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http://dx.doi.org/10.22246/jikm.2020.41.5.902

Bilateral Medial Medullary Infarction (Dejerene Syndrome) Patient Suffering from Quadriplegia Treated by Korean Traditional Medicine: a Case Report  

Lee, Yoo-na (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Korean Medical Hospital of Daegu Haany University)
An, Yu-min (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Korean Medical Hospital of Daegu Haany University)
Baek, Kyungmin (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Korean Medical Hospital of Daegu Haany University)
Jang, Woo-seok (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Korean Medical Hospital of Daegu Haany University)
Publication Information
The Journal of Internal Korean Medicine / v.41, no.5, 2020 , pp. 902-910 More about this Journal
Abstract
Medial medullary infarction, with representing symptoms of hemiparesis, lingual palsy, and sensory defect, usually has a bad prognosis. The present case is unusual as the patient had a bilateral infarction, and little information is available for bilateral cases. We treated a patient diagnosed with bilateral medial medullary infarction with the symptoms of quadriplegia, lingual palsy, dyspnea, dysphagia, spastic pain, and loss of proprioception. After 126 days of traditional Korean medicine treatment, the patient showed increased muscle power, sensory recovery, reduced spastic pain, and alleviation of dysphagia and dyspnea. This report indicates that traditional Korean medicine could be an effective treatment of the sequelae of medullary infarctions.
Keywords
stroke; quadriplegia; medial meudllary syndrome; Korean traditional medicine;
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1 Son HY, Park YK. Neuroprotective effect of modified Boyanghwano-Tang and the major medicinal plants, Astragali Radix and Salviae Miltiorrhizae Radix on ischemic stroke in rats. The Korea Journal of Herbology 2010;25(2):71-9.   DOI
2 Cai Y, Zhang CS, Liu S, Wen Z, Zhang AL, Guo X, et al. Electroacupuncture for Poststroke Spasticity: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation 2017;98(12):2578-89.   DOI
3 Graf KJ, Pessin MS, DeWitt LD, Caplan LR. Proximal intracranial territory posterior circulation infarcts in the New England Medical Center Posterior Circulation Registry. European Neurology 1997;37(3):157-68.   DOI
4 Department of Cardiology & Neurology of Korean Medicine College. Korean medicine of Cardiology & Neurology. 4th rev. Seoul: Koonja books; 2013, p. 463-78.
5 Korean Neurological Association. Neurology. 3rd rev. Seoul: Panmun education; 2017, p. 645-98.
6 Korean stroke society. STROKE. 2nd rev. Seoul: Panmun education; 2015, p. 87-97.
7 Kim KS, Lee HS, Jung YH, Kim YD, Nam HS, Nam CM et al. Mechanism of Medullary Infarction Based on Arterial Territory Involvement. Journal of Clinical Neurology 2012;8(2):116-22.   DOI
8 Cho KI, Han MA, Lee JY, Choi JY, Kim DW. Case about Brainstem Infarction-Dejerine's syndrome and Wallenburg's syndrome. Korean Journal of Oriental Physiology & Pathology 2002;16(6):1294-5.
9 Jitphapa P, Pongmoragot J, Parthasarathy S, Gustavo S. Bilateral Medial Medullary Infarction: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases 2013;22(6):775-80.   DOI
10 Jang HW, Byun WM. Bilateral Medial Medullary Infarction Demonstrated by Diffusion-Weighted Imaging: Case Report. Yeungnam Univ JMed 2009;26(1):70-3.   DOI
11 Shono Y, Koga M, Toyoda K, Matsuoka H, Yokota C, Uehara T, et al. Medial Medullary Infarction Identified by Diffusion-Weighted Magnetic Resonance Imaging. Cerebrovascular Diseases 2010;30(5):519-24.   DOI
12 Dejerine J. Semiologie des affections du systeme nerveux. Paris: Masson; 1914.
13 Domenico R, Restivo DA, Hamdy S. Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update. Medical Devices 2018;11:21-6.   DOI
14 Martin JH. Neuroanatomy. 4th rev. Seoul: Panmun education; 2014, p. 43-4.
15 Lee JS KB, Ko MM, Kim JC, Oh DS, Kim NS, et al. Discriminant Model for Pattern Identifications in Stroke Patients Based on Pattern Diagnosis Processed by Oriental Physicians. Korean Journal of Oriental Physiology & Pathology 2009;23(6):1460-4.
16 Hwang DY. Bang-Yak-Hap-Pyeon. 1st rev. Seoul: Younglimsa; 2010, p. 66-380.