• 제목/요약/키워드: Dizziness

검색결과 841건 처리시간 0.041초

뒤반고리관 양성발작성 두위현기증 어지럼증 환자 이석정복술 치료에 영향을 주는 인자 분석 (Analysis of the Factors Affecting Canalith Repositioning Maneuver Treatment of in Posterior Canal Benign Paroxysmal Positional Vertigo of a Dizziness Patient)

  • 김철승
    • 대한임상검사과학회지
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    • 제50권3호
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    • pp.267-274
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    • 2018
  • 순천성가롤로병원 어지럼증 센터에 내원한 어지럼증 환자 중 뒤반고리관 양성발작성 두위현기증은 머리나 몸을 움직일 때 갑자기 빙빙도는 느낌 또는 회전성 어지럼증을 호소하는 가장 흔한 질환이다. 대부분 환자들은 1회 치료로 증상이 호전된다. 하지만, 세 번 이상 여러번 치료를 요구하는 경우도 있다. 이석정복술에 의한 뒤반고리관 양성발작성 두위현기증환자의 어지럼증 증상 회복에 영향을 주는 인자을 분석하였다. 어지럼증환자 중 어지럼증 센터에 내원한 뒤반고리관 양성발작성두위현기증 환자를 분류하였다. 2008년 3월부터 2010년 11월까지 165명의 뒤반고리관 양성발작성두위현기증 환자 치료율을 조사하였다. 1회 치료성공율이 57.6%, 2회 치료성공율이 17.6%, 3회 치료성공율이 3.6%, 3회 이상 치료성공율이 21.2%였다. 뒤반고리관 양성발작성두위현기증 치료에 영향을 주는 인자는 외상 후, 내과적 질환, 뇌경색, 작은혈관 질환, 척추뇌바닥동맥기능부전증, 뇌혈관질환, 뇌질환, 안뜰신경염이다. 위와 같은 치료에 영향을 주는 인자들을 고려한다면 구토, 오심, 실신 등을 쉽게 치료 할 수 있을 것이다. 또한, 어지럼증 증상의 회복을 위한 이석정복술과 연관질환을 병행 치료하면 일상생활에 많은 불편함을 주고, 고통을 주는 어지럼증에서 호전될 수 있을 것이다. 앞으로 어지럼증을 유발하는 많은 인자들을 조사하고, 분석할 필요가 있을 것이다.

자음건비탕가미방(滋陰健脾湯加味方)을 투여한 어지럼증 환자 70례에 대한 분석 및 고찰 (Statistical Study in 70 Cases for Dizziness Patients on the Effect of Jaeumgeonbi-tang Gamibang)

  • 이재휘;신현수;김동현;조창환;임승민;안정조;조현경;김윤식;설인찬;유호룡
    • 동의생리병리학회지
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    • 제24권1호
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    • pp.171-176
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    • 2010
  • Jaeumgeonbi-tang Gamibang is noted as effective method to treat a dizziness in Korean Medicine. The main purpose of this research is analysis of the effects of Jaeumgeonbi-tang Gamibang on dizziness patients. In following research, 70 cases of dizziness patients who treated in Daejeon oriental medicine hospital from Oct, 2004 to Feb, 2009 were researched. The research is focused on clinical efficacy of Jaeumgeonbi-tang Gamibang. This research measured DHI and VAS before Jaeumgeonbi-tang Gamibang were prescribed. And Jaeumgeonbi-tang Gamibang were treated to all 70 patients. Finally DHI and VAS were measured again. Before this research, We had characterized and searched such as age, prevalence period, prescribed dosage, sex, vertigo type, pathological history in 70 patients. And DHI and VAS score were compared each other. The compared characteristic data shows that every cases were effective, in the DHI and VAS comparison, between pre-treatment and post-treatment group, vertigo and dizziness group, man and woman group. but In the age case, some age group were not effective. Conclusion: Most cases, we gained effective results. These result suggest that Jaeumgeonbi-tang might be effective in treatment of dizziness patients although man or woman, vertigo or dizziness.

한방 치료로 호전된 지속체위 - 지각어지럼에 대한 증례 1례 (A Case Report of Persistent Postural-Perceptual Dizziness Treated with Korean Medicine)

  • 김민화;허기윤;강희경;남이랑;김마리아;이인;권정남;김소연;윤영주;최준용;한창우;박소정;홍진우
    • 대한한방내과학회지
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    • 제43권4호
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    • pp.769-778
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    • 2022
  • Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of persistent postural-perceptual dizziness. Methods: A patient with dizziness was treated with Banhabackchulchunma-tang and Gongjin-dan herbal medicines. The severity of symptoms was assessed with a daily visual analog scale (VAS) for dizziness and the frequency of subjective trembling feelings (over 30 minutes). Results: After the treatment, the severity of dizziness was reduced from VAS 5 to VAS 2, and fatigue was improved from VAS 5 to VAS 1. The frequency of subjective trembling feelings was reduced from once every 3-4 days to once every 10 days. Other symptoms, such as dyspepsia, sleep disturbance, and hot flashes, also showed improvement. Conclusion: Treatment with Korean medicine may be an effective option for the treatment of persistent postural-perceptual dizziness.

메니에르 증후군 의증의 현훈 환자 1례에 대한 팔체질침을 사용한 증례 보고 (A Clinical report on 8 Constitutional Acupuncture Therapies for Treatment One Case of Dissiness Suggested Menieres Syndrome)

  • 이형호;김진규;정명걸;김용찬;김종대
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.1079-1083
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    • 2002
  • Dizziness is a common and often vexing symptom. But the cause of dizziness is very various and generally divided into peripheral and central. Although there are some clinical reports about dizziness. there isn't any report by Constitutional therapy. In this study, the author reports a case of recurrence and persistent vertigo. he was consulted to local E.N.T. and clinically suggested Menier's disease with tinnitus, mild deafness, and vertigo. By using the method of 8 Constitutional Acupuncture therapy and herbal medication(Mihudungsikjang-tang) regarding him as COLONOTONIA. After he regarded and treated as GOLONOTONIA, the symptoms disappeared.

소뇌경색(小腦梗塞)으로 인한 중추성(中樞性) 현운환자(眩暈患者)의 치험(治驗) 1례(例) (A Case of Dizziness Patient diagnosed as Cerebellar infarction and treated with Qingyanligetang(淸咽利膈湯))

  • 한기선;이원철
    • 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.

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Role of peripheral vestibular receptors in the control of blood pressure following hypotension

  • Jin, Guang-Shi;Li, Xiang-Lan;Jin, Yuan-Zhe;Kim, Min Sun;Park, Byung Rim
    • The Korean Journal of Physiology and Pharmacology
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    • 제22권4호
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    • pp.363-368
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    • 2018
  • Hypotension is one of the potential causes of dizziness. In this review, we summarize the studies published in recent years about the electrophysiological and pharmacological mechanisms of hypotension-induced dizziness and the role of the vestibular system in the control of blood pressure in response to hypotension. It is postulated that ischemic excitation of the peripheral vestibular hair cells as a result of a reduction in blood flow to the inner ear following hypotension leads to excitation of the central vestibular nuclei, which in turn may produce dizziness after hypotension. In addition, excitation of the vestibular nuclei following hypotension elicits the vestibulosympathetic reflex, and the reflex then regulates blood pressure by a dualcontrol (neurogenic and humoral control) mechanism. In fact, recent studies have shown that peripheral vestibular receptors play a role in the control of blood pressure through neural reflex pathways. This review illustrates the dual-control mechanism of peripheral vestibular receptors in the regulation of blood pressure following hypotension.

균형기능검사를 활용한 현훈과 운동실조 주소의 소뇌경색 환자 치험 3례 (Three Cases of Cerebellar Infarction Patients with Dizziness and Ataxia who were Evaluated using the Equilibrium Function Test)

  • 최재송;이주용;배나영;안택원
    • 사상체질의학회지
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    • 제22권4호
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    • pp.113-123
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    • 2010
  • 1. Objectives This study is about three cerebellar infarction patients with dizziness and ataxia. In this study, we evaluated the effects of Sasang constitutional treatment and suggested using the 'Equilibrium Function Test' as scale. 2. Methods These three patients were treated by Sasang constitutional herbal medications based on "Donguisusebowon". Acupuncture & moxa therapy and west medications were limited as much as possible. We evaluated the symptoms through two methods, the Visual Analogue Scale and the Equilibrium Function Test. 3. Results and Conclusions Dizziness and ataxia that were these three patients' chief complaints were improved. This case study shows that Sasang constitutional herbal medications are an effective treatment for cerebellar infarction patients.

Pulse Wave Velocity, Ankle Brachial Index와 담음(痰飮)의 연관성에 관한 연구 (Clinical Study of Correlation between Retention of Fluid and PWV/ABI)

  • 박명원;조정훈;장준복;이경섭
    • 한국한의학연구원논문집
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    • 제10권2호
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    • pp.73-78
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    • 2004
  • Purpose : The aim of this study was to investigate correlation between retention of fluid and PWV/ABI. Methods : The sample consists of 35 women who took plethynography(VS-1000;Fukuda Co.Ltd, Japan) at Oriental medicine exhibition held in COEX mall from August. 26. 2004 to August. 29. 2004. They were asked the intensity of the symptoms like dizziness or headache, nausea or bowel trouble, coldness in knee, and palpitation(1:none, 2:a little, 3:mild, 4:moderate, 5:severe). Women who answered 1,2 were classified as control group, and women who answered 3,4,5 were experimental group. Result : There was stastically significant correlation between dizziness and ABI Conclusion : It is believed that ABI may be the favorable alternative to the diagnosis of dizziness or headache.

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경막외 신경차단술 시행 중 발생한 감각신경성난청과 어지럼 1예 (A Case of Sensorineural Hearing Loss and Vertigo during Epidural Nerve Block)

  • 이병민;노진홍;안성기;박현우
    • Research in Vestibular Science
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    • 제17권4호
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    • pp.170-174
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    • 2018
  • Epidural anesthesia has significantly advanced in neuraxial anesthesia and analgesia. It is used for surgical anaesthesia and treatment of chronic pain. Hearing loss during or after epidural anesthesia is rare, and it is known to occur by the change of the intracranial pressure. Cerebrospinal fluid is connected with perilymph in the cochlear and vestibule that is important to hearing and balance. If the intracranial pressure is abruptly transferred to the inner ear, perilymph can be leak, that called perilymphatic fistula, dizziness, and hearing loss can occur suddenly. We report a 65-year-old woman who presented with acute onset dizziness and hearing loss during the epidural nerve block for back pain, wherein we speculated a possibility of perilymphatic fistula as the mechanism of hearing loss and dizziness. The mechanism of dizziness and hearing loss was suspected with perilymphatic fistula.

귀비온담탕가미방을 포함한 복합적 한방치료로 호전된 소뇌위축증으로 인한 운동실조, 보행장애, 떨림 및 현훈 증상의 한의학적 경험증례 : 귀미온담탕가미방의 소뇌위축증에대한 효과 (Case Report of Ataxia, Gait Disturbance, Tremor, and Dizziness with Cerebellar Atrophy Treated by Korean Traditional Medicine, Including Kuibiondam-tang-gami)

  • 안유민;이유나;김준석;장우석
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.165-174
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    • 2021
  • This study reported on the effect of traditional Korean medicine on ataxia, gait disturbance, tremor, and dizziness with cerebellar atrophy. The patient was treated with traditional Korean medicines, such as acupuncture, moxibustion, and herbal medicine (Kuibiondam-tang-gami). The effectiveness of the treatment was evaluated with the scale for the assessment and rating of ataxia (SARA). After treatment, the symptoms had improved. The SARA score decreased by 18 points after Korean medicine treatment. According to this study, traditional Korean medicine can be effective to treat ataxia, gait disturbance, tremor, and dizziness in patients with cerebellar atrophy.