The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Case Report: Quantitative Evaluation of Gait Function Following Treatment Progression in a Patient with Central Pontine Myelinolysis

중심성 교뇌수초용해 환자의 치료 경과에 따른 보행 기능의 정량적 평가

  • Sangho Ji (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Sunny Kang (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jiwoo Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Youngjo So (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Sangkwan Lee (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Cheol-Hyun Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University)
  • 지상호 (원광대학교 한의과대학 내과학교실) ;
  • 강선이 (원광대학교 한의과대학 내과학교실) ;
  • 김지우 (원광대학교 한의과대학 내과학교실) ;
  • 소영조 (원광대학교 한의과대학 내과학교실) ;
  • 이상관 (원광대학교 한의과대학 내과학교실) ;
  • 김철현 (원광대학교 한의과대학 내과학교실)
  • Received : 2024.04.22
  • Accepted : 2024.06.03
  • Published : 2024.05.30
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Abstract

Introduction: Central pontine myelinolysis (CPM) is a rare neurological disorder marked by symmetric nerve fiber damage, commonly following rapid hyponatremia correction, with no established treatment and a poor prognosis. The condition, often linked to alcoholism, malnutrition, and various diseases, lacks comprehensive studies on its impact on gait. This research aims to quantitatively analyze gait changes in CPM patients receiving both traditional Korean and conventional rehabilitation treatments, addressing a gap in current understanding of CPM management. Case presentation: A 56-year-old male diagnosed with CPM following an initial misdiagnosis underwent combined electoracupuncture and rehabilitative treatment at ○○ university Korean medical center, resulting in significant gait improvements. A treadmill gait analysis system was used to measure changes in key gait parameters at 2-week intervals, and the patient's progress was documented. Conclusions: The quantitative analysis revealed significant gait improvements. Foot rotation decreased from 8.9° to 6.4° (right) and from 11.1° to 7.2° (left); lateral symmetry improved from -7.8 to 0.8; step length increased from 21 cm to 44 cm (right) and from 19 cm to 44 cm (left); and velocity increased from 1.2 m/s to 2.7 m/s. These findings highlight decreased foot rotation and lateral symmetry, along with increased step length and velocity, suggesting a positive outcome of the treatment regimen. Notably, the patient experienced no adverse effects related to the treatments. Despite limitations, including the singe case focus and lack of prior gait-focused CPM research, this case report provides valuable insights into effective CPM management strategies, paving the way for future research in this domain.

Keywords

Acknowledgement

This paper was supported by Wonkwang University in 2024.

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