추나치료의 절대적 금기증에 대한 보고 1례 - Os Odontoideum을 진단받은 환자를 대상으로 -

Os Odontoideum Corresponding to Absolute Contra-Indications of Chuna Manipulation Treatment : A Case Report

  • 문태웅 (부천자생한방병원 한방재활의학과교실) ;
  • 엄태웅 (부천자생한방병원 한방재활의학과교실) ;
  • 강명진 (부천자생한방병원 한방재활의학과교실) ;
  • 공덕현 (부천자생한방병원 한방재활의학과교실) ;
  • 정영훈 (부천자생한방병원 한방재활의학과교실) ;
  • 조태영 (부천자생한방병원 한방재활의학과교실) ;
  • 김기주 (부천자생한방병원 한방내과학교실) ;
  • 이광환 (부천자생한방병원)
  • Moon, Tae-Woong (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Eom, Tae-Woong (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Kang, Myung-Jin (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Kong, Duck-Hyun (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Chung, Young-Hoon (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Cho, Tae-Young (Dept. of Oriental Rehabilitation Medicine, Bu-chun Ja-seng Oriental Medicine hospital) ;
  • Kim, Ki-Joo (Dept. of Oriental Internal Medicine, Bu-chun Ja-seng Orintal Medicine hospital) ;
  • Lee, Kwang-Hwan (Hospital of Bu-chun Ja-seng Oriental medicine)
  • 발행 : 2008.06.30

초록

Objectives : The os odontoideum is an uncommon abnormality which is due to non fusion of axis and odontoid process that exists as a separate ossicle apart from a hypoplastic dens. Its clinical significance lies in its potential to produce serious neurologic symptoms after cervical Chuna Manipulation Treatment. We experienced a patient diagnosed as os odontoideum which corresponds to absolute contra-indications of chuna manipulation treatment and report it. Methods : The patient was diagnosed as os odontoideum through cervical spine CT and MRI. Results and Conclusion : During cervical physical examination, we encountered L'hermitte's phenomenon from the patient and suspected one of contra-indications of chuna manipulation treatment. We could diagnose the patient as os odontoideum through cervical spine CT, MRI and prevent him from severe sequelae caused by chuna manipulation treatment.

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