• 동국한의학연구소논문집
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• 제9권
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• pp.25-33
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• 2000

임상적으로 흔히 접할 수 있는 현훈의 원인은 크게 말초성과 중추성으로 구분되는데, 말초성 현훈의 경우는 전정기관 장애가 많은 반면, 중추성 현훈의 경우는 소뇌와 뇌간 부위의 혈관인성 질환, 종양 질환 등이 대부분을 차지한다. 이에 필자는 소뇌경색으로 인한 중추성 현훈 환자가 한방치료를 통해 호전된 증례가 있어 보고하고자 한다. 61세의 남환으로 인후통, 해수 등의 상기도 감염증세가 있어 가료하던 중, 현훈 두통 발생하여 뇌전산화단층촬영 및 자기공명영상촬영에서 소뇌경색 진단받은 후 상초풍열 열담으로 진단하여 청인이격탕을 투여한 결과 제반증상 호전을 확인하여 이를 보고하고자 한다.

• 재활치료과학
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• 제2권1호
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• pp.77-86
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• 2013

목적 : 본 연구의 목적은 필라테스 운동 프로그램이 만성 소뇌경색 환자의 균형능력과 일상생활활동 수행능력에 미치는 영향에 대해 알아보고자 단일 사례연구를 실시하였다. 연구방법 : 본 연구의 대상자는 대구에 소재한 K병원에서 입원치료를 받고 있는 62세 여자 소뇌경색 환자였다. 중재 전 후 균형능력을 비교하기 위해 버그 균형 척도(Berg Balance Scale; BBS)를 시행하였고, 일상생활활동 수행능력을 비교하기 위해 수정된 바델 지수(Modified Barthel Index; MBI)를 시행하였다. 결과 : 대상자의 균형능력은 중재 전 19점에서 중재 후 29점으로 향상되었음을 알 수 있었고, 일상생활활동 수행능력 또한 중재 전 74점에서 중재 후 87점으로 증가 되었다. 결론 : 본 연구 결과 필라테스 운동 프로그램이 만성 소뇌경색 환자의 균형능력과 일상생활활동 수행능력을 증진시키는데 효과가 있음을 알 수 있었다. 이에 기존의 일반적인 작업치료에 필라테스 운동 프로그램을 적절히 활용한다면 환자의 기능 회복에 더 많은 도움이 되리라 기대된다.

• Investigative Magnetic Resonance Imaging
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• 제18권1호
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• pp.17-24
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• 2014

목적: 측면연수경색 환자의 두개내 척추동맥 및 뒤아래소뇌동맥 평가에 있어 고해상도 조영증강 삼차원 회손기울기에 코 회상영상의 역할 규명하고자 한다. 대상과 방법: 임상시험심사위원회에서 승인한 측면연수경색으로 확진된 25명의 환자를 대상으로 하였다. 모든 환자는 3T 자기공명 영상을 이용한 고해상도 조영증강 삼차원 회손기울기에코 회상영상과 조영증강 자기공명 혈관조영술을 받았다. 두 명의 영상의학과 의사는 환자의 임상정보와 확산강조영상 없이 두개내 척추동맥 및 뒤아래소뇌동맥에 있는 동맥병변을 평가하였다. 두개내 척추동맥과 뒤아래소뇌동맥의 병변 동반유무에 따라 임상정보와 측면연수경색의 넓이, 소뇌경색 동반여부를 비교하였다. 결과: 총 25명의 환자 중 22명의 환자가 고해상도 조영증강 삼차원 회손기울기에코 회상영상으로 두개내 척추동맥 및 뒤아래소뇌동맥에서 박리, 죽종, 혈전색전증을 보였다. 그러나 그 중 12개의 뒤아래소뇌동맥의 병변은 조영증강 자기공명 혈관조영술에서 보이지 않았다. 추가적인 소뇌경색은 두개내 척추동맥과 뒤아래소뇌동맥에 병변이 있을 경우 두개내 척추동맥에만 병변이 있는 경우보다 빈번하게 나타났다. 결론: 고해상도 조영증강 삼차원 회손기울기에코 회상영상은 측면연수경색 환자의 두개내 척추동맥 및 뒤아래소뇌동맥의 병변평가에 도움을 줄 수 있다.

• 사상체질의학회지
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• 제15권3호
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• pp.216-220
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• 2003

We treated a Taiyangin(太陽人) patient with Yulkyuk(?膈) disease. He was diagnosed as acute cerebellar infarction, hypertension and trigeminal neuralgia(rule out). His chief complaint was nausea, dysphagia, trigeminal neuralgia, anorexia, and numbness of upper and lower extremity. He was orally administrated with Mihudeung Sikjang Tan(??藤植腸湯) additions. Mihudeung Sikjang Tang(??藤植腸湯) additions was Fructus Chaenomelis(木瓜), Grape root(葡萄根), Buckwheat(蕎麥), Semen pruni(櫻桃肉) etc. His chief complaint was improved by oral administration of Mihudeung Sikjang Tan(??藤植腸湯) additions, and we do report this clinical case study.

• 대한한방내과학회지
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• 제40권5호
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• pp.768-775
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• 2019

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.

• 대한한방내과학회지
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• 제38권2호
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• pp.270-275
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• 2017

Objective: We describe the case of a patient with a cerebellar infarction, with dizziness and ataxia who was treated with traditional Korean medicine. Methods: The patient was treated with the herbal medicine Jaeumgeonbi-tang. Acupuncture and moxibustion therapy were also administered on a daily basis. Dizziness was evaluated using the Numeric Rating Scale, and spontaneous movement was observed daily. Results: After the administration of Jaeumgeonbi-tang, the patient's dizziness and ataxia improved. Conclusion: This case shows that traditional Korean medicine appears to be effective in improving side effects of a cerebellar infarction.

• 동의생리병리학회지
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• 제22권6호
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• pp.1589-1593
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• 2008

Vertigo is a frequent clinical finding in cerebellar infarction patients. In this report, one case suffered from central vertigo diagnosed as cerebellar infarction and could not walk without any help. After the Oriental medicine therapy, the severity of his vertigo reduced and he could walk without any help in hospital. We suggest Oriental medicine therapy is significantly effective on the treatment of cerebellar infarction.

• 대한한방내과학회지
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• 제21권4호
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• pp.687-691
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• 2000

In this case report regarding one patient with complete left bundle branch block and mild hypokinesia of left ventricle, who had cebebellar infarction and therefore showed the symptoms of cerabellar dyskinesia followed by dyspnea, chest discomfortness, insomnia and dry cough. From the point of oriental diagnostic criteria, the patient s clinical conditions were all classified as $^{\circ}AEdeprivation$ of kidney essence' and treated accordingly. He showed no change in EKG monitoring but above symptoms were removed markedly after following treatment. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

• 대한한방내과학회지
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• 제37권5호
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• pp.741-749
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• 2016

Objective: To evaluate the effect of Sukjihwangbogan-tang-gagam (熟地黃補肝湯加減) in a patient with delayed vascular chorea. Methods: A vascular chorea patient was treated with acupuncture, moxibustion, and herbal medicine (Sukjihwangbogan-tang-gagam). Results: Improvements in the Unified Huntington’s Disease Rating Scale (UHDRS), UFMG Sydenham’s Chorea Rating Scale (USCRS) (especially the scale of Activity of Daily Living (ADL)) (dysarthria 2→0, tongue protrusion 3→1, chorea 3→1, handwriting 3→1), and a Visual Analogue Scale (VAS) (8→2) were observed after the Sukjihwangbogan-tang-gagam treatment. Conclusions: Sukjihwangbogan-tang-gagam may be an effective treatment for patients with delayed vascular chorea.

• 대한한방내과학회지
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• 제39권2호
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• pp.201-208
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• 2018

Objectives: This is a case report about the effect of Korean medicine on blepharoptosis and ocular motility disorders that occur with thalamus, midbrain, and cerebellum infarctions. Methods: The patient was treated using Korean medicine such as acupuncture, moxibustion, and herbal medicine (Boyanghwano-tang-gamibang). The change of blepharoptosis was evaluated by measurement of palpebral fissure width (PFW), marginal reflex distance-1 (MRD1), and marginal reflex distance-2 (MRD2). The change inocular motility disorders was evaluated by comparison using photographs of the extraocular movements of the patient. We used the Numeric Rating Scale-11 (NRS-11) of diplopia and dizziness to evaluate the effectiveness of treatment. Results: After treatment, blepharoptosis and ocular motility disorders were improved. The NRS-11 score of dizziness decreased from 10 to 7, and diplopia disappeared after Korean medicine treatment. Conclusions: According to this study, Korean medicine can be effective for treating blepharoptosis and ocular motility disorders in thalamus, midbrain, and cerebellum infarctions.