transcutaneous electrical nerve stimulation (TENS), and herbal medicine (Bosimsahwacheonggan-tang [補心瀉火淸肝湯]). We conducted the vertigo symptoms scale (VSS) and the dizziness handicap inventory (DHI) to evaluate the degree of the patient’s symptoms. Results: Vertigo and nausea started to improve after the administration of Bosimsahwacheonggan-tang, but although the patient took the anti-vertigo medication and a tranquilizer after the symptoms became aggravated, no prominent improvements could be observed. Conclusion: These results suggest that traditional Korean medical treatment may be effective in treating peripheral vertigo due to BPPV.
Abstract
Objective: We report a case of a 73-year-old Korean male with vertigo and nausea, both of which were brought about by head repositioning. The condition was diagnosed as benign paroxysmal positional vertigo (BPPV). Method: The patient was treated with acupuncture, electroacupuncture, cupping, transcutaneous electrical nerve stimulation (TENS), and herbal medicine (Bosimsahwacheonggan-tang [補心瀉火淸肝湯]). We conducted the vertigo symptoms scale (VSS) and the dizziness handicap inventory (DHI) to evaluate the degree of the patient’s symptoms. Results: Vertigo and nausea started to improve after the administration of Bosimsahwacheonggan-tang, but although the patient took the anti-vertigo medication and a tranquilizer after the symptoms became aggravated, no prominent improvements could be observed. Conclusion: These results suggest that traditional Korean medical treatment may be effective in treating peripheral vertigo due to BPPV.
참고문헌 (13)
- Lee GW, "Textbook of Neurology", pp.369~370 (2005), PANMUN EDUCATION
- 송진수, "苓桂朮甘湯 투여로 치료된 양성 돌발성 체위성 현훈 환자 치험 3례", 한방안이비인후피부과학회지, 23(2), pp.210~217 (2010), 대한한방안이비인후피부과학회
- 이재휘, "滋陰健脾湯加味方을 투여한 어지럼증 환자 70례에 대한 분석 및 고찰", 동의생리병리학회지, 24(1), pp.171~176 (2010), 한의병리학회
- 이은, "頭位변환에 따른 회전성 현훈증에서澤瀉湯加味方 투여 20例의 임상고찰", 동의생리병리학회지, 15(6), pp.1057~1060 (2001), 한의병리학회
- Jeong YJ, "One Case of Dizziness Patients Suggested Benign Paroxysmal Positional Vertigo treated by Jaeumkunbitang-gamibang and Dix-hallpike maneuver", Korean J Orient Int Med, 21(1), pp.181~184 (2000)
- 정달림, "歸脾湯加味方 복용 후 호전된 양성 돌발성 체위성 현훈 환자 1례", 한방안이비인후피부과학회지, 21(2), pp.199~205 (2008), 대한한방안이비인후피부과학회
- Duracinsky M, "Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients' quality of life", Value in health, 10(4), pp.273~284 (2007)
- Jacobson P, "The development of the dizziness handicap inventory", Arch Otolaryngol Head Neck Surg, 116(4), pp.424~427 (1990)
- 김태연, "한방병원에 입원한 두위 현훈 환자의 임상 분석", 대한한방내과학회지, 32(3), pp.371~386 (2011), 대한한방내과학회
- Parnes LS, "Diagnosis and management of benign paroxysmal positional vertigo (BPPV)", Canadian Medical Association Journal, 169(7), pp.681~693 (2003)
- Desai DS, "Role of Modified Epley’s Maneuver and Brandt-Daroff Exercises in Treatment of Posterior Canal BPPV: A Comparative Study", Int J Physiother Res, 3(3), pp.1059~1064 (2015)
- Guneri E, "The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo", Otolaryngology-Head and Neck Surgery (2011)
- Pianese CP, "New approaches to the management of peripheral vertigo: Efficacy and safety of two calcium antagonists in a 12-week, multinational, double-blind study", European Academy of Otology and Neurotology, 23(3), pp.357~363 (2002)