Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Clinical Study on Gadolinium-DPTA enhanced MRI of Bell's palsy

구안와사(口眼喎斜) 환자(患者)의 Gadolinium-DPTA enhanced MRI 소견(所見)에 대한 임상적(臨床的) 고찰(考察)

  • Kim, Jae-Soo (Department of Acupunture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Choi, Woo-Suk (Department of Radiology, College of Medicine, Kyung-Hee University) ;
  • Kim, Yong-Suk (Department of Acupunture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Koh, Hyung-Kyun (Department of Acupunture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kang, Sung-Keel (Department of Acupunture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Chang-Hwan (Department of Acupunture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
  • 김재수 (경희대학교 한의과대학 침구학교실) ;
  • 최우석 (경희대학교 의과대학 방사선과학교실) ;
  • 김용석 (경희대학교 한의과대학 침구학교실) ;
  • 고형균 (경희대학교 한의과대학 침구학교실) ;
  • 강성길 (경희대학교 한의과대학 침구학교실) ;
  • 김창환 (경희대학교 한의과대학 침구학교실)
  • Received : 2000.08.06
  • Accepted : 2000.08.26
  • Published : 2000.09.20
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Abstract

This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

Keywords

References

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