Browse > Article
http://dx.doi.org/10.22246/jikm.2019.40.5.768

A Case Report of Wallenberg Syndrome due to Lateral Medullary and Cerebellar Infarction Treated with Korean Medicine Treatment  

Nam, Hyun-seo (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Han, Seung-hee (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Baek, Tae-hyun (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Kim, Mikyung (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Sun, Seung-ho (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Jeong, Ui-min (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Han, In-sik (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
Publication Information
The Journal of Internal Korean Medicine / v.40, no.5, 2019 , pp. 768-775 More about this Journal
Abstract
Objective: The aim of this study was to report a case in which Korean medicine treatment with Gami-daebo-tang and acupuncture improved the clinical symptoms in a patient with Wallenberg syndrome. Methods: The patient was treated for 53 days with a Korean medicine treatment consisting of Gami-daebo-tang and acupuncture. We measured dysesthesia based on the number of affected dermatomes. Gait ataxia was estimated with the Korean version of the Berg Balance Scale (K-BBS) and the number of times that the patient had stumbled per day. Dizziness was measured with a numerical rating score (NRS). Results: After treatment, the number of affected dermatomes was decreased. The K-BBS score was improved from 52 to 56, and the frequency of stumbling decreased from 20 to 0 times per day. The NRS score of dizziness decreased from 8 to 0. Conclusion: This case showed that Korean medicine treatment might be helpful for improving the symptoms of patients with Wallenberg syndrome.
Keywords
Wallenberg syndrome; lateral medullary syndrome; acupuncture; traditional Korean medicine;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Frank H, Netter MD. The CIBA Collection of Medical Illustrations. U.S.A: CIBA; 1986, p. 63.
2 Salerno A, Cotter BV, Winters ME. The Use of Tissue Plasminogen Activator in the Treatment of Wallenberg Syndrome Caused by Vertebral Artery Dissection. J Emerg Med 2017;52(5):738-40.   DOI
3 Department of Simgye Internal Medicine in National Universities of Korean Medicine. Cardiology, Neurology of Korean Medicine I. 4th Ed. Seoul: Goonja; 2013, p. 388-415.
4 Kim YJ, Yoon JM, Park SW, Lee MK, Lee SH, Lee SE. Clinical Report of One Patient with the Wallenberg's syndrome by Cheonghunhwadam-tang. Korean J Oriental Physiology & Pathology 2005;19(1):284-8.
5 Yoo HC, Seo CH, Choi CW, Lee YS, Kim JS, Kim HC, et al. Three Clinical Reports of Medullary infarction. Korean J Orient Int Med 2005;26(1):252-64.
6 Hwang DY. Bangyakhappyeon. Seoul: Youngrimsa; 2002, p. 122-3.
7 Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada 1989;41(6):304-11.   DOI
8 Korean Neurological Association. Neurology. 2nd ed. Seoul: Beommun Education; 2012, p. 87-97.
9 Kong JH. Jeongbo Manbyeong Hoechun. Seoul: Uirimseowon; 1975, p. 190.
10 Raymond D. Adams DJ, Maurice V, Allan HR. Adams Neurology I. Seoul: Jeongdahm; 1998, p. 110-1.
11 Jin SM. Taipyeonghyeminhwajegukbang. Taipei: Sipung; 1975, p. 9.
12 Department of Medical Herbs of Medicine in National Universities of Korean Medicine. Medical Herbs of Medicine. Seoul: Youngrimsa; 1991, p. 89-300.
13 Lee ST, Jeong HW. Experimental Effects of Sibjeondaebo-tang on Cerebral Hemodynamics in Cerebral Ischemia Rats. Korean J Oriental Physiology & Pathology 2013;27(2):173-82.
14 Meridians & Acupoints Compilation Committee of National Universities and Graduate Schools of Korean Medicine. Details of Meridians & Acupoints-A Guidebook for College students. Daejeon: Jongryeonamu Publishing Co.; 2012, p. 209-952.
15 Harrison's Internal Medicine Compilation Committee. Harrison's Internal Medicine. Seoul: Jeongdahm;1997, p. 2409-35.