Browse > Article
http://dx.doi.org/10.6114/jkood.2015.28.4.130

A Case Study of Ocular Motility Disorders caused by Thalamus, Midbrain and Pontine Infarctions  

Eom, Ye-Jin (Department of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology College of Korean Medicine, Sangji University)
Hong, Chul-Hee (Department of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology College of Korean Medicine, Sangji University)
Publication Information
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology / v.28, no.4, 2015 , pp. 130-141 More about this Journal
Abstract
Objectives : The aim of this study is to report the effect of Korean medicine treatment on ocular motility disorders (ptosis, bilateral upward gaze palsy, adduction impairment, and strabismus) caused by thalamus, midbrain and pontine infarctions.Methods : The patient was treated by using acupuncture, hominis placenta pharmacoacupuncture, and electroacupuncture treatment. The change of ptosis was evaluated by measurement of palpebral fissure width. The change of gaze palsy and strabismus were evaluated by comparison the photographs of the extraocular movements of patient. Strabismus also was evaluated by corneal reflex test.Results : Gaze palsy and strabismus were improved. Ptosis disappeared after Korean medicine treatment.Conclusions : Korean medicine treatment should be effective for the ocular motility disorders caused by thalamus, midbrain and pontine infarctions.
Keywords
Gaze palsy; Oculomotor nerve palsy; Ptosis; Trochlear nerve palsy; Strabismus;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Hommel M, Bogousslavsky J. The spectrum of vertical gaze palsy following unilateral brainstem stroke. Neurology. 1991;4:1229-34.   DOI
2 Yoon DH, Lee SW, Choi U. Ophthalmology. 5th rev. ed. Seoul:Ilchokak P. 1999:223-7, 244-50.
3 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
4 Lee GH. Vertical One-and-a-Half Syndrome With Bilateral Pseudo-Abducens Palsy From Unilateral Thalamo-Mesencephalic Infarction. J Korean Neurol Assoc. 2013;31(1):86-8.
5 Lee SY, Yoon SW, Kang SM. A Case of Parinaud Syndrome After Intracranial Hemorrhage. J Korean Ophthalmol Soc. 2009;50(1):172-5.   DOI
6 Jeong EJ, Yang DJ, Chung KH, Roh JH, Moon SK, Cho KH. A Case of the Oculomotor Nerve Palsy in Benedikt’s Syndrome. J Korean Oriental Med. 2000;21(3):225-30.
7 Choi KD, Kim JS. Supra-and Internuclear Ophthalmoplegia. Clin Neuroophthalmol. 2013;3(1):27-36.
8 Ranalli PJ, Sharpe JA, Fletcher WA. Palsy of upward and downward saccadic, pursuit, and vestibular movements with a unilateral midbrain lesion: Pathophysiologic correlations. Neurology. 1988;38:22-6.
9 Bogousslavsky J, Meienberg O. Eye-movement disorders in brain-stem and cerebellar stroke. Arch Neurol. 1987;44:141-8.   DOI
10 Choi JH. Ocular Motor Nerve Palsies. J Clin neuroophthalmol. 2013;3(2):66-73.
11 Kim JS. Neuro-Ophthalmologic Findings in Acute Stroke. J Neurocrit Care. 2010;3 (2):96-107.
12 Kim CM, Sin MK, Lee KS, Ahn DK. Chinese Materia Medica Grand Dictionary (中藥大辭典). 1st ed. Seoul:Jeongdam P. 1999:3627-9.
13 Korean Pharmacopuncture institute. Pharmacopuncture procedure handbook. 1st ed. Seoul:Hansung. 1999:182.
14 Choi IS. Steps to Internal Medicine. 1st ed. Seoul:Jeongdam Media. 2008:119-26.
15 Korean Stroke Society. Textbook of Stroke. 1st ed. Seoul:E P. 2009:87-96, 291-8.
16 Jung KH, Kim MS, Hwang HS, Jeon JC, Park JY, Lee TH, et al. Case Report of Three Cases of Idiopathic Oculomotor Nerve Palsy Treated with Hominis Placenta Pharmacopuncture. J Pharmacopuncture. 2009;12(1):1-8.   DOI
17 Neo Handbook editing commission. Neo Intern Handbook. 2nd rev. ed. Seoul:Koonja P. 2012:66, 93, 578.
18 No SS. Ophthalmology & Otolaryngology & Dermatology (原色 眼耳鼻咽喉科學). 3rd rev. ed. Seoul:Seoul P. 2011:185.
19 Gentilini M, De Renzi E, Crisi G. Bilateral paramedian thalamic artery infarcts: report of eight cases. J Neurol Neurosurg Psychiatry. 1987;50:900-9.   DOI
20 Bhidayasiri R, Plant GT, Leigh RJ. A hypothetical scheme for the brainstem control of vertical gaze. Neurology. 2000;54:1985-93.   DOI