반대측 외전신경 마비를 동반한 외상성 안면신경 마비 환자에 대한 치험 1례
A Case Report of Traumatic Facial Nerve Palsy with Contralateral Abducens Nerve Palsy
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Abstract Objective : The purpose of this study is to report the effect of Korean medicine treatment on a patient with traumatic facial nerve palsy accompanied by contralateral abducens nerve palsy. Methods : A patient was treated with Korean medicine. We evaluated the severity of facial nerve palsy with Yanagihara facial nerve grading system, and assessed abducens nerve palsy with the Scott and Kraft score, photographs, and measurement of abduction range. Results : Severity of facial nerve palsy improved; Yanagihara total score increased from 6 to 32. The abducens nerve palsy showed slight improvement; the Scott and Kraft score increased from –4 to –3, and the degree of ocular deviation during abduction improved from 2mm medial to 1mm lateral relative to the central line. Conclusion : This report suggests that Korean medicine treatment can be effective for a patient with traumatic facial nerve palsy and abducens nerve palsy
Abstract
Abstract Objective : The purpose of this study is to report the effect of Korean medicine treatment on a patient with traumatic facial nerve palsy accompanied by contralateral abducens nerve palsy. Methods : A patient was treated with Korean medicine. We evaluated the severity of facial nerve palsy with Yanagihara facial nerve grading system, and assessed abducens nerve palsy with the Scott and Kraft score, photographs, and measurement of abduction range. Results : Severity of facial nerve palsy improved; Yanagihara total score increased from 6 to 32. The abducens nerve palsy showed slight improvement; the Scott and Kraft score increased from –4 to –3, and the degree of ocular deviation during abduction improved from 2mm medial to 1mm lateral relative to the central line. Conclusion : This report suggests that Korean medicine treatment can be effective for a patient with traumatic facial nerve palsy and abducens nerve palsy