외상성 지주막하출혈 이후 발생한 동안신경마비의 봉독 약침을 활용한 한방치료 증례보고 1례
Case Report of Traumatic Subarachnoid Hemorrhage-Induced Oculomotor Nerve Palsy Treated with Korean Medicine, Including Sweet Bee Venom
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초록
The aim of this study is to report the effectiveness of a traditional Korean medicine treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage. A 54-year-old male patient with oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage after a traffic accident was treated with Korean medicine, including acupuncture, electroacupuncture, sweet bee venom pharmacoacupuction, moxibustion, and herbal medicine. The effect of treatment on symptoms - ptosis, and eye movement - was evaluated using a ratio of eye opening and eye movement between the paralyzed eye and the normal eye. After 41 days of treatment, the clinical symptoms had improved. The ptosis and eye movement started to show improvement from day 20; at the time of discharge, ptosis had improved by more than 50%, and eye movement showed some improvement as well. This study suggests that Korean medicine may be an effective treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage.
Abstract
The aim of this study is to report the effectiveness of a traditional Korean medicine treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage. A 54-year-old male patient with oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage after a traffic accident was treated with Korean medicine, including acupuncture, electroacupuncture, sweet bee venom pharmacoacupuction, moxibustion, and herbal medicine. The effect of treatment on symptoms - ptosis, and eye movement - was evaluated using a ratio of eye opening and eye movement between the paralyzed eye and the normal eye. After 41 days of treatment, the clinical symptoms had improved. The ptosis and eye movement started to show improvement from day 20; at the time of discharge, ptosis had improved by more than 50%, and eye movement showed some improvement as well. This study suggests that Korean medicine may be an effective treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage.
참고문헌 (20)
- Choi JH, "Ocular Motor Nerve Palsies", Clin Neuroophthalmol, 3(2), pp.66~73 (2013)
- Raza HK, "The aetiologies of the unilateral oculomotor nerve palsy:a review of the literature", Somatosensory & Motor Research, 35(3-4), pp.229~239 (2018)
- The Korean Neurological Association, "Textbook of Neurology", pp.25~ (2012), PanMun Education
- Hanna KL, "The treatment methods for post-stroke visual impairment:A systematic review", Brain and Behavior, 7(5), pp.e00682~ (2017)
- 이현승, "지주막하출혈 후 안검하수와 안구운동장애를 호소하는 동안신경마비 환자의 한방치료 증례보고 2례", 대한한방내과학회지, 41(5), pp.745~753 (2020), 대한한방내과학회[DOI]
- Woo C, "A Case of the Oculomotor Nerve Palsy in Subarachnoid Hemorrhage Patient", J Int Korean Med, 35(3), pp.102~107 (2015)
- Kim SW, "A Case Report about Treatments of a Patient with Oculomotor Nerve Palsy after Subarachnoid Hemorrhage", J Int Korean Med, (spr), pp.102~109 (2015)
- Tiffin PA, "Aquired palsy of the oculomotor trochlear and abducens nerve", Eye, 10(Pt 3), pp.377~384 (1996)
- Kim TG, "Traumatic Brain Injury", J Neurocrit Care, 1(1), pp.S56~S62 (2008)
- Muthu P, "Mild head injury with isolated third nerve palsy", Emerg Med J, 18(4), pp.310~311 (2001)
- Hong JM, "Direct Oculomotor Nerve Palsy in Association with A Mild Head Injury - A Case Report -", J Kor Neruotraumatol Soc, 1(1), pp.125~127 (2015)
- Richards BW, "Causes and prognosis in 4278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves", Arm J Ophthalmol, 113(5), pp.489~496 (1992)
- 정수미, "베네딕트 증후군 환자의 동안신경마비 치험 1례", 대한한방내과학회지, 26(3), pp.670~676 (2005), 대한한방내과학회
- Tokuno T, "Primary oculomotor nerve palsy due to head injury:Analysis of 1 cases", No Shinkei Geka, 23(6), pp.497~501 (1995)
- Noh SS, "Ophthalmology Otorhinolaryngology", pp.186~187 (2013), PNB
- Zhao W, "Electro-acupuncture reduces neuronal apoptosis linked to bax and Bcl-2 expression in the spinal cords of cats subjected to partial dorsal root ganglionectomy", Neurochemical Research, 33(11), pp.2214~2221 (2008)
- 박재흥, "말초성 안면신경마비에 대한 약침병행치료 효능의 임상적 고찰 - 자하거 약침과 Sweet Bee Venom을 중심으로 －", Journal of Acupuncture Research, 27(2), pp.79~87 (2010), 대한침구의학회
- 박인화, "교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사", 한방재활의학과학회지, 27(4), pp.131~145 (2017), 한방재활의학과학회
- Hwang HS, "The Effect of Siryeongtang and Gamisiryeongtang on Urination. Antiinflammation, Antipyresis and Analgesia", J Int Korean Med, 3(1), pp.49~66 (1986)
- 나가영, "월비가반하탕이 고지방식이로 유도된 비만 쥐에 미치는 영향", 대한한방내과학회지, 37(6), pp.1012~1021 (2016), 대한한방내과학회