• 제목/요약/키워드: Numbness

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미만성 큰 B-세포 림프종에 의해 발생한 안면 통증을 동반한 Numb Chin Syndrome 증례 (A Case Report of Numb Chin Syndrome with Facial Pain Caused by Diffuse Large B-Cell Lymphoma)

  • 정재광;허윤경;최재갑
    • Journal of Oral Medicine and Pain
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    • 제36권4호
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    • pp.253-259
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    • 2011
  • Numb chin syndrome (NCS)은 드문 신경병증으로 이신경이 지배하는 구강안면 영역의 감각둔화를 특징으로 한다. 이러한 신경병증은 비록 드물지만 악성종양과의 관련성 때문에 임상적으로 중요한 의의를 지닌다. 심지어 이러한 구강안면의 증상이 악성종양의 첫 번째 증상으로 나타나는 경우도 있기 때문에 악성종양의 조기발견을 위해서 치과의사의 특별한 관심이 요구된다. 따라서 특별한 원인 없이 이부의 감각마비를 호소하는 경우에는 진단되지 않은 악성종양의 존재 가능성을 염두에 두어야 하며, 이에 대한 조사가 필요하다. 저자들은 구강안면부에서 갑자기 발생한 찌르는 것 같은 통증과 하악 이부 부위의 감각마비를 주소로 경북대학교병원 구강내과에 내원한 환자가 미만성 큰 B-세포 림프종으로 진단된 사례를 보고하는 바이며, 이를 통해서 NCS 진단의 중요성을 강조하고자 한다.

빈소산가미방(檳蘇散加味方)으로 호전된 당뇨병성 말초신경병증 치험1례 (One Case of Diabetic Peripheral Polyneuropathy Improved by Binsosan-gamibang)

  • 권은희;신현철;강석봉;박송기
    • 대한한방내과학회지
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    • 제26권4호
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    • pp.935-940
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    • 2005
  • Objectives : This study it designed to evaluate the effects of an oriental medicine therapy, namely Binsosan-gamibang, on diabetic peripheral polyneuropathy. Methods : The clinical data was analyzed on a patient with diabetic peripheral polyneuropathy due to subyeolongsung(濕熱壅盛), gihyeoloeche(氣血瘀滯) whose main symptoms were pain and numbness in both legs. The patient was admitted at the internal medicine department of Dae-Gu Hanny University Dae-Gu Oriental Medicine Hospital on December 22, 2003, and was treated with herbal medicine(Binsosan-gamibang), acupuncture and physical therapy. Results : After treatment, improvement in pain and numbness in both legs was seen in the subsection of the pain rating score(PRS) and the visual analogue scale(VAS). Conclusions : This study suggests that Binsosan-gamibang is significantly effective in treatment of diabetic peripheral polyneuropathy.

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糖尿病性 神經病症 1例에 대한 臨床的 考察 (A case of Diabetic Neuropathy Treatment)

  • 박지현;황희정;김종대;강석봉
    • 대한한의학방제학회지
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    • 제9권1호
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    • pp.386-386
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    • 2001
  • 경산대학교 부속 대구한방병원에 당뇨병성 신경병증으로 인한 兩下肢 冷痺症, 無力感을 주소로 내원한 환자 1例에 대하여 2000년 7월 3일부터 2000년 7월 16일까지 漢藥治療 및 鍼灸治療 등을 시행하여 下肢의 증상 및 당뇨병으로 인한 전신증상의 호전에 도움이 되었으므로 치료내용과 경과를 문헌고찰과 함께 보고하는 바이다.

당뇨병성(糖尿病性) 신경병증(神經病症) 1례(例)에 대한 임상적(臨床的) 고찰(考察) (A case of Diabetic Neuropathy Treatment)

  • 박지현;황희정;김종대;강석봉
    • 대한한의학방제학회지
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    • 제9권1호
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    • pp.387-395
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    • 2001
  • 경산대학교 부속 대구한방병원에 당뇨병성 신경병증으로 인한 양하지(兩下肢) 냉비증(冷痺症), 무력감(無力感)을 주소로 내원한 환자 1례(例)에 대하여 2000년 7월 3일부터 2000년 7월 16일까지 한약치료(漢藥治療) 및 침구치료(鍼灸治療) 등을 시행하여 하지(下肢)의 증상 및 당뇨병으로 인한 전신증상의 호전에 도움이 되었으므로 치료내용과 경과를 문헌고찰과 함께 보고하는 바이다.

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Occurred Facial Pain during Acupotomy at a Site 5 pun Left of GV16: A Case Report

  • Eun Ju Lee;Tae Kyung Kim;Chang Min Shin;Jong Cheol Seo;Seo Whi Kim;Si Yong Cho;Hyun Min Yoon;Cheol Hong Kim
    • Journal of Acupuncture Research
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    • 제41권1호
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    • pp.69-73
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    • 2024
  • This study evaluated a case of trigeminal nerve stimulation during acupotomy at a site 5 pun left of GV16. The study participant was a 52-year-old male suffering from upper neck pain and numbness, which was managed by acupotomy at a site 5 pun left of GV16. During acupotomy, the patient experienced unexpected numbness and stiffness of the left zygomatic bone. This area corresponds to the distribution of the maxillary nerve, which is the second branch of the trigeminal nerve. After approximately one month, symptoms of numbness and stiffness disappeared without rendering medical treatment. These side effects are presumed to be associated with the trigeminocervical complex and stimulation of the trigeminal nucleus within the spinal cord. Thus, during the acupotomy of the upper neck, especially at GV16, the needles should be inserted slowly, and the patient's response should also be monitored.

한방치료로 호전된 횡문근 융해증 환자 치험 1례 (A Case Report of Rhabdomyolysis Patient Treated with Traditional Korean Medicine)

  • 고홍제;신정철
    • Korean Journal of Acupuncture
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    • 제34권3호
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    • pp.172-178
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    • 2017
  • Objectives : The purpose of this study is to report a case of traditional Korean Medicine effect on a patient with rhabdomyolysis who appealed leg pain, numbness and weakness. Methods : A patient received traditional Korean Medicine including acupuncture, herbal medicine, moxibustion, and cupping therapy daily. We evaluated the clinical results by observing the patient's symptoms, NRS(Numerical Rating Scale), MMT(Manual Muscle Test) grade and DITI(Digital Infrared Thermal Imaging). Results : After traditional Korean Medicine, the patient's pain and numbness decreased from NRS 10 to 1~2 and weakness improved from Gr3- to Gr4. And CPK(creatine phosphokinase) numerical value decreased from 330(IU/L) to 164 and body heat status improved. Conclusions : Traditional Korean Medicine can be effective in reducing rhabdomyolysis patients' symptoms and changing examination numerical value. And further studies on traditional Korean Medicine of rhabdomyolysis should be carried out.

보중익기탕 투여 후 화학항암제로 인한 전신쇠약감 및 탈모호전 증례보고 (A Case Report of Chemotherapy-induced Alopecia Treated with Bojungikki-tang)

  • 이상헌
    • 대한한방내과학회지
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    • 제38권2호
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    • pp.235-239
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    • 2017
  • This case study describes the effect of Bojungikki-tang on chemotherapy-induced alopecia. Alopecia is a well-documented cause of distress to patients undergoing cancer treatment, but no approved pharmacological treatment exists for chemotherapy-induced hair loss. A 70-year-old female diagnosed with a cholangiocarcinoma and liver metastasis received chemotherapy, including gemcitabine and cisplatin, every three weeks. As a result of the continuous chemotherapy, she suffered various toxicity-related side effects, including bone marrow suppression, general weakness, nausea, peripheral numbness, and hair loss. Bojungikki-tang was initially administered to improve the patient's general weakness and fatigue. After three months of treatment, the patient's hair loss and general condition improved, and the color of the new hair was dark, despite the chemotherapy. The treatment did not improve other symptoms, such as bone marrow suppression and peripheral numbness. This case suggests that Bojungikki-tang could have a beneficial effect on chemotherapy-induced alopecia.

보기제통탕(補氣除痛湯)투여로 호전된 대상포진 후 신경통 환자 1례 보고 (A clinical report of Bogijetongtang effect on a Post-Herpetic Neuralgia patient)

  • 정호영;조충식
    • 혜화의학회지
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    • 제23권2호
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    • pp.33-38
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    • 2015
  • The purpose of this study was to report the effect of Bogijetong-tang on post-herpetic neuralgia(PHN). The main symptoms were numbness, pain, burning, paresthesia on left dorsum pedis and insomina. We prescribed Bogijetong-tang (BJT) three times a day and performed acupuncture and moxibustion twice a day. We observed the change of symptoms to evaluate the therapeutic effect. The symptoms were evaluated with numerical rating scale(NRS). After the treatment, pain decreased from 8 to 3, burning from 5 to 1, paresthesia from 7 to 5, numbness from 5 to 3 and insomina improved. Above the results, Bogijetongtang is effective in treating post-herpetic neuralgia.

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하지마목으로 진단된 환자 치험 1례(例) (Treatment of Acute Transverse Myelitis : a case report)

  • 강형원;류영수;김태헌;이수정
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.213-221
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    • 2005
  • Acute Transverse Myelitis is a syndrome, not a disease, in which acute inflammation affects gray and white matter in one or more adjacent thoracic segments. Almost all patients will develope ascending weakness and numbness of feet and leg, difficulty voiding, urinary retention, and loss of bowel control. We concluded this case to MAMOK( 마목) due to Qi ascent, Qi deficiency, Qi stoppage(상기, 기허, 기체). So we used herbal medication, acupuncture, and homeopuncture according to oriental medical theory. Weakness and numbness of feet and leg, difficulty voiding, urinary retention, and loss of bowel control are reduced. Herbal medication, acupuncture, and homeopuncture helped the care of this syndrome and further study will be investigated in oriental medicine for this syndrome.

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Giant Cauda Equina Schwannoma with Dystrophic Calcifications : Case Report and Review of the Literature

  • Hyun, Seung-Jae;Rhim, Seung-Chul
    • Journal of Korean Neurosurgical Society
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    • 제51권2호
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    • pp.105-108
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    • 2012
  • Giant spinal schwannoma of the cauda equine involving many nerve roots is rare, and ossification is usually not observed in the schwannoma. A 21-year-old man presented with a 12-month history of urinary dysfunction and numbness below the buttocks. Plain radiography showed scalloping of the posterior surface of the vertebral bodies from L4 to the sacrum, and magnetic resonance imaging and computed tomography revealed a giant cauda equina tumor with dystrophic calcification. The tumor was completely removed, with intraoperative neurophysiologic monitoring. Histopathologic examination showed that the tumor was a schwannoma. The patient's postoperative course was uneventful, with urinary function and numbness gradually improving. Although a giant schwannoma accompanied by dystrophic calcification is extremely rare, such a tumor can be removed safely and completely by meticulous dissection and careful neuromonitoring of the cauda equina spinal nerves involved in the tumor.