대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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단시간의 경련성 실어증을 반복적으로 보이는 초점성 경련환자의 치험 1례

A Clinical Case Report of a Patient with Focal Seizure who Repeatedly Shows Ictal Aphasia for a Short Time

  • 유희정 (세명대학교 한의과대학 한방내과학교실) ;
  • 공경환 (세명대학교 한의과대학 한방내과학교실) ;
  • 경혁수 (세명대학교 한의과대학 한방내과학교실)
  • Yoo, Hee-Jeong (Department or Internal Medicine, College of Oriental Medicine, Se-myung University) ;
  • Kong, Kyung-Hwan (Department or Internal Medicine, College of Oriental Medicine, Se-myung University) ;
  • Kyung, Hyuk-Su (Department or Internal Medicine, College of Oriental Medicine, Se-myung University)
  • 발행 : 2006.12.31
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초록

Seizure can be categorized in various ways. Seizures are divided into those that are generalized and those affecting only part of the brain (focal seizure). Focal (partial) seizures are subdivided into simple seizures and complex seizures. Simple focal seizures may be manifested by focal motor, sensory or autonomic symptoms and consciousness is preserved. The above symptoms may be preceded, accompanied or followed by, and consciousness is impaired in, complex focal seizures. Ictal aphasia can arise from epileptiform discharge on cortical language areas. Generally next to the ictal aphasia, generalized seizures occur, but without losing consciousness, only aphasia takes place. A 61-year-old woman was admitted due to ictal aphasia and facial spasm, and she showed a little palpitation and was startled easily. We diagnosed her as Shimdamgiheo (心膽氣虛) and Damhwashimyo (痰火心擾), so we prescribed Chungsimondam-tang. It was effective on that case. so we report.

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