Bilateral Medial Medullary Infarction (Dejerene Syndrome) Patient Suffering from Quadriplegia Treated by Korean Traditional Medicine: a Case Report
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Medial medullary infarction, with representing symptoms of hemiparesis, lingual palsy, and sensory defect, usually has a bad prognosis. The present case is unusual as the patient had a bilateral infarction, and little information is available for bilateral cases. We treated a patient diagnosed with bilateral medial medullary infarction with the symptoms of quadriplegia, lingual palsy, dyspnea, dysphagia, spastic pain, and loss of proprioception. After 126 days of traditional Korean medicine treatment, the patient showed increased muscle power, sensory recovery, reduced spastic pain, and alleviation of dysphagia and dyspnea. This report indicates that traditional Korean medicine could be an effective treatment of the sequelae of medullary infarctions.
Abstract
Medial medullary infarction, with representing symptoms of hemiparesis, lingual palsy, and sensory defect, usually has a bad prognosis. The present case is unusual as the patient had a bilateral infarction, and little information is available for bilateral cases. We treated a patient diagnosed with bilateral medial medullary infarction with the symptoms of quadriplegia, lingual palsy, dyspnea, dysphagia, spastic pain, and loss of proprioception. After 126 days of traditional Korean medicine treatment, the patient showed increased muscle power, sensory recovery, reduced spastic pain, and alleviation of dysphagia and dyspnea. This report indicates that traditional Korean medicine could be an effective treatment of the sequelae of medullary infarctions.
참고문헌 (16)
- Department of Cardiology &Neurology of Korean Medicine College, "Korean medicine of Cardiology & Neurology", pp.463~478 (2013), Koonja books
- Korean Neurological Association, "Neurology", pp.645~698 (2017), Panmun education
- Korean stroke society, "STROKE", pp.87~97 (2015), Panmun education
- Martin JH, "Neuroanatomy", pp.43~44 (2014), Panmun education
- Cho KI, "Case about Brainstem Infarction-Dejerine's syndrome and Wallenburg's syndrome", Korean Journal of Oriental Physiology & Pathology, 16(6), pp.1294~1295 (2002)
- Jitphapa P, "Bilateral Medial Medullary Infarction : A Systematic Review", Journal of Stroke and Cerebrovascular Diseases, 22(6), pp.775~780 (2013)
- 장한원, "Bilateral Medial Medullary Infarction Demonstrated by Diffusion-Weighted Imaging: Case Report", Journal of Yeungnam Medical Science, 26(1), pp.70~73 (2009), 영남대학교 의과대학
- 김경섭, "Mechanism of Medullary Infarction Based on Arterial Territory Involvement", Journal of Clinical Neurology, 8(2), pp.116~122 (2012), 대한신경과학회[DOI]
- Shono Y, "Medial Medullary Infarction Identified by Diffusion-Weighted Magnetic Resonance Imaging", Cerebrovascular Diseases, 30(5), pp.519~524 (2010)
- Dejerine J, "Sémiologie des affections du système nerveux" (1914), Masson
- Domenico R, "Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia : technology update", Medical Devices, 11, pp.21~26 (2018)
- 이정섭, "전문가 변증과정을 반영한 중풍 변증 판별모형", 동의생리병리학회지, 23(6), pp.1460~1464 (2009), 한의병리학회
- Hwang DY, "Bang-Yak-Hap-Pyeon", pp.66~380 (2010), Younglimsa
- 손혜영, "허혈성뇌졸중 흰쥐모델에서 加味補陽還五湯와 주요 구성약재인 黃芪, 丹蔘의 뇌신경보호효과에 대한 연구", 대한본초학회지, 25(2), pp.71~79 (2010), 대한본초학회
- Cai Y, "Electroacupuncture for Poststroke Spasticity : A Systematic Review and Meta-Analysis", Archives of Physical Medicine and Rehabilitation, 98(12), pp.2578~2589 (2017)
- Graf KJ, "Proximal intracranial territory posterior circulation infarcts in the New England Medical Center Posterior Circulation Registry", European Neurology, 37(3), pp.157~168 (1997)