• Title/Summary/Keyword: Midbrain infarction

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MR Imaging of Internuclear Ophthalmoplegia due to Cerebrovascular Diseases (뇌졸중에 의한 핵간 안운동 마비 6례 : 자기공명영상 소견을 중심으로)

  • Kim, Suk-Hee;Lee, Young-Ki;Hah, Jung-Sang;Byun, Young-Ju;Park, Choong-Suh;Kim, Sun-Yong
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.220-230
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    • 1991
  • Internuclear ophthalmoplegia is a conjugated gaze disorder characterized by impaired adduction on the side of a lesion involving the medial longitudinal fasciculus with dissociated nystagmus of the other abducting eye. Six patients with INO(who had clinical cerebrovascular diseases) underwent MR imaging and the results were as follows : 1. The MLF lesions were identified by MR imaging in 5 cases 2. The ratio of unilateral INO to bilateral INO was 5:1 3. The nature of lesions was infarction in 4 cases and hemorrhage in 1 case 4. The sites of MLF lesion were in the midbrain in 4 cases and in the pons in 1 case 5. All 5 cases of INO identified by MR imaging had other lesion sites in addition to MLF lesion.

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A Case Report of a Patient with Diplopia and Ataxia Diagnosed as Claude's Syndrome Treated with Korean Medicine (클로드 증후군으로 진단된 복시와 운동실조 증상을 가진 환자의 한방 치료 증례 1례 보고)

  • Bae, Ji-yong;Kim, Tae-jeong;Kong, Kyung-hwan
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1054-1061
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    • 2021
  • Objective: The aim of this study was to report the effect of Korean medicine treatment on Claude's syndrome with ataxia and diplopia. Methods: We applied electroacupuncture, scalp acupuncture, and physical therapy to the patient. Diplopia was assessed with the distance between two images of one object, and ataxia was assessed with the Korean Version of the Scale for the Assessment and Rating of Ataxia (K-SARA). Results: After 21 days of treatment, diplopia, abnormal extraocular movement, and ataxia were improved on the basis of the K-SARA score. Conclusion: This case demonstrates the effectiveness of Korean medicine treatment in improving the symptoms of Claude's syndrome.