Therapeutic Trial of Bee Venom Acupuncture for Idiopathic Facial Paralysis in a Dog

특발성 안면마비를 지닌 개에서 봉독 약침을 이용한 치료 1예

  • Sung, Hyun-Jeong (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 성현정 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2013.02.14
  • Published : 2013.04.30

Abstract

A 6-year-old, castrated male Shih-tzu dog was presented due to left side facial paralysis with head tilt. Neurological examination revealed absence of facial sensation, menance response, and palpebral reflex on the left side. On magnetic resonance imaging (MRI), intracranial intra-arachnoid cyst (IIAC) was noted. The dog was poor response to steroid and dieuretic therapy. Based on characteristic historical and clinical findings, and excluding of other causes of acute facial nerve dysfunction, the dog was tentatively diagnosed as idiopathic facial paralysis. The clinical signs were improved gradually after acupuncture therapy with bee venom. Eight weeks after initial acupuncture with bee venom, the patient recovered sensory and neurological facial signs. This case report demonstrates that bee venom acupuncture for an idiopathic facial paralysis could be useful in a dog.

6년령의 중성화한 수컷 시츄견이 좌측 안면마비를 주증으로 내원하였다. 환자는 신경검사에서 좌측 안면의 신경반사 소실 및 MRI 검사에서 두개강내 지주막낭종이 확인되었다. 환자는 안면신경마비를 유발할 수 있는 다른 기저질환을 감별하고, 또 스테로이드와 이뇨제를 이용한 치료에 대한 반응은 미약하였기에 특발성 안면신경마비로 잠정진단 하였다. 봉독 약침을 이용한 침술치료를 진행 후, 환축의 임상증상은 단계적으로 호전되었으며 치료 8주 후에는 신경반응이 거의 정상적으로 회복되었다. 본 증례는 특발성 안면마비 환축에서 봉독 약침을 이용한 치료 증례 보고이다.

Keywords

References

  1. Braund KG, Luttge PI. Sorjonen DC, Redding RW. Idiopathic facial paralysis in the dog. Vet Rec 1979; 105: 297-299. https://doi.org/10.1136/vr.105.13.297
  2. de Lahunta A. Veterinary neuroanatomy and clinical neurology, 3rd ed. St Louis: Saunders, 2009: 144-152.
  3. Dewey CW. A Practice guide to Canine and Feline Neurology, 1st ed. Iowa: Blackwell, 2003: 372-373.
  4. Hwang YC. Acupuncture atlas. Probl Vet Med 1992; 4: 16-33.
  5. Jeong SM, Kim HY, Lee CH, Kweon OK, Nam TC. Use of acupuncture for the treatment of idiopathic facial nerve paralysis in a dog. Vet Rec 2001; 148: 632-633. https://doi.org/10.1136/vr.148.20.632
  6. Joseph R. Neurologic evaluation and its relation to acupuncture, Probl Vet Med 1992; 4: 98-106.
  7. Vernau KM, Kortz GD, Koblik PD, Lecouteur RA, Bailey CS, Pedroia V. Magnetic resonance imaging and computed tomography characteristics of intracranial intra-arachnoid cysts in 6 dogs. Vet Radiol Ultrasound 1997; 38: 171-176. https://doi.org/10.1111/j.1740-8261.1997.tb00835.x
  8. Kim HY, Shim I, Hahm D, Seo K, Nam T, Lee H. Canine Acupuncture, 1st ed. Seoul: Korvet, 2004: 12-16, 53, 110- 113, 173-174, 209-211, 472, 484, 506-507.
  9. Kwon YB, Kang MS, Kim HW, Ham TW, Yim YK, Jeong SH. Anti-nociceptive effects of bee venom acupuncture (apipuncture) in rodent animal models : a comparative study of acupoint versus non-acupoint stimulation. Acupunct Electrother Res 2001; 26: 59-68. https://doi.org/10.3727/036012901816356054
  10. Lee JD, Park HJ, Chae YB, Lim S. An overview of Bee venom acupuncture in the treatment of arthritis. Evid Based Complement Alternat Med 2005; 2: 79-84. https://doi.org/10.1093/ecam/neh070
  11. Liu J, Jiang D, Yu M, Yang J. Observation on 63 cases of facial paralysis treated with acupuncture. Chen Tzu Yen Chiu 1992; 17: 85-86.
  12. Li Y, Liang FR, Yu SG, Li CD, Hu LX, Zhou D, Yuan XL, Li Y, Xia XH. Efficacy of acupuncture and moxibuston in treating Bell's palsy: a multicenter randomized controlled trial in China. Chin Med J (Engl) 2004; 117: 1502-1506.
  13. McKeown HM. Hypothyroidism in a boxer dog. Can Vet J 2002; 43: 553-555.
  14. Renegar WR. Auriculopalpebral nerve paralysis following prolonged anesthesia in a dog. J Am Vet Med Assoc 1979; 174: 1007-1009.
  15. Son DJ, Lee JW, Lee YH, Song HS, Lee CK, Hong JT. Therapeutic application of anti-arthritis, pain-releasing, and anti-cancer effects of bee venom and its constituent compounds. Pharmacol Ther 2007; 115: 246-270. https://doi.org/10.1016/j.pharmthera.2007.04.004
  16. Varejao AS, Munoz A, Lorenzo V. Magnetic resonance imaging of the intratemporal facial nerve in idiopathic facial paralysis. Vet Radiol Ultrasound 2006; 47: 328-333. https://doi.org/10.1111/j.1740-8261.2006.00148.x