Browse > Article
http://dx.doi.org/10.22246/jikm.2018.39.2.201

A Case Report of a Thalamus, Midbrain, and Cerebellum Infarction Patient Suffering from Blepharoptosis and Ocular Motility Disorders Treated by Korean Medicine  

Woo, Seong-jin (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University)
Baek, Kyung-min (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University)
Jang, Woo-seok (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University)
Publication Information
The Journal of Internal Korean Medicine / v.39, no.2, 2018 , pp. 201-208 More about this Journal
Abstract
Objectives: This is a case report about the effect of Korean medicine on blepharoptosis and ocular motility disorders that occur with thalamus, midbrain, and cerebellum infarctions. Methods: The patient was treated using Korean medicine such as acupuncture, moxibustion, and herbal medicine (Boyanghwano-tang-gamibang). The change of blepharoptosis was evaluated by measurement of palpebral fissure width (PFW), marginal reflex distance-1 (MRD1), and marginal reflex distance-2 (MRD2). The change inocular motility disorders was evaluated by comparison using photographs of the extraocular movements of the patient. We used the Numeric Rating Scale-11 (NRS-11) of diplopia and dizziness to evaluate the effectiveness of treatment. Results: After treatment, blepharoptosis and ocular motility disorders were improved. The NRS-11 score of dizziness decreased from 10 to 7, and diplopia disappeared after Korean medicine treatment. Conclusions: According to this study, Korean medicine can be effective for treating blepharoptosis and ocular motility disorders in thalamus, midbrain, and cerebellum infarctions.
Keywords
stroke; Blepharoptosis; ocular motility disorders; oculomotor nerve palsy; Korean medicine;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Jeong HA, Moon MH, Nam SK, Lee JS, Shin SH, Lee I. Clinical Study on a case of Ptosis Patient Diagnosed as Oculomotor Palsy. Korean Journal of physiology & pathology 2006;20(4): 1068-72.
2 Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. J Korean Meridian & Acupoint 2007;24(2):77-97.
3 Lee CH, Lee CH, Park MK, Jung WH, Choi BS, Hong KE, et al. A Idiopathic Oculomotor Nerve Palsy Patient Treated by Acupuncture Complex Therapy. The Journal of Korean Acupuncture & Moxibustion Society 2010;27(4) :233-8.
4 Son JH, Jung MH, Kim JH, Cho KH, Jung WS, Kwon SW, et al. A Case Report of Diplopia and Limitation of Eye Movement in Oculomotor Nerve Palsy Treated with Korean Medicine. J Int. Korean Med 2017;38(2):190-4.   DOI
5 Rhee JH, Kim YE, Kim WI, Lee KS, Lee SG. Case of Monocular Partial Oculomotor Nerve Palsy in a Patient with Midbrain and Thalamus Hemorrhage. Korean J Oriental Physiology & Pathology 2010;24(2):333-7.
6 Tiffin PA, MacEwen CJ, Creig EA, Clayton G. Aquired palsy of the oculomotor, trochlear and abducens nerves. Eye(Lond) 1996;10(3) :377-84   DOI
7 Park KH, Chang BL. The Etiology and Clinical Feature of the Third, Fourth, and Sixth Cranial Nerve Palsy. Korean Journal of Opthalmology 1997;38(8):1432-4.
8 Lyu YS, Park JH, Bae DB, Lee GE, Kang HW, Lyu YS. Two Cases of Diplopia and Ptosis from Cerebrovascular Disease Treated with Joganiknoe-tang. J of Oriental Neuropsychiatry 2012;23(3):117-28.   DOI
9 Park JY, Kim YS, Cho KH, Mun SK, Jung WS. A Study of Central and Peripheral type of Eye Movement Impairment - Focused on 3 Cases Treated with Oriental Medical Treatment. Korean J Orient. Int. Med 2012;33(4):599-608.
10 Eom YJ, Hong CH. A Case Study of Ocular Motility Disorders caused by Thalamus, Midbrain and Pontine Infarctions. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(4): 130-41.   DOI
11 Korean Acupuncture & Moxibustion Society Textbook Compliation Committee. The acupuncture and moxibustion medicine. Seoul: Jipmoondang; 2012, p. 599-604, 844.
12 Noh HS, Kim SM, Ha YK, Yi CS, Cho DJ. Case Report of a Brain-stem Infarction Patient with Complaints of Diplopia and Eye-movement Impairment Treated with Traditional Korean Medicine. J Int Korean Med 2016;37(2):345-51.
13 Wang CI. Uirimgaechak. Seoul: Iljungsa; 1991, p. 85.
14 Korean Medical College Society Textbook Compilation Committee. Herbal medicine. Seuol: Younglimsa; 2011, p. 333, 345, 348, 392, 447, 458, 462-3, 485, 549, 577, 579, 630.
15 Korean Neurological Association. Neurology. Seoul: panmun education; 2015, p. 559-77.
16 Kim JS. Stroke and Ocular Motor Dysfunction. Korean Journal of Stroke 1999;1(2):126-38.
17 Chung SH, Cho CK, Ji YS, Kim HJ, Kim YIl. A Case Report of Oculomotor Nerve Palsy Patient Treated by Traditional Korean Medicine. Korean Medical Hospital of Daejeon University 2015;23(2):45-52.
18 Noh SS. Otolaryngology. Seoul: Iljungsa; 2011, p. 186-90, 286-90.