교뇌 경색으로 인한 핵간안근마비 환자의 육미지황탕을 활용한 한의 증례보고 1례
A Case Report of an Internuclear Ophthalmoplegia Patient caused by Pontine Infarction Treated by Korean Medicine Treatment Including Yukmijihwang-tang
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Internuclear Ophthalmoplegia (INO) is characterized by lesion side eye's adduction limitation in lateral horizontal gaze and nystagmus in the abducting eye due to lesions in the Medial Longitudinal Fasciculus (MLF). Brainstem infarction is one of the causes of INO, but related issues have seldom been reported in the Korean medical literature. The present case was a pontine infarction patient with INO who complained of diplopia and eye movement disorder. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion for 30 days. Her changes in clinical symptoms were measured with a Numeric Rating Scale (NRS) and a length of External Ocular Movement (EOM), in which the patient's right eyeball moved to the left from the midline in the left gaze. After treatment, her clinical symptoms were improved. Diplopia decreased from NRS 10 to NRS 2, and eye movement disorder was improved such that EOM increased from 1mm to 5 mm. Therefore, integrative Korean medicine treatment may be effective in the treatment of INO patients caused by pontine infarction.
Abstract
Internuclear Ophthalmoplegia (INO) is characterized by lesion side eye's adduction limitation in lateral horizontal gaze and nystagmus in the abducting eye due to lesions in the Medial Longitudinal Fasciculus (MLF). Brainstem infarction is one of the causes of INO, but related issues have seldom been reported in the Korean medical literature. The present case was a pontine infarction patient with INO who complained of diplopia and eye movement disorder. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion for 30 days. Her changes in clinical symptoms were measured with a Numeric Rating Scale (NRS) and a length of External Ocular Movement (EOM), in which the patient's right eyeball moved to the left from the midline in the left gaze. After treatment, her clinical symptoms were improved. Diplopia decreased from NRS 10 to NRS 2, and eye movement disorder was improved such that EOM increased from 1mm to 5 mm. Therefore, integrative Korean medicine treatment may be effective in the treatment of INO patients caused by pontine infarction.
참고문헌 (19)
- Korean Stroke Society, "Stroke", pp.3~90 (2017), PanMun Education
- "Stroke Statistics in Korea 2018:A Report from the Epidemiology Research Council of the Korean Stroke Society" (2018)[URL]
- 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)
- 박준영, "중추성 및 말초성 안구운동장애 사례에 대한 고찰- 한방치료를 시행한 3례를 중심으로", 대한한방내과학회지, 33(4), pp.599~608 (2012), 대한한방내과학회
- 정경숙, "뇌교 경색에 의한 일측성핵간마비로 유발된 외사시 환자에 대한 증례보고", Journal of Acupuncture Research, 23(3), pp.241~247 (2006), 대한침구의학회
- 신정애, "제 3,4,6 뇌신경 마비로 인한 안구운동장애 환자 치험 3례", 대한한방내과학회지, 24(3), pp.626~634 (2003), 대한한방내과학회
- Fenichel Gerald M, "Clinical Pediatric Neurology", pp.325~326 (2009), Saunders
- Kochar PS, "Isolated medial longitudinal fasciculus syndrome : Review of imaging, anatomy, pathophysiology and differential diagnosis", Neuroradiol J, 31(1), pp.95~99 (2018)
- Choi JY, "A Case of Bilateral Internuclear Ophthalmoplegia", J Korean Ophthalmol Soc, 38(6), pp.1050~1055 (1997)
- Association of Korean Medicine Professors for Cardiology and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean Medicine I", pp.254~ (2018), Woori Medical Books
- Noh SS, "Otolaryngology", pp.167~219 (1999), Iljungsa
- Nanjing Chinese Medicine Graduate School, "Correction & interpretation of Zhu bing yuan hou lun", pp.781~782 (1983), Peaple's Medical Publishing House
- Hu J, "Donguibogam", pp.619~638 (2007), Bubin Publishers
- Yun YK, "Korean medicine prescription and commentary", pp.508~509 (2011), Uisungdang
- Shin MK, "Clinical Traditional Herbalogy", pp.233~ (2010), Younglimsa
- Keane JR, "Internuclear ophthalmoplegia:unusual causes in 114 of 410 patients", Arch Neurol, 62(5), pp.714~717 (2005)
- Wu YT, "Wall-eyed bilateral internuclear ophthalmoplegia : review of pathogenesis, diagnosis, prognosis and management", Clin Exp Optom, 98(1), pp.25~30 (2015)
- Bolaños I, "Internuclear ophthalmoplegia : causes and long-term follow-up in 65 patients", Acta Neurol Scand, 110(3), pp.161~165 (2004)