A Case of homonymous Hemianopia after Occipital-Parietal Lobe Hemorrhage Treated with Combined Korean Medical Treatment

동측 반맹을 호소하는 후두엽-두정엽 뇌출혈 환자에 대한 복합 한의치험 1례

  • Seong Hoon, Jeong (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • In Hu, Bae (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Geun Young, Kim (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Ki-Ho, Cho (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Sang-Kwan, Moon (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Woo-Sang, Jung (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Seungwon, Kwon (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Han-Kyul, Lee (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University)
  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 배인후 (경희대학교 대학원 임상한의학과) ;
  • 김근영 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과) ;
  • 이한결 (경희대학교 한의과대학 순환신경내과학교실)
  • Published : 2022.12.01

Abstract

■Background Overall prevalence of visual field loss after stroke was estimated at 31%, ranged from 5.5- 57%. Among them, homonymous hemianopia is the most common symptom of post-stroke visual field loss and leads to a decrease in the quality of life and therapeutic effect. However, standard treatment has not been established. ■Case report A 48-year-old male with right side homonymous hemianopia by a left occipital-parietal lobe hemorrhage was treated with Qu-Ji-Du-Huang-Wan, acupuncture and electroacupuncture for 20 days. We used confrontation visual field exam, automated perimetry and visual analog scale for evaluating symptoms. Following treatment, confrontation visual field exam and the subjective discomfort was improved. ■Conclusions The present case report suggests that combined Korean medicine treatment might be an effective treatment of post-stroke homonymous hemianopia. A number of follow up studies should be conducted to clarify the effectiveness of treatment.

Keywords

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