A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Prosopagnosia after Ischemic Stroke

동측 반맹과 안면실인증을 호소하는 뇌경색 환자 한방복합치료 1례

  • Kim, Geun Young (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Park, Hojung (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Lee, Yu Jin (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Cho, Ki-Ho (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University) ;
  • Moon, Sang-Kwan (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University) ;
  • Jung, Woo-Sang (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University) ;
  • Kwon, Seungwon (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University) ;
  • Jin, Chul (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University)
  • 김근영 (경희대학교 대학원 임상한의학과) ;
  • 박호정 (경희대학교 대학원 임상한의학과) ;
  • 이유진 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 문상관 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 정우상 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 권승원 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 진철 (경희대학교 대학원 임상한의학과)
  • Published : 2021.12.01

Abstract

■ Background Patients with posterior cerebral artery infarction could complain of visual field defects or prosopagnosia that does not recognize a person's face. However, there has been no standardized treatment for these symptoms. ■ Case report A 57-year-old male patient complained homonymous hemianopia and prosopagnosia after posterior cerebral artery infarction. After combined Korean medicine treatment for 49 days, subjective visual field was improved and the discomfort associated with visual field defect and the disability of recognizing people was decreased. Evaluations were took place by assessing visual field using Automated Perimetry and Confrontation visual field exam. Discomfort caused by visual field defects or prosopagnosia was evaluated by visual analog scale. The patient was treated with acupuncture, moxibustion, and herbal medications. ■ Conclusion The present case report suggests that combined Korean medicine treatment might be effective to resolution of homonymous hemianopia and prosopagnosia after stroke.

Keywords

References

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