양안의 완전 외안근마비와 편측 안면마비를 동반한 밀러-피셔 증후군 환자 치험 1례
A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia and Facial Palsy
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Objective : The purpose of this study is to report that the effect of Korean medical treatments on Miller-Fish er Syndrome with ophtalmoplegia and facial palsy. Methods : We treated a 69-year-old female diagnosed with Miller-Fisher syndrome with ophthalmoplegia, rig ht facial palsy and other symptoms. She received Korean medical treatments such as herbal medicine(Gamiboi k-tang), cupping therapy and acupuncture(including pharmacopuncture). The severity of ophthalmoplegia was evaluated by length of the eyeball movement and Scott and Kraft score. The severity of facial palsy was evaluat ed by Yanagihara score and the severity of other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was evaluated by VAS. Results : Each neurological symptoms were improved after Korean medical treatments. In case of ophthalmop legia, Scott and Kraft score increase from –4 to 0. There were no restrictions on eye movements. In case of facial palsy, Yanagihara score increased from 10 to 40. Also, other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was improved. Conclusions : This case report suggests that Korean medical treatments can be effective for Miller-Fisher Syn drome patient with Ophthalmoplegia and Facial Palsy.
Abstract
Objective : The purpose of this study is to report that the effect of Korean medical treatments on Miller-Fish er Syndrome with ophtalmoplegia and facial palsy. Methods : We treated a 69-year-old female diagnosed with Miller-Fisher syndrome with ophthalmoplegia, rig ht facial palsy and other symptoms. She received Korean medical treatments such as herbal medicine(Gamiboi k-tang), cupping therapy and acupuncture(including pharmacopuncture). The severity of ophthalmoplegia was evaluated by length of the eyeball movement and Scott and Kraft score. The severity of facial palsy was evaluat ed by Yanagihara score and the severity of other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was evaluated by VAS. Results : Each neurological symptoms were improved after Korean medical treatments. In case of ophthalmop legia, Scott and Kraft score increase from –4 to 0. There were no restrictions on eye movements. In case of facial palsy, Yanagihara score increased from 10 to 40. Also, other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was improved. Conclusions : This case report suggests that Korean medical treatments can be effective for Miller-Fisher Syn drome patient with Ophthalmoplegia and Facial Palsy.
참고문헌 (20)
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