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http://dx.doi.org/10.22246/jikm.2021.42.5.1054

A Case Report of a Patient with Diplopia and Ataxia Diagnosed as Claude's Syndrome Treated with Korean Medicine  

Bae, Ji-yong (Dept. of Korean Int. Med, College of Korean Medicine, Se-Myung University)
Kim, Tae-jeong (Dept. of Korean Pediatrics, College of Korean Medicine, Se-Myung University)
Kong, Kyung-hwan (Dept. of Korean Int. Med, College of Korean Medicine, Se-Myung University)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.5, 2021 , pp. 1054-1061 More about this Journal
Abstract
Objective: The aim of this study was to report the effect of Korean medicine treatment on Claude's syndrome with ataxia and diplopia. Methods: We applied electroacupuncture, scalp acupuncture, and physical therapy to the patient. Diplopia was assessed with the distance between two images of one object, and ataxia was assessed with the Korean Version of the Scale for the Assessment and Rating of Ataxia (K-SARA). Results: After 21 days of treatment, diplopia, abnormal extraocular movement, and ataxia were improved on the basis of the K-SARA score. Conclusion: This case demonstrates the effectiveness of Korean medicine treatment in improving the symptoms of Claude's syndrome.
Keywords
Claude's syndrome; midbrain infarction; electro-acupuncture; Korean medicine; case report;
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1 Lee JS, Shin SH. Clinical study on a case of idiopathic oculomotor nerve palsy patient. Journal of Physiology & Pathology in Korean Medicine 2008;22(3):699-702.
2 Liu W, Mukherjee M, Sun C, Liu H, McPeak LK. Electroacupuncture may help motor recovery in chronic stroke survivors: a pilot study. Journal of Rehabilitation Research & Development 2008;45(4):587-9.   DOI
3 Kim SB, Jeong YK, Yang JY, Mun SK, Jung WS, Kwon SW, et al. A Case report of a patient with ptosis and ataxia diagnosed as Claude's syndrome who was treated with Korean medicine. The Journal of Internal Korean Medicine 2017;38(2):93-102.   DOI
4 Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH, Wessel K, et al. International Cooperative Ataxia Rating Scale for pharmacological assessment of the cerebellar syndrome. Journal of the neurological sciences 1997 Feb 12;145(2):205-11.   DOI
5 Kim BR, Lee JY, Kim MJ, Jung HY, Lee, JM. Korean Version of the Scale for the Assessment and Rating of Ataxia in Ataxic Stroke Patients. Ann Rehabil Med 2014;38(6):742-51.   DOI
6 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. Journal of Acupuncture Research 2010;27(4):233-8.
7 Park UC, Kim SJ, Yu YS. Clinical Features and Natural History of the Acquired Third, Fourth, and Sixth Cranial Nerve Palsy. Journal of The Korean Ophthalmological Society 2005;46(9):1555-62.
8 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. The Journal of Internal Korean Medicine 2012;33(4):599-608.
9 Ren L, Zhang WA, Fang NY, Wang JX. The influence of electro-acupuncture on neural plasticity in acute cerebral infarction. Neurological research 2008 Nov 1;30(9):985-9.   DOI
10 Chun JW, Kim DH. Risk Factors and Prognosis of Isolated Ischemic 3rd, 4th, 6th Cranial Nerve Palsy. Journal of The Korean Ophthalmological Society 2014;55(5):740-5.   DOI
11 Fong C. Claude's syndrome associated with supranuclear horizontal gaze palsy caused by dorsomedial midbrain infarction. Acta Neurologica Taiwanica 2005 Sep 1;14(3):147.
12 Kim YS, Park KH, Lee YJ, Kim JH, Kim MH, Kim SH. Nuclear Oculomotor Nerve Palsy Due to Midbrain Infarction(Typical and Atypical Cases). Korean Journal of Stroke 2004;6(2):171-4.
13 Broadley SA, Taylor J, Waddy HM, Thompson PD. The clinical and MRI correlate of ischaemia in the ventromedial midbrain: Claude's syndrome. Journal of neurology 2001 Dec;248(12):1087-9.   DOI
14 건강보험심사평가원 질병 소분류(3단계 상병) 통계(2010-2020)