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http://dx.doi.org/10.22246/jikm.2018.39.2.139

The Case of a Patient with Dysphagia and Dysarthria Diagnosed as Pseudobulbar Palsy Caused by Multiple Cerebral Infarction Treated with Banhahoobak-tang  

Kim, Su-bin (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Kim, Kyung-mook (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Suh, Won-joo (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Mun, Sang-kwan (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Jung, Woo-sang (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Kwon, Seung-won (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Cho, Ki-ho (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
Publication Information
The Journal of Internal Korean Medicine / v.39, no.2, 2018 , pp. 139-146 More about this Journal
Abstract
Objective: The purpose of this clinical study is to report the effect of Banhahoobak-tang in the case of a 57-year-old woman with multiple cerebral infarction causing dysphagia and dysarthria diagnosed as pseudobulbar palsy. Methods: A patient was treated with Korean medicine, including herbal medication, acupuncture, and language therapy. We focused on the effect of Banhahoobak-tang by evaluating improvements in symptoms by examining times of aspiration and changes in Speech Mechanism Screening Test scores. Results: After three months of Korean medicine treatment and language therapy, there was improvement in the patient's symptoms, including dysphagia and dysarthria. Conclusions: This study suggests that Korean medicine treatment could be effective for improving the symptoms of pseudobulbar palsy in patients. Specifically, herbal medicine (Banhahoobak-tang) could be an effective choice for treating dysphagia.
Keywords
pseudobulbar palsy; multiple cerebral infarction; dysarthria; dysphgaia; Banhahoobak-tang;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Jang SH, Kim JH, Seo YS, Kwak SY. Recovery of an injured corticobulbar tract in a patient with stroke : A case report. Medicine 2017;96(38) :e7636.   DOI
2 Afifi AK, Bergman RA, Functional Neuroanatomy: Text and Atlas. 2nd ed. New York: Lange Medical Books/McGraw-Hill; 2005.
3 Korean Neuroscience Association. Neurology. Seoul: Panmun Education; 2017.
4 Im EY, Baek KM. The effect of Banhahooback-tang(Banxiaheobue-tang) in ALS patient with progressive bulbar dysfunction. The Journal of East-West Medicines 2009;34(4):73-84.
5 Lee JH, Han SJ, Lee EJ, Lee JE, Nam SU, Ha NY, et al. A Case Study of Hypoglossal Nerve Palsy Patient with Tongue Paralysis Treated with Korean Medical Treatment. The Journal of Korean Oriental Internal Medicine 2016;37(5): 870-5.   DOI
6 Ahn JH, Kim SY, Park JH, Cho JJ, Choi DY, Lee SH, et al. A Case Report on the Use of Korean Medicine Treatment for a Patient with Dysarthria Caused by Progressive Bulbar Palsy (PBP). The Acupuncture 2017;34(1):49-58.   DOI
7 Shin MJ, Kim JO, Lee SB, Lee SY. et al. Speech Mechanism Screening Test. Seoul: Hakjisa; 2010.
8 Yim SH, Kim JH, Han ZA, Jeon S, Cho JH, Kim GS, et al. Distribution of the corticobulbar tract in the internal capsule. J Neurol Sci 2013; 334(1-2):63-8.   DOI
9 Xu JM, Li HL, Lu HY, Chen ZG, Liu LQ, Jing S. Effect of acupuncture on the speech and acoustics level in patients with dysarthria. Zhongguo Zhen Jiu 2010 Jul;30(7):537-41.
10 Son JH, Lee SH, Jeong HC, Han SH, Nam Y. A Clinical study on the Improved Dysphagia associated with Ischemic Stroke using acupuncture therapy(Yomch'on CV23). Journal of Korean Acupuncture & Moxibustion Society 2003;0(0): 71-7.
11 Lee SH, Shin KH, Kim JU. Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow. Journal of Korean Acupuncture & Moxibustion Society 2004;21(3):83-97.
12 Lim JH. Conservative Treatment of Dysphagia. Brain & NeuroRehabilitation 2009;2(2):108-12.   DOI
13 Ikeda Masakazu. GeumGweyoryak - For first time readers. Seoul: Chunghong; 2002.
14 Nakada Y, Arai M, Kokawa M, Takayanagi H, Mochiduki K, Yamabe N, et al. Functional improvement of deglutition after hangekobokuto treatment in two cases: Endoscopy and fluoroscopy evaluation. Traditional & Kampo Medicine 2015; 2(2):97-101.   DOI
15 Nishiyamaa Y, Abea A, Uedaa M, Ichiro K, atsuraa K, Katayamaa Y. Nicergoline Increases Serum Substance P Levels in Patients with an Ischaemic Stroke. Cerebrovasc Dis 2010;29(2) :194-8.   DOI
16 Naito T, Itoh H, Takeyama M. Effects of Hange-koboku-to (Banxia-houpo-tang) on neuropeptide levels in human plasma and saliva Biol. Pharm Bull 2003;26(11):1609-13.   DOI
17 Iwasaki K, Kato S, Monma Y, Niu K, Ohrui T, Okitsu R, et al. A pilot study of banxia houpu tang, a traditional Chinese medicine, for reducing pneumonia risk in older adults with dementia. J Am Geriatr Soc 2007;55(12):2035-40.   DOI
18 Ohkubo T, Chapman N, Neal B, Woodward M, Omae T, Chalmers J. Effects of an angiotensin-converting enzyme inhibitor-based regimen on pneumonia risk. Am J Respir Crit Care Med 2004;169(9):1041-5.   DOI
19 Nakashima T, Hattori N, Okimoto M, Yanagida J, Kohno N. Nicergoline improves dysphagia by upregulating substance P in the elderly. Medicine(Baltimore) 2011 Jul;90(4):279-83.   DOI