Case Report on Dysphagia Related to The Wallenberg's Syndrome Improved by Acupuncture Therapy

침구치료를 통한 Wallenberg's syndrome 환자의 연하장애 치험례

  • Yun Jone-Min (Department of Internal Medicine, College of Oriental Medicine, Department of 3rd Medicine, Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Park Sae-Wook (Department of Internal Medicine, College of Oriental Medicine, Department of 3rd Medicine, Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Lee Sun-Woo (Department of Internal Medicine, College of Oriental Medicine, Department of 3rd Medicine, Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Son Ji-Woo (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim Yong-Jeong (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee Seung-Eon (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Cho Chang-Hyun (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Cho Yoon-Soong (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee In (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon Byung-Soon (Department of Internal Medicine, College of Oriental Medicine, Department of 3rd Medicine, Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Lee Min-Goo (Department of Internal Medicine, College of Oriental Medicine, Department of 3rd Medicine, Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University)
  • 윤종민 (원광대학교 한의과대학 내과학교실. 원광대학교 한의학전문대학원 제3의학과) ;
  • 박세욱 (원광대학교 한의과대학 내과학교실. 원광대학교 한의학전문대학원 제3의학과) ;
  • 이선우 (원광대학교 한의과대학 내과학교실. 원광대학교 한의학전문대학원 제3의학과) ;
  • 손지우 (원광대학교 한의과대학 내과학교실) ;
  • 김용정 (원광대학교 한의과대학 내과학교실) ;
  • 이승언 (원광대학교 한의과대학 내과학교실) ;
  • 조창현 (원광대학교 한의과대학 내과학교실) ;
  • 조윤성 (원광대학교 한의과대학 내과학교실) ;
  • 이인 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실. 원광대학교 한의학전문대학원 제3의학과) ;
  • 이민구 (원광대학교 한의과대학 내과학교실. 원광대학교 한의학전문대학원 제3의학과)
  • Published : 2005.12.01

Abstract

Dysphagia is Swallowing disorder characterized by difficulty in oral preparation for the swallow or in moving material from the mouth to the stomach. Dysphagia is the one of the most symptom of CVA and predisposes to medical complications such as aspiration pneumonia in poststroke patients. This study was designed to report the clinical effects of acupuncture for dysphagia on a patient with Wallenberg's syndrome. 8 acupoint were used and videofluoroscopic evaluation were performed. According to the above evaluation, 'Oral transit time' decreased within 1.5 sec and 'Coating of pharyngeal wall after swallow' were disappeared. The above results suggest that acupuncture is beneficial for dysphagia.

Keywords

References

  1. 신용태. Pathophysiology로 이해하는 내과학 신경질환 part 10. 서울, 도서출판 정담, p 51, 106, 124, 2002.
  2. 김영석. 임상중풍학. 서울, 도서출판 서원당, pp 323-324, 454-455, 489-492, 1997.
  3. 고성규. 뇌졸중환자의 연하장애에 관한 임상적 연구(1). 18권 1호, 1997
  4. 서상호, 김성환, 홍상훈, 윤현민. 뇌교경색에 따른 Wallenberg 증후군 치험 1례에 대한 고찰. 대한침구학회지 20(5):244-251, 2003.
  5. 장우석, 박창국 , 박치상. 소뇌경색 후 나타난 Wallenberg 증후군 환자에 대한 치험 1예. 동서의학 27(3):27-33, 2002.
  6. 손지형, 이승현, 정효창, 한승혜, 남영, 염천혈(CV23) 자침후 연하장애가 호전된 허혈성 뇌졸중 환자 1례, 대한침구학회임상논문집 pp 71-77, 2003.
  7. 김태훈, 나병조, 이준우, 이차로, 윤상필, 정우상, 문상관, 조기호, 김영석, 배형섭. 연하장애를 호소하는 올리브교소뇌 위축증(Olivopontocerebellar atrophy)환자에 구법을 적용한 치험례. spr권, 1호, 2004.
  8. 김진호, 한태륜, 재활의학, p 239, 군자출판사, 서울, 1997.
  9. 이대희. 임상신경학 각론. 서울, 도서출판 고려의학, p 62, 1998.
  10. 김두원. 임상신경진찰법. 광주, 서광의학, p 332, 2000.
  11. Victor, Obach, Josep Valls-Sole, NicolasVila, Luis Ernesto Gonzalez, Angel Chamorro, Sympathetic skin response in patients with lateral medullary syndrome, Journal of Beurological Sciences, 155, 55-59, 1998.
  12. Julien Bogousslavsky, Louis Caplan. Stroke syndromes, Cambridge University Press, New York, 318-4.
  13. Honer, J., Massey, E.W., Brazer, S,R. Aspiration in bilateral stroke patients. Beurology 40, 1686-1688, 1990.
  14. Zald, D.H., Pardo, J.V. The Functional Neuroanatomy of Voluntary Swallowing. American Beurological Association 46(3):281-286, 1999.
  15. Axellson, K., Noverg, A, Eating after a stroke-towards an integrated views. Int J Nurs Stud 21, 93-99, 1984.
  16. Barer, D,H. The natural history and functional consequences of dysphagia after hemispheric stroke, J Neurol Neurosurg Psychiatry 52(2):236-241, 1989.
  17. Gordon, G., Richard, L.H., Derick, T.W. Dysphagia in acute stroke. Brit Med J 295, 411-414, 1987.
  18. Wade, D.T,, Hewer, R.L. Motor loss and swallowing difficulty after stroke frequency recovery and prognosis. acta Neurol Scand 76, 50-54, 1984.
  19. 한명아, 김동웅, 급성허혈성 뇌졸중에 수반된 연하장애에 관 한 임상적 고찰. 대한한의학회지 22(3):42-50, 2001.
  20. 허준. 동의보감. 서울, 남산당, p 365, 370, 391, 1999.