A Case Report of Combined Korean Medicine Treatment for a Patient with Lateral Medullary Syndrome Complaining of Sensory Ataxia and Abnormal Sensation

감각저하 및 이상 감각을 호소하는 연수 외측 증후군 환자 한의복합치료 1례

  • Seon-Uk Jeon (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Seong-Hoon Jeong (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • So-min Jung (Dept. of Clinical Korean Medicine, Graduate school, Kyung-Hee University) ;
  • Seong-Wook Lee (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-Gyul Lee (Dept. of Cardiology and Neurology, College of Korean medicine, Kyung-Hee University)
  • 전선욱 (경희대학교 대학원 임상한의학과) ;
  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 정소민 (경희대학교 대학원 임상한의학과) ;
  • 이성욱 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과) ;
  • 이한결 (경희대학교 한의과대학 순환신경내과학교실)
  • Published : 2023.12.01

Abstract

■Objective The aim of this study is to report the effects of Korean medicine treatment on patients complaining of sensory disorder of Lateral medullary syndrome caused by lateral medullary infarction. ■Method The patient received Sogyeonghwalhyeoltang, acupuncture, electroacupuncture, TENS and Jungsongouhyul pharmacopuncture treatment for 18 days. Abnormal sensation was evaluated using the Numerical Rating Scale (NRS), and sensory ataxia was evaluated using quantitative sensory evaluation for light touch, pain, and temperature, and then the sensation was evaluated using % compared with sensation felt when normal was 100%. Symptoms were evaluated over a total of 3 weeks on 2/7, 2/14, and 2/21. ■Results After treatment, NRS scores decreased both when the abnormal sensation was stable and when stimulated. The recovery score for sensory ataxia increased, with more pronounced recovery in the trunk area and slower recovery in the peripheral area. ■Conclusion This case shows that combined Oriental medicine treatment helps recover from sensory disorder in Lateral medullary syndrome.

Keywords

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