[논문]외상성 지주막하출혈 이후 발생한 동안신경마비의 봉독 약침을 활용한 한방치료 증례보고 1례

강지윤; 양지혜; 채인철; 최인우; 정은선; 유호룡; 김윤식; 설인찬; 유주영

doi:10.22246/jikm.2021.42.2.140

외상성 지주막하출혈 이후 발생한 동안신경마비의 봉독 약침을 활용한 한방치료 증례보고 1례
Case Report of Traumatic Subarachnoid Hemorrhage-Induced Oculomotor Nerve Palsy Treated with Korean Medicine, Including Sweet Bee Venom 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.2, 2021년, pp.140 - 151

Abstract ▼ AI-Helper

The aim of this study is to report the effectiveness of a traditional Korean medicine treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage. A 54-year-old male patient with oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage after a traffic accident was treated with Korean medicine, including acupuncture, electroacupuncture, sweet bee venom pharmacoacupuction, moxibustion, and herbal medicine. The effect of treatment on symptoms - ptosis, and eye movement - was evaluated using a ratio of eye opening and eye movement between the paralyzed eye and the normal eye. After 41 days of treatment, the clinical symptoms had improved. The ptosis and eye movement started to show improvement from day 20; at the time of discharge, ptosis had improved by more than 50%, and eye movement showed some improvement as well. This study suggests that Korean medicine may be an effective treatment for oculomotor nerve palsy induced by traumatic subarachnoid hemorrhage.

주제어

표/그림 (10)

그림 Fig. 1. Outline of treatment.
표 Table 1. Western Medicine
그림 Fig. 2. Brain CT (2020.07.27).
표 Table 2. Prescription of Herbal Medicine – Water Based
표 Table 3. Prescription of Herbal Medicine – Extract Based
그림 Fig. 3. Changes of patient's eye ptosis. *A : 2020.09.08 (day 20), B : 2020.09.15 (day 27), C : 2020.09.22 (day 34), D : 2020.09.29 (day 41).
그림 Fig. 4. Progress of ptosis.
그림 Fig. 5. Photograph of patient's eye movement. 1. 2020.09.08 (day 20), 2. 2020.09.15 (day 27), 3. 2020.09.22 (day 34), 4. 2020.09.29 (day 41) *A : neutral, B : elevation, C : depression, D : abduction, E : adduction
그림 Fig. 6. Progress of eye movement.
그림 Fig. 7. Progress of other chief complaints.

참고문헌 (20)

Choi JH. Ocular Motor Nerve Palsies. Clin Neuroophthalmol 2013;3(2):66-73.
Raza HK, Chen H, Chansysouphanthong T, Cui G. The aetiologies of the unilateral oculomotor nerve palsy: a review of the literature. Somatosensory & Motor Research 2018;35(3-4):229-39.

상세보기
The Korean Neurological Association. Textbook of Neurology. 2nd ed. Seoul: PanMun Education; 2012, p. 25, 287-9, 294.
Hanna KL, Hepworth LR, Rowe FJ. The treatment methods for post-stroke visual impairment: A systematic review. Brain and Behavior 2017;7(5):e00682.

상세보기
Lee HS, Shim SS, Jeong S, Shin YJ, Yun JM, Moon BS. Case Reports of Korean Medicine Treatment of Two Patients with Oculomotor Nerve Palsy Complaining of Ptosis and Limitation of Eye Movement After Subarachnoid Hemorrhage. J Int Korean Med 2020;41(5):745-53.

원문보기 상세보기
Woo C, Jang CY, Hwang GS, Ha YJ, Kim HR, Shin, YJ, et al. A Case of the Oculomotor Nerve Palsy in Subarachnoid Hemorrhage Patient. J Int Korean Med 2015;35(3):102-7.
Kim SW, Lee JS, Shin JW, Jang WS, Baek KM. A Case Report about Treatments of a Patient with Oculomotor Nerve Palsy after Subarachnoid Hemorrhage. J Int Korean Med 2015;spr:102-9.
Tiffin PA, MacEwen CJ, Craig EA, Clayton G. Aquired palsy of the oculomotor, trochlear and abducens nerve. Eye 1996;10(Pt 3):377-84.

상세보기
Kim TG, Chung SS, Huh R, Choi JU. Traumatic Brain Injury. J Neurocrit Care 2008;1(1):S56-62.
Muthu P, Pritty P. Mild head injury with isolated third nerve palsy. Emerg Med J 2001;18(4):310-1.

상세보기
Hong JM, Kang SD, Kim JM. Direct Oculomotor Nerve Palsy in Association with A Mild Head Injury - A Case Report -. J Kor Neruotraumatol Soc 2015;1(1):125-7.

상세보기
Richards BW, Jones FR Jr, Younge BR. Causes and prognosis in 4278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Arm J Ophthalmol 1992;113(5):489-96.

상세보기
Jeung SM, Kim SJ, Jeung JA, Ann JJ, Jeon SY, Hong S, et al. A Case of the Oculomotor Nerve Palsy in Benedikt's Syndrome Patient. Korean J Orient Int Med 2005;26(3):670-6.
Tokuno T, Nakazawa K, Yoshida S, Matsumoto S, Shingu T, Sato S, et al: Primary oculomotor nerve palsy due to head injury: Analysis of 1 cases. No Shinkei Geka 1995;23(6):497-501.
Noh SS. Ophthalmology, Otorhinolaryngology. 3rd edition. Seoul: PNB; 2013, p. 186-7. 286-7.
Zhao W, Zhao Q, Liu J, Xu XY, Sun WW, Zhou X, et al. Electro-acupuncture reduces neuronal apoptosis linked to bax and Bcl-2 expression in the spinal cords of cats subjected to partial dorsal root ganglionectomy. Neurochemical Research 2008;33(11):2214-21.

상세보기
Park JH, Jang SH, Lee CH, Ku JY, Jeun DS, Ahn CB, et al. The Clinical Research of the Effectiveness of Pharmacopuncture Complex Therapy on Peripheral Facial Paralysis : Hominis placenta pharmacopuncture therapy and sweet mee venom therapy. J Acupunct Res 2010;27(2):79-87.
Park IH, Hwang EH, Hwang MS, Heo I, Kim BJ, Lim KT, et al. A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries. JKMR 2017;27(4):131-44.
Hwang HS, Du HG. The Effect of Siryeongtang and Gamisiryeongtang on Urination, Antiinflammation, Antipyresis, and Analgesia. J Int Korean Med 1986;3(1):49-66.
Na GY, Moon YH, Lee HI, Kim EJ. The Effects of Wolbiga-banha-tang on Obese Rats Fed a High-fat Diet. J Int Korean Med 2016;37(6):1012-21.

원문보기 상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증