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Claude's syndrome으로 인한 안검하수 및 운동실조에 대한 한방 복합 치료 치험 1례

A Case Report of a Patient with Ptosis and Ataxia Diagnosed as Claude's Syndrome Who Was Treated with Korean Medicine

  • 김수빈 (경희대학교 대학원 임상한의학과) ;
  • 정윤경 (경희대학교 대학원 임상한의학과) ;
  • 양정윤 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과)
  • Kim, Su-bin (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Jeong, Yun-kyeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Yang, Jung-yun (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Mun, Sang-kwan (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Jung, Woo-sang (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Kwon, Seung-won (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Cho, Ki-ho (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University)
  • 투고 : 2017.03.24
  • 심사 : 2017.05.22
  • 발행 : 2017.05.30

초록

Objective: We describe the case of an 84-year-old man with a midbrain infarction causing pupil sparing oculomotor nerve palsy, with ipsilateral cerebellar ataxia diagnosed as Claude's syndrome. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, and electro-acupuncture, during 45 days of hospitalization. Improvements in the patient's symptoms and changes in ptosis were evaluated using the Korean version of the Scale for the Assessment and Rating of Ataxia (SARA). Results: After 45 days of treatment with the Korean medicine, the patient's symptoms, including ataxia and ptosis, improved. Conclusions: This study suggests that the treatment with Korean medicine was effective in aiding the patient's recovery.

키워드

참고문헌

  1. Park GY, Park SM, Park JS, Ahn MS, Jung JH, Kim MC, et al. A Case Report of the Patient with Ptosis by Multiple Cerebral Infarction Treated with Oriental Medical Therapy. The Journal of Internal Korean Medicine 2010;spr :250-8.
  2. Jung SM, Kim SJ, Jung JY, Ahn JJ. A case of the Oculomotor Nerve Palsy in Benedikt's Syndrome Patient. The Journal of Internal Korean Medicine 2005;26(3):670-6.
  3. Jung EJ, Yang DJ, Jung KH, No JH, Moon SK, Cho KH. A case of the Oculomotor nerve Palsy in Benedikt's syndrome. J Korean Oriental Med 2000;21(3):225-30.
  4. Lee JS, Shin YJ, Jeon JY, Seol JG, Moon MH. Clinical Study on a Case of Idiopathic Oculomotor Nerve Palsy Patient. Korean J Oriental Physiology & Pathology 2008;22(3):699-70.
  5. Moon MH, Nam SK, Lee JS, Jeong HA, Shin SH, Lee I. Clinical Study on a Case of Ptosis Patient Diagnosed as Oculomotor Palsy. Korean J Oriental Physiology & Pathology 2006;20(4) :1068-72.
  6. Utsuki S, Oka H, Kijima C, Inukai M, Abe K, Sato K, et al. Effect of postoperative administration of saireto for bilateral chronic subdural hematomas. Int J clin Med 2011;2(3):285-8. https://doi.org/10.4236/ijcm.2011.23047
  7. 日本神經學會. 慢性頭痛の診療ガイドライン. 東京: 醫學書院; 2013, p. 228-32.
  8. Schmitz-Hubsch T, du Montcel ST, Baliko L, Berciano J, Boesch S, Depondt C, et al. Scale for the assessment and rating of ataxia: development of a new clinical scale. Neurology 2006;66(11) :1717-20. https://doi.org/10.1212/01.wnl.0000219042.60538.92
  9. Yabe I, Matsushima M, Soma H, Basri R, Sasaki H. Usefulness of the Scale for Assessment and Rating of Ataxia (SARA). Journal of the Neurological Sciences 2008;266(1-2):164-6. https://doi.org/10.1016/j.jns.2007.09.021
  10. Kim BR, Lee JY, Kim MJ, Jung HY, Lee JM. Korean Version of the Scale for the Assessment and Rating of Ataxia in Ataxic Stroke Patients. Ann Rehabil Med 2014;38(6) :742-51. https://doi.org/10.5535/arm.2014.38.6.742
  11. Chang YK, Youn MJ, Jung AR. Levator Palpebrae and Inferior Rectus Palsy From Thalamo-Mesencephalic Infarction. J Korean Neurol Assoc 2014;32(3):222-4.
  12. Bogousslavsky J, Maeder P, Regli F, Meuli R. Pure midbrain infarction: clinical syndromes, MRI, and etiologic pattern. Neurology 1994;44 :2032-40. https://doi.org/10.1212/WNL.44.11.2032
  13. Park JH, Jeong WH, Lee TK, Sung KB. Partial Oculomotor Nerve Palsy due to Different Fascicular Involvements in Recurrent Midbrain Infarctions, J Korean Balance Soc 2006;5(2) :292-5.
  14. Mossuto-Agatiello L. Caudal paramedian midbrain syndrome. Neurology 2006;66(11):1668-71. https://doi.org/10.1212/01.wnl.0000218180.03127.11
  15. Park KH, Jang BL. The Etiology and Clinical Feature of the Third, Fourth, and Sixth Cranial Nerve Palsy. Korean Journal of Ophthalmology 1997;38(8):1432-6.
  16. Kim JS, Kang HK. Isolated or predominant oculomotor nerve palsy as a manifestation of brain stem stroke. Stroke 1993;24(4):581-6. https://doi.org/10.1161/01.STR.24.4.581
  17. Merino PS, Rojas PL, Gomez De Liano PS. Bilateral superior oblique palsy: etiology and therapeutic options. Eur J Ophthalmol 2014; 24(2):147-52. https://doi.org/10.5301/ejo.5000362
  18. Bi JQ, Li W, Yang Q, Li B, Meng QG, Liu Y. Acupuncture for the Treatment of Oculomotor Paralysis: A Pilot Randomised Controlled Trial. Evidence-based Complementary and Alternative Medicine Medicine 2016:1-6.
  19. Zhang SJ, Li SR, Li JS, Liu J, Song RX. Clinical observation on acupuncture for treatment of paralytic strabismus. Zhongguo Zhen Jiu 2009;29(10):799-803.
  20. Shen J. Research on the neuro-physiolosical mechanism of acupuncture : review of selected studies and methological issues. J Altern complement Med 2001:1-7.
  21. Kim NK. One Case of paralytic strabismus (oculomotor nerve palsy) which was treated electroacupuncture at oculomotor muscles. The Journal of Korean Oriental Medical Ophthalmology &Otolaryngology &Dermatology 2006;19(3):232-6.
  22. Choi CH, Song HS. Effect of Electroacupuncture Complex Therapy on Peripheral Facial Paralysis According to the Wave Forms. The Journal of Korean Acupuncture & Moxibustion Society 2010;27(5):43-50.
  23. Lee SH, Lee SY, Yoon HD, Shin OC, Park CG, Park CS. The Effect of Sohaphyangwon water extract on Endothelial cells by Free cholestetol in blood. Korean J Orient Int Med 2005;26(3):575-86.

피인용 문헌

  1. 클로드 증후군으로 진단된 복시와 운동실조 증상을 가진 환자의 한방 치료 증례 1례 보고 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.1054