• Title/Summary/Keyword: 안면마비

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Therapeutic Effect of Bee-Venom and Dexamethasone in Dogs with Facial Nerve Paralysis (개 안면신경마비에 대한 봉독과 덱사메타손의 치료효과)

  • Jun, Hyung-Kyou;Oh, Hyun-Uk;Han, Ji-Won;Lee, Hyun-Hwa;Jeong, Seong-Mok;Choi, Seok-Hwa;Kim, Cristopher Mun-Ho;Kim, Duck-Hwan
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.503-508
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    • 2007
  • Although canine facial nerve paralysis(FNP) occurs similarly in humans, there is no properly recognized therapy using Western medicine for idiopathic causes. To elucidate therapeutic measures by acupuncture(AP) on canine FNP, we examined the therapeutic effect of injection-AP on the artificially induced canine FNP. Twelve dogs on artificially induced canine FNP were divided into a control group(4 dogs), an experimental dexamethasone-treated group(dexamethasone group, 4 dogs) and an experimental bee venom-treated group(apitoxin group, 4 dogs). Saline (1 ml) was intramuscularly injected into the head muscle after the induction of FNP in the control group. On the other hand, injection-AP with dexamethasone was performed on such acupoints as LI04, LI20, ST02, ST07, TH17, SI18, GB03 and GB34, twice per week after induction of FNP in the dexamethasone group. In addition, injection-AP with $100{\mu}g$ of apitoxin was performed on the same acupoints as the dexamethasone group twice per week after the induction of FNP in the apitoxin group, respectively. The changes of the clinical symptoms of FNP with each treatment during the experimental period were recorded by using clinical scores, respectively. The changes of serum creatine kinase(CK) activities along with each treatment were determined using an autoanalyzer. The significant differences of clinical scores were detected on day 14(p<0.05) in the apitoxin and dexamethasone groups, compared with those in the control group, respectively. However, significant difference was not detected between the apitoxin and dexamethasone groups. Significant differences of serum CK activities were detected on day 7(p<0.05) and day 14(p<0.05) in the dexamethasone and apitoxin groups, compared with those in the control group, respectively. However, significant difference was not detected between the dexamethasone and apitoxin groups. In condition, injection-APs with apitoxin and dexamethasone were all effective for treatment of canine FNP and the therapeutic effect by injection-AP with apitoxin was similar to that of injection-AP with dexamethasone.

Determination of Safe Needling Depth via X-ray at $TE_{17}$(Yifeng) and $ST_7$(Xiaguan) (X-ray를 통한 예풍(藝風)과 하관(何關)에서의 안전한 자침 깊이에 대한 고찰)

  • Byun, Hyuk;Kang, Min-Joo;Jung, Chan-Yung;Park, In-Shik;Jo, Hyeon-Seog;Kim, Gyeong-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.69-73
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    • 2007
  • 목적 : X-ray를 통해 안면마비에 다용되는 예풍과 안면통에 다용되는 하관에서의 안전한 자침 깊이에 대하여 고찰하여 보고자 하였다. 방법 : 건강한 지원자들에게 원치 않을 경우 언제든지 시험을 중지할 권리가 있다는 것을 공지한 후, 시험에 동의한 남녀 각각 2명의 피험자들을 대상으로 대학병원 침구과 전문의가 예풍과 하관을 직자(直刺)($40mm{\times}0.35mm$ 일회용 침)하였다. 피험자의 이상 반응 유무를 살피며 안면신경 혹은 삼차신경이 지나가는 경로로 알려진 깊이까지 진침(進鎬)하였다. 유침(留鍼) 상태에서 Skull X-ray의 AP view와 Lateral view를 촬영하였다. 결과 : 피험자들은 침병이 피부에 도달 하는 동안(40mm 직자) 자침 혈위에서 중창감(重脹感)을 자각하였으며, 추후 어떠한 이상 반응도 보이지 않았다. 결론 : 안면마비와 안면통의 효율적인 치료를 위하여 안면신경과 삼차신경에 근접할 수 있는 혈위인 예풍과 하관에서의 40mm 직자는 신경염이나 뇌 손상과 같은 이상 반응을 유발하지 않았다.

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Use of Electroacupuncture Treatment on Traumatic Facial Nerve Paralysis in a Horse (손상성 안면신경마비를 가진 말에서 전침치료 적용 증례)

  • Jeong, Hyeun Seok;Kim, Nam Soo;Kim, Min-Su
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.105-107
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    • 2015
  • A 4-year-old Thoroughbred gelding was referred to Chonbuk National University Animal Medical Center with inability to blink and drooping lower lip on the right side after traumatic accident. Through clinical examination, the horse was diagnosed as right-sided facial nerve paralysis. Acupuncture treatment was performed to treat the facial nerve paralysis. The selected acupoints were ST3, ST5, ST7, ST9, SI17, CV24 and Yintang. At the end of the $2^{nd}$ weeks of electroacupuncture treatment, the palpebral reflex was normally recovered. One month after the therapy, symmetry of the face was completely accomplished without the drooping lower lip. This case shows that electroacupuncture should be considered as an effective therapy for the traumatic facial nerve paralysis in horse.

Hemiplegic Migraine Presenting with Unilateral Facial Palsy: A case report (편측안면마비로 발현한 편마비편두통 1예)

  • Yeon, Gyu Min
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.288-291
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    • 2018
  • Hemiplegic migraine (HM) is a rare subtype of migraine with aura and is accompanied by a fully reversible motor aura. HM can occur in two forms: familial or sporadic. Currently, three genes are related to familial HM. Typically, HM occurs in the first or second decade of life and involves gradually progressing aura symptoms in succession, accompanied by headaches. The aura includes visual, sensory, motor, aphasic and often basilar-type symptoms. Motor aura (weakness) is related to the regions where the sensory aura is involved, and it usually starts at the hand before spreading to the arm and face. Aphasia is a common form of speech aura, but does not typically present as a difficulty in understanding. In this case report, the sensory-motor aura started at the right face and then gradually progressed to the right leg without any symptoms in the ipsilateral upper extremity. To the best of my knowledge, there has been no previous case report for the presentation of a hemiplegic migraine, as in this case report. As there is a possibility of misdiagnosis of Bell's palsy at the early stage of this case, this case report suggests that a physician should consider the rare possibility of stroke or HM when a patient presents with unilateral facial palsy.

Development of Facial Palsy Grading System with Three Dimensional Image Processing (3차원 영상처리를 이용한 안면마비 평가시스템 개발)

  • Jang, M.;Shin, S.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.129-135
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    • 2015
  • The objective grading system for the facial palsy is needed. In this study, the facial palsy grading system was developed with combination of three dimensional image processing and Nottingham scale. The developed system is composed of 4 parts; measurement part, image processing part, computational part, facial palsy evaluation & display part. Two web cam were used to get images. The 8 marker on face were recognized at image processing part. The absolute three dimensional positions of markers were calculated at computational part. Finally, Nottingham scale was calculated and displayed at facial palsy evaluation & display part. The effects of measurement method and position of subject on Nottingham scale were tested. The markers were measured with 2-dimension and 3-dimension. The subject was look at the camera with $0^{\circ}$ and $11^{\circ}$ rotation. The change of Scale was large in the case of $11^{\circ}$ rotation with 2-dimension measurement. So, the developed system with 3-dimension measurement is robust to the orientation change of subject. The developed system showed the robustness of grading error originated from subject posture.

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Clinical Study of Two Cases of Facial Diplegia with Continued Facial Palsy (편측 안면마비가 잇따라 발병한 양측 안면마비 환자 2례에 대한 임상적 고찰)

  • Yang, Gi-Young;Lee, Byung-Ryul;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.25 no.5
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    • pp.205-211
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    • 2008
  • Objectives : This study is designed in order to evaluate oriental medical treatment of facial diplegia with continued facial palsy. Methods : The authors observed patients by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Results & Conclusions : 1. Both facial grade had different scores in Yanagihara's unweighted grading system for 2 cases when the facial palsy occured. 2. Both cases were diagnosed in wind-cold(feng-han) type. 3. The left and right side of face took different amount of time to recover. 4. Facial diplegia was significantly improved.

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