[논문]루이소체 치매로 추정되는 이차성 파킨슨증 환자의 Non-Motor Symptom Scale(NMSS)로 평가한 비운동성 증상을 한약과 침의 복합치료로 호전시킨 증례보고 1례

노민영; 이지현; 한양희; 임정태

doi:10.22246/jikm.2021.42.5.833

루이소체 치매로 추정되는 이차성 파킨슨증 환자의 Non-Motor Symptom Scale(NMSS)로 평가한 비운동성 증상을 한약과 침의 복합치료로 호전시킨 증례보고 1례
A Case Report of Non-Motor Symptoms Evaluated Using the Non-Motor Symptom Scale in a Patient with Secondary Parkinsonism Presumed to be Probable Lewy Body Dementia and Improved with Combined Treatment with Herbal Medicine and Acupuncture 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.5, 2021년, pp.833 - 845

노민영 (목동동신한방병원 한방내과) , 이지현 (목동동신한방병원 한방내과) , 한양희 (목동동신한방병원 한방내과) , 임정태 (원광대학교 전통의학연구소)

Abstract ▼ AI-Helper

Parkinson's syndrome is a degenerative brain disease that presents characteristic motor symptoms of tremor, rigidity, and gait disturbance. In addition to these motor symptoms, Parkinson's syndrome also presents non-motor symptoms (NMSs) such as sleep disturbance and cognitive decline. NMSs reduce patient's quality of life and psychosocial functioning and cause economic burden on the patient, so appropriate evaluation and treatment are required. Lewy body dementia is one of the several diseases belonging to Parkinson's syndrome. Its symptoms such as cognitive function, memory impairment, and hallucinations occur with Parkinsonism. Although drug therapy is being used with drug treatment to treat non-motor symptoms, it has limitations such as side effects, which stimulated interest in other complementary treatment methods such as oriental medicine treatment, dance, and yoga. The patient in this case complained of tremor in the right upper extremity, muscle hypertension and pain, and persistent vision, memory, and cognitive decline. The patient was diagnosed with probable Lewy body dementia. The patient was hospitalized for 4 months and received acupuncture and herbal medicines. After treatment, the patient's NMS scale scores decreased from 90 to 63, and the Unified Parkinson's Disease Rating Scale scores (summed I, II, and III) decreased from 17 points to 8 points. The Beck Depression Inventory score decreased from 22 points to 13 points. In addition, the patient's subjective evaluation revealed improvement. In this case, a patient diagnosed with probable Lewy body dementia who did not respond to the standard treatment and did not want to take medications showed improvement in not only motor symptoms but also NMSs after integrative Korean medicine treatment.

주제어

표/그림 (7)

그림 Fig. 1. Brain MRI. Brain MRI 촬영일 : 2017.09.01
그림 Fig. 2. C-spine MRI. C-spine MRI 촬영일 : 2017.09.04
표 Table 1. The Composition of Ukgansangajinpibanha (YiGanSan-Jia-Chenpi BanXia, Yokukansankachimpihange, 抑肝散加陳皮半夏)
표 Table 2. The Composition of Jakyakgamcho-tang (Shaoyaogancao-tang, Shakuyakukanzoto, 芍藥甘草湯)
표 Table 3. The Composition of Sihogayonggolmoryeo-tang (Chaihu-jia-longgu muli-tang, saikokaryukotsuboreito, 柴胡加龍骨牡蠣湯)
표 Table 4. Change of NMSS, UPDRS, BDI
그림 Fig. 3. Time line.

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