• Title/Summary/Keyword: 안근마비

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A Case Report of Idiopathic Bilateral Internuclear Ophthalmoplegia (특발성 양안성 핵간안근마비 1례)

  • Eom, Ye-Jin;Hong, Chul-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.177-185
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    • 2016
  • Objectives : The aim of this study is to report the effect of Korean medicine treatment on bilateral internuclear ophthalmoplegia without abnormal findings on brain magnetic resonance imaging.Methods : The patient was treated by using acupuncture, electroacupuncture treatment and hominis placenta pharmacoacupuncture. The change of eye movement and strabismus were evaluated by comparison the photographs of the extraocular movements of patient. Strabismus also was evaluated by corneal reflex test.Results : Adduction of both eyes were improved after Korean medicine treatment. The amplitude and frequency of nystagmus showed a tendency to decrease in both eyes.Conclusions : Korean medicine treatment should be effective for the idiopathic bilateral internuclear ophthalmoplegia.

One Case of Diabetic Ophthalmoplegia Which Was Treated Acupuncture at Jok-Gwoleum-Gan-Gyeong (족궐음간경 자침을 이용한 당뇨병성 안근마비 1례)

  • Kim, Seon Wook;Shin, Jeong Cheol;Kim, Jae Hong;Cho, Myoung Rae;Lee, Jung Hun
    • Korean Journal of Acupuncture
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    • v.32 no.2
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    • pp.75-79
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    • 2015
  • Objectives : This study is to report one case of the diabetic ophthalmoplegia by acupuncture at Jok-Gwoleum-Gan-Gyeong. Methods : The patient was treated with acupuncture and herbal medicine for about 5 weeks. We evaluated the results of the treatment by observing the patient's symptoms. Results : After acupuncture the patient's symptoms such as strabismus, headache, ptosis, Rt eye pain and discomfort and both shoulder pain were considerably reduced. Conclusions : These results support that acupuncture at Jok-Gwoleum-Gan-Gyeong can have a meaningful effect in improving symptoms of diabetic ophthalmoplegia.

A Case Report of an Internuclear Ophthalmoplegia Patient caused by Pontine Infarction Treated by Korean Medicine Treatment Including Yukmijihwang-tang (교뇌 경색으로 인한 핵간안근마비 환자의 육미지황탕을 활용한 한의 증례보고 1례)

  • Kim, Du-ri;Lee, Hyun-seung;Ahn, Jae-yoon;Moon, Byung-soon;Yun, Jong-min
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.254-261
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    • 2019
  • Internuclear Ophthalmoplegia (INO) is characterized by lesion side eye's adduction limitation in lateral horizontal gaze and nystagmus in the abducting eye due to lesions in the Medial Longitudinal Fasciculus (MLF). Brainstem infarction is one of the causes of INO, but related issues have seldom been reported in the Korean medical literature. The present case was a pontine infarction patient with INO who complained of diplopia and eye movement disorder. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion for 30 days. Her changes in clinical symptoms were measured with a Numeric Rating Scale (NRS) and a length of External Ocular Movement (EOM), in which the patient's right eyeball moved to the left from the midline in the left gaze. After treatment, her clinical symptoms were improved. Diplopia decreased from NRS 10 to NRS 2, and eye movement disorder was improved such that EOM increased from 1mm to 5 mm. Therefore, integrative Korean medicine treatment may be effective in the treatment of INO patients caused by pontine infarction.

Orbital and Periorbital Cellulitis in Children: A Recent 7-Year Clinical Review (소아에서 안와와 안와주위 봉와직염에 관한 최근 7년간의 임상적 고찰)

  • Choi, Jeong Ho;Hon, Sun Yeong;Park, Sung Sin;Cha, Sung Ho;Kim, Eun Jin;Lee, Jin;Chang, Jin Keun
    • Pediatric Infection and Vaccine
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    • v.15 no.1
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    • pp.36-44
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    • 2008
  • Purpose : Orbital cellulitis is rare, but it could be from the serious complication of sinusitis in children. It is often difficult to distinguish periorbital cellulitis from orbital cellulitis. The purpose of this study is to describe the clinical features of orbital and periorbital cellulitis in a pediatric population and to assess the predisposing factors and their complications. Methods : Forty-one patients aged 18 years and younger who were admitted between January 2000 and December 2006 to Hanil General Hospital and Kyunghee University Hospital with orbital or periorbital cellulitis. The retrospective analyses included clinical characteristics of orbital and periorbital cellulitis, dermographics, past history, predisposing factors, clinical presentations, treatments, and complications. Results : Among 41 patients, 34 patients had periorbital cellulitis, 7 patients had orbital cellulitis. While paranasal sinus disease was the most common predisposing cause in orbital cases, skin lesion, insect bite, dacrocystitis and conjunctivitis were the common causes in periorbital cases. In comparison with periorbital cases, orbital cases had higher level of white blood cell count, erythrocyte sedimentation rate, and C-reactive protein. Blood cultures were taken in 23 patients, but only one had Staphylococcus aureus from blood. Only one case had surgical incision and drainage and recovered without complications. Conclusion : From the results of our data, when patient shows erythematous swelling of periorbital area with opthalmoplegia, chemosis and proptosis, orbital CT scan is required to make diagnosis of orbital cellulitis. Most cases of orbital cellulitis can be treated successfully without surgical intervention. If there is no clinical improvement, repeated CT scan and/or surgical intervention should be considered.

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