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A Case Report of a Patient with Cerebellar Infarction with Vertebrobasilar Artery Dissection

척추기저동맥박리에 의한 소뇌경색 환자 한방치험 1례

  • Lee, Su-yeong (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Hwang, Gyu-sang (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Du-ri (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 이수영 (원광대학교 한의과대학 내과학교실) ;
  • 황규상 (원광대학교 한의과대학 내과학교실) ;
  • 김두리 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Received : 2017.09.07
  • Accepted : 2017.10.28
  • Published : 2017.10.30

Abstract

Objective: This study is a report on a case of cerebellar infarction with vertebrobasilar artery dissection which was improved by Korean medicine. Methods: A 63-year-old man diagnosed with cerebellar infarction with vertebrobasilar artery dissection was admitted to hospital for 86 days and treated with Korean medicine (acupuncture and herbal medicine) and rehabilitation treatment. Clinical symptoms were assessed with a Modified Barthel index, functional independent measurement, Berg balance scale, manual muscle test, and a visual analogue scale. Result: After treatment, the clinical symptoms were improved, and the evaluation index scores (modified Barthel index, functional independent measurement, Berg balance scale) increased. Conclusion: Korean medicine may be a meaningful treatment for patients with cerebellar infarction with vertebrobasilar artery dissection.

Keywords

References

  1. Hong JY, Kim HJ, Hong HJ, Cho KH, Kim SW, Lee JH. Traumatic Basilar Artery Dissection With Acute Pontine Infarction. Journal of the Korean Neurological Association 2011;29(3):264-6.
  2. Lee YS. Spontaneous Arterial Dissection. Korean Journal of Stroke 2002;4(1):1-4.
  3. Korean Neurological Association. Textbook of Neurology 2nd edition. Seoul: Beommun-Education; 2012, p. 604-5.
  4. Korean Stroke Society. Text book of Stroke. Seoul: E-Public; 2009, p. 299-305.
  5. Lee CB, Seong MJ, Park TH, Kim MK. Uncommon Intracranial Artery Dissection as a Cause of Ischemic Stroke. Journal of Neurocritical Care 2011;4:7-10.
  6. Korean Neurosurgical Society. Neurosurgery 3rd edition. Seoul: Jungangmunhwasa; 2007, p. 39-40.
  7. Kim SE, Jang HY, Eo EK, Kim YJ, Cheon YJ, Jung KY. Clinical Analysis of Cerebellar Infarctions Diagnosed via the Emergency Department. Journal of the Korean Society of Emergency Medicine 2002;13(3):269-74.
  8. Kim SY, Kim HS, Shin YS. Treatment of vertebrobasilar artery dissection. Journal of Korean society of Interventional Neuroradiology 2008;3(2):61-8.
  9. Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, et al. Management and clinical outcome of acute basilar artery dissection. American Journal of Neuroradiology 2008;29(10):1937-41. https://doi.org/10.3174/ajnr.A1243
  10. Korean Acupuncture Society Textbook Compilation Committee. Acupuncture medicine. Paju: Jibmundang; 2012, p. 599-600, 627, 773-4.
  11. Department of Cardiology Internal Medicine, College of Oriental Medicine. Oriental Circulation.Neurology Internal Medicine. Seoul: Gunja publisher; 2013, p. 391-6.
  12. The Institute of Oriental Medicine. Idiopathic Facial Palsy Korean Medicine Clinical Practice Guideline. Seoul: ELSEVIER; 2015, p. 54-68.
  13. Wang lu. Gong Tingxian treatment of vertigo experience. Chinese Journal of Basic Medicine in Traditional Chinese Medicine 2005;11(8):622-3.
  14. Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean version of Modified Barthel Index(K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med 2007;31(3):283-97.
  15. Han TR, Bang MS. Rehabilitation Medicine 3rd. Seoul: Gunja publisher; 2008, p. 33.
  16. Lee HJ, Lee JJ, Lee HJ, Yeo SW, Kim MJ, Kim DI, et al. The relationship between Korean version of Berg Balance Scale with ambulation activities in subjects with stroke in brain stem and cerebellum. J Korean Acad Rehabil Med 2009;33(6):664-7.
  17. Jung HY, Kim TH, Park JH. Relationship between Berg balance scale and functional independence measure in stroke patients. J Korean Acad Rehabil Med 2005;29(2):167-70.
  18. Cho IY, Hwang SK. A Case of Lateral Medullary Infarction after Endovascular Trapping of the Vertebral Artery Dissecting Aneurysm. Journal of Korean neurosurgical society 2012;51(3):160-3. https://doi.org/10.3340/jkns.2012.51.3.160
  19. Hyun JW, Cho HJ. Two Cases of Cerebral Infarctions from Vertebral Artery Dissection Induced by Severe Coughing. Korean Journal of Stroke 2012;14(3):152-5. https://doi.org/10.5853/kjs.2012.14.3.152

Cited by

  1. 현훈과 오심, 구토를 주소로 하는 소뇌경색 환자의 한의학적 치료 증례보고 1례 vol.39, pp.5, 2017, https://doi.org/10.22246/jikm.2018.39.5.853