The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Clinical Case Report of Gaze Palsy due to Thalamic Infarction

시상경색으로 유발된 주시장애 1예에 관한 임상적 고찰

  • Jeong, Jong-Ann (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Jeong, Soo-Mi (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Roh, Young-Man (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Jeon, Hong-Ryul (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Ann, Jeong-Jo (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Jeon, Sang-Yun (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Kim, Hee-Chul (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Hong, Seok (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Kim, Sung-Jin (Department of Internal Medicine, College of Oriental Medicine, Dongshin University)
  • 정종안 (동신대학교 한의과대학 한방내과학교실) ;
  • 정수미 (동신대학교 한의과대학 한방내과학교실) ;
  • 노영만 (동신대학교 한의과대학 한방내과학교실) ;
  • 전홍렬 (동신대학교 한의과대학 한방내과학교실) ;
  • 안정조 (동신대학교 한의과대학 한방내과학교실) ;
  • 전상윤 (동신대학교 한의과대학 한방내과학교실) ;
  • 김희철 (동신대학교 한의과대학 한방내과학교실) ;
  • 홍석 (동신대학교 한의과대학 한방내과학교실) ;
  • 김성진 (동신대학교 한의과대학 한방내과학교실)
  • Published : 2006.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to present a case of gaze palsy due to thalamic infarction improved by acupuncture and herb medicine. Monocular gaze palsies which result from a supranuclear cerebral lesion are rare clinical manifestations. The pre-frontal cortico-oculomotor pathways travel across the thalamus and mesodienphalic junction terminating directly in oculomotor complexes. The acute disinhibition of these neurons by a posterior thalamic lesion results in a sustained but transient discharge of the medial rectus and tonic activation. Results of this study suggest a role for conservative therapy with herb medicine and acupuncture to treat gaze palsy due to thalamic infarction. Further research into oriental medical treatment for such disorders will be forthcoming.

Keywords