강직을 동반한 전신 발작을 호소하는 심인성 비간질성 발작 환자에 대한 복합 한의치험 1례

A Case of Psychogenic Non Epileptic Seizure Patient Complaining Generalized Tonic-Clonic Seizures Treated with Combined Korean Medical Treatment

  • 이성욱 (경희대학교 대학원 임상한의학과) ;
  • 이현규 (경희대학교 대학원 임상한의학과) ;
  • 배인후 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 문상관 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 정우상 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 권승원 (경희대학교 한의과대학 순환신경내과학교실) ;
  • 진철 (경희대학교 한의과대학 순환신경내과학교실)
  • Lee, Seong Wook (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Lee, Hyun-Ku (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Bae, In Hu (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 Cardiology and Neurology, College of Korean medicine, Kyung-Hee University)
  • 발행 : 2021.12.01

초록

Psychogenic Non Epileptic Seizure (PNES) refers to a case in which symptoms are similar to epileptic seizures (ES), but ES do not appear in EEG and temporary abnormalities caused by physical diseases are also excluded. Psychotherapy and pharmacotherapy are most commonly used, but standard treatment for PNES has not been established and there is no alternative treatment available in the case of patients those treatments are not applied. We herein report a case of 46 year old male diagnosed with PNES who suffered from generalized tonic-clonic seizures. The patient underwent korean medical treatment by acupuncture and herbal medicine. The clinical symptom was evaluated by assessing occurrence frequency, number of seizures per 28 days. Compared to the period without korean medical treatment, the number of seizures decreased during the treatment period. The present case report suggested that korean medical treatment could be an effective option for those PNES patients complaining generalized tonic-clonic seizures.

키워드

참고문헌

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