The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Treatment for Aphasia in Patients with Cerebral Infarction with Hydrocephalus

수두증을 동반한 뇌경색 환자의 실어증 치료 증례보고 1례

  • Choi, Yu-jin (Dept. of Internal Medicine, College of Korean Medicine, Se-Myung University) ;
  • Bae, Yeong-rong (Dept. of Internal Medicine, College of Korean Medicine, Se-Myung University) ;
  • Shin, Seon-mi (Dept. of Internal Medicine, College of Korean Medicine, Se-Myung University) ;
  • Kim, Ki-tae (Dept. of Internal Medicine, College of Korean Medicine, Se-Myung University) ;
  • Ko, Heung (Dept. of Internal Medicine, College of Korean Medicine, Se-Myung University)
  • 최유진 (세명대학교 한의과대학 내과학교실) ;
  • 배영롱 (세명대학교 한의과대학 내과학교실) ;
  • 신선미 (세명대학교 한의과대학 내과학교실) ;
  • 김기태 (세명대학교 한의과대학 내과학교실) ;
  • 고흥 (세명대학교 한의과대학 내과학교실)
  • Received : 2020.03.02
  • Accepted : 2020.03.30
  • Published : 2020.04.20
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Abstract

The purpose of this case study was to report the effectiveness of aphasia in patients with cerebral infarction with hydrocephalus. A patient diagnosed with a middle cerebral artery infarction and hydrocephalus was treated with Gami-cheongeumjowi-tang, acupuncture, and moxibustion. The degree of improvement of symptoms was evaluated using the Korean version of the Frenchay Aphasia Screening Test (K-FAST) and the Mini-Mental State Examination-Korea (MMSE-K). At the time of admission, the K-FAST score was 7 points and the MMSE-K score was 4 points because no words other than 'Yes' could be spoken. At discharge, the K-FAST score was 22 points and the MMSE-K score was 19 points. A particularly noticeable improvement was found in spoken and written comprehension, reading, and repetition. The study findings indicate that Korean medicine treatment can be used to treat the symptoms of patients with aphasia. The periventricular region may be distorted by hydrocephalus, resulting in Broca's aphasia in a cerebral infarction of the middle cerebral artery inferior division.

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References

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