The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia and Facial Palsy

양안의 완전 외안근마비와 편측 안면마비를 동반한 밀러-피셔 증후군 환자 치험 1례

  • Ji-Min Choi (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University) ;
  • In-Jeong Jo (Department of OB & GY, Wonkwang University Gwangju Korean Medicine Hospital) ;
  • Seok-Hun Hong (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University)
  • 최지민 (원광대학교 한의과대학 안이비인후피부과학교실) ;
  • 조인정 (원광대학교 광주한방병원 부인과학교실) ;
  • 홍석훈 (원광대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2024.07.04
  • Accepted : 2024.08.02
  • Published : 2024.08.25
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Abstract

Objective : The purpose of this study is to report that the effect of Korean medical treatments on Miller-Fisher Syndrome with ophtalmoplegia and facial palsy. Methods : We treated a 69-year-old female diagnosed with Miller-Fisher syndrome with ophthalmoplegia, right facial palsy and other symptoms. She received Korean medical treatments such as herbal medicine(Gamiboik-tang), cupping therapy and acupuncture(including pharmacopuncture). The severity of ophthalmoplegia was evaluated by length of the eyeball movement and Scott and Kraft score. The severity of facial palsy was evaluated by Yanagihara score and the severity of other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was evaluated by VAS. Results : Each neurological symptoms were improved after Korean medical treatments. In case of ophthalmop legia, Scott and Kraft score increase from -4 to 0. There were no restrictions on eye movements. In case of facial palsy, Yanagihara score increased from 10 to 40. Also, other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was improved. Conclusions : This case report suggests that Korean medical treatments can be effective for Miller-Fisher Syndrome patient with Ophthalmoplegia and Facial Palsy.

Keywords

References

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