밀러-피셔 증후군 환자의 안근 마비 치험 1례
A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia
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Objectives : The aim of this study is to report the effect of Korean Medicine Treatment for patient with ophthalmoplegia in Miller-Fisher Syndrome. Methods : A patient with ophthalmoplegia treated with herbal medicine, cupping therapy and acupuncture(including pharmacopuncture, electroacupuncture). We used photographs of eye movement to evaluate the changes in symptoms, Scott and Kraft score of left eye, visual field test for measuring peripheral visual field, subjective symptom, and VAS for headache, subjective symptom. Results : After treatment, Scott and Kraft score increase from -4 to -2. Visual field of left side improved from 45° to 80°. Also, other symptoms such as diploma, dizziness, headache, gait disturbance was also improved. There are no adverse effects and no relapse of ophthalmoplegia after 20 days of discharge. Conclusions : This case report suggests that Korean Medicine Treatment can be effective for patient with ophthalmoplegia in Miller-Fisher Syndrome.
Abstract
Objectives : The aim of this study is to report the effect of Korean Medicine Treatment for patient with ophthalmoplegia in Miller-Fisher Syndrome. Methods : A patient with ophthalmoplegia treated with herbal medicine, cupping therapy and acupuncture(including pharmacopuncture, electroacupuncture). We used photographs of eye movement to evaluate the changes in symptoms, Scott and Kraft score of left eye, visual field test for measuring peripheral visual field, subjective symptom, and VAS for headache, subjective symptom. Results : After treatment, Scott and Kraft score increase from -4 to -2. Visual field of left side improved from 45° to 80°. Also, other symptoms such as diploma, dizziness, headache, gait disturbance was also improved. There are no adverse effects and no relapse of ophthalmoplegia after 20 days of discharge. Conclusions : This case report suggests that Korean Medicine Treatment can be effective for patient with ophthalmoplegia in Miller-Fisher Syndrome.
참고문헌 (22)
- Fischer M, "An unusual variant of acute idiopathic polyneuritis(syndrome of ophthalmoplegia, ataxia and areflexia)", N Engl J Med, 255(2), pp.57~65 (1956)
- 안준성, "속눈근육마비로 발현한 Miller Fisher 증후군 2예", Annals of Clinical Neurophysiology, 8(1), pp.71~73 (2006), 대한임상신경생리학회
- 정재우, "밀러-피셔 증후군의 임상양상과 치료경과", 대한안과학회지, 58(2), pp.197~202 (2017), 대한안과학회
- Jeong EJ, "A Case of Miller-Fisher Syndrome", Journal of Korean Medicine, 20(4), pp.98~105 (2000)
- 두인선, "Miller Fisher 증후군의 동안신경마비에 대한 치험1례", 동의생리병리학회지, 17(3), pp.842~845 (2003), 한의병리학회
- 이마음, "복시를 동반하는 특발성 외전신경마비 한의 치험 2례", 한방안이비인후피부과학회지, 31(4), pp.117~125 (2018), 대한한방안이비인후피부과학회[DOI]
- Scott AB, "Botulinum toxininjection in the management of lateral rectus paresis", Ophthalmology, 92, pp.676~683 (1985)
- Berlit P, "The Miller-Fisher syndrome. Review of the literature", J Clin Neuroophthalmol, 12, pp.57~63 (1992)
- 김은지, "소아에서 발생한 항 GQ1b 항체 양성 밀러피셔증후군 1예", 대한안과학회지, 57(3), pp.528~531 (2016), 대한안과학회
- 박인기, "시신경을 침범한 밀러피셔증후군", 대한안과학회지, 51(12), pp.1676~1680 (2010), 대한안과학회
- A Chiba, "Ganglioside composition of the human cranial nerves, with special reference to pathophysiology of Miller-Fisher syndrome", Brain Research, 745(1-2), pp.32~38 (1997)
- 차혜진, "밀러피셔증후군의 불면증 환자 치험 1례", 동의신경정신과학회지, 20(3), pp.229~236 (2009), 대한한방신경정신과학회
- 송미사, "Miller-Fisher 증후군에서 나타난 지연형 안면마비 및 현훈 치험 1례", 한방안이비인후피부과학회지, 32(3), pp.254~261 (2019), 대한한방안이비인후피부과학회[DOI]
- Yao NL, "Differential Diagnosis TCM Symptoms", pp.191~192 (1987), People’s Medical Publishing House
- No JH, "East-West Medical Study on Atrophy Syndrome", Journal of Korean Oriental Internal Medicine, 17(1), pp.81~106 (1996)
- The Society of Korean Medicine Ophthalmology, "Text of Traditional Korean Dermatology & Surgery", pp.39~40 (2019), Globooks
- Rho seok seon, "Otolaryngology &Dermatology", pp.281~298 (2003), Jumin Press
- Kim GO, "Experimental Study on the Anti-Stress Effect of Girdamchungshim tang", Journal of Kyung Hee Korean Medical College, 9(1), pp.539~551 (1986)
- College of Oriental Medicine Compilation Committee of Herbology, "Herbology", pp.654~ (2006), Younglimsa Press
- Wang Ang, "Ben Cao Bei Yao", pp.14~, Freeditorial Publishing House
- Eom YS, "A Clinical Case Report of Oculomotor Nerve Palsy", J Korean Med Ophthalmol Otolaryngol Dermatol, 17(3), pp.126~130 (2004)
- 이휘용, "수종의 약침제제 견정혈 자입이 활력징후 변화에 미치는 영향 - 황기 약침, 산삼 약침, 생지황 약침을 중심으로 -", Journal of Acupuncture Research, 24(5), pp.207~217 (2007), 대한침구의학회
