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http://dx.doi.org/10.22246/jikm.2018.39.4.802

A Case Report of Olivopontocerebellar Atrophy (Multiple Systemic Atrophy-Cerebellum) Patient Complicating Sleep Disorders and Gait Disturbance  

Lee, Su-yeong (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Kim, Du-ri (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Lee, Hyun-seung (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Chae, Han-nah (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Publication Information
The Journal of Internal Korean Medicine / v.39, no.4, 2018 , pp. 802-813 More about this Journal
Abstract
This case report describes a patient with olivopontocerebellar atrophy accompanied by sleep disorder and gait disturbance whose condition was improved by treatment with Korean medicine. The 61-year-old woman, who was diagnosed with olivopontocerebellar atrophy (Multiple Systemic Atrophy-Cerebellum), was admitted to hospital twice and treated with Korean medicine (acupuncture and herbal medicine) and rehabilitation. The Korean medicine was Gwibiondam-tang-gami and Jaeumgeonbi-tang-gami. Clinical symptoms were assessed by the Modified Bathel index, functional independent measurement, Berg balance scale, and Unified Multiple System Atrophy rating scale. A brain MRI at the one-year follow up after onset showed similar progress but clinical symptoms were improved after treatment, and the evaluation index score increased. Multiple system atrophy, a type of degenerative neurological disease, has no targeted treatment. In this situation, although this report describes a single case, Korean medicine treatment could provide a meaningful improvement in the sleep disturbance and gait disorder symptoms of patients with olivopontocerebellar atrophy.
Keywords
olivopontocerebellar atrophy; multiple systemic atrophy; gait disturbance; Gwibiondam-tang-gami; Jaeumgeonbi-tang-gami;
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