• Title/Summary/Keyword: Numbness

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A Case Study of T10 Spinal Cord Injury due to Varicella Zoster Myelitis Treated with Korean Medicine (대상포진 척수염으로 유발된 척수손상 환자의 한방치료 1례)

  • Kim, Min-serh;Shim, Won-suk;Park, Sang-eun;Hong, Sang-hoon
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.548-559
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    • 2016
  • Objectives: This is a clinical report of one patient with both lower limb paraparesis and numbness as well as sensory impairment caused by a T10 spinal cord injury due to varicella zoster myelitis.Methods: The patient with the spinal cord injury induced by varicella zoster myelitis was treated using Korean medical treatments such as herbal medicine (Palmijihwang-tanggami), acupuncture, and moxibustion.Results: After treatments, improvements in muscular strength and the sensory impairment of both lower limbs were observed as well as improvements in various side effects such as the debridement state and laboratory findings of urine analysis.Conclusion: Given these results, it is considered that Korean medical treatment is effective for patients with spinal cord injury due to varicella zoster myelitis.

Carpal Tunnel Syndrome by Ganglion: A Case Report (수근관에 발생한 결절종으로 인한 수근관 증후군의 치험1례)

  • Jang, Seo-Yoon;Ahn, Duck-Sun
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.117-120
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    • 2011
  • Purpose: Carpal tunnel syndrome is the most common peripheral compressive neuropathy. Most cases are idiopathic, but rarely carpal tunnel syndrome can be associated with a ganglionic mass. We report our recently encountered experience of surgical treatment of carpal tunnel syndrome caused by a simple ganglionic mass. Methods: A 53-year-old man presented with chief complaints of numbness and hypoesthesia of his left palm, thumb, index finger, long finger, and ring finger of one and half month duration. Physical examination revealed positive Tinnel's sign without previous trauma, infection or any other events. Electromyography showed entrapment neuropathy of the median nerve. Magnetic resonance imaging (MRI) showed an approximately 2.0 cm-sized mass below the transverse carpal ligament. Upon surgical excision, a $1{\times}1.5cm^2$ mass attached to the perineurium of the median nerve and synovial sheath of the flexor digitorum superficialis and redness and hypertrophy of the median nerve were discovered. With surgical intervention, we completely removed the ganglionic mass and performed surgical release of the transverse carpal ligament. Results: The pathology report confirmed the mass to be a ganglion. The patient exhibited post-operative improvement of his symptoms and did not show any complications. Conclusion: We present a review of our experience with this rare case of carpal tunnel syndrome caused by a ganglionic mass and give a detailed follow-up on the patient treated by surgical exploration with carpal tunnel release.

A Case Report of Long-term Acupuncture Treatment in Bortezomib Induced Peripheral Neuropathy (보르테조밉으로 유발된 말초신경병증에 대한 장기간의 침치료 증례 보고)

  • Kim, So Yeon;Choi, Jun Yong;Yun, Young Ju;Park, Seong Ha;Han, Chang Woo
    • Korean Journal of Acupuncture
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    • v.32 no.4
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    • pp.208-212
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    • 2015
  • Objectives : We present a successful administration of acupuncture in alleviating persistant peripheral neuropathy due to bortezomib, a potent therapeutic agent of mutlple myeloma. Methods : A patient, experiencing numbness, coldness, tingling and weakness in her feet and hands after bortezomib treatment, was administered acupuncture for 32 weeks, 3 times/week for first 4 weeks and 2 times/week the last 28 weeks, in bilateral acupuncture points, ST36, ST40, EX-LE10, LI11, TE5, and EX-UE9. Responses were assessed at the end of every 4 weeks with Eastern Cooperative Oncology Group(ECOG) grading system, National Cancer Institute - Common Toxicity Criteria(NCIC-CTC) v4.0, Numeric Rating Scale(NRS) 0-10, and Neuropathy Pain Scale (NPS). Results : ECOG was improved from 2 to 1, NCIC-CTC from 2 to 1, NRS from 8 to 1, and NPS from 41 to 5 through 32 weeks of acupuncture treatment. Conclusions : It is conceivable that acupuncture can be a help to relieve bortezomib induced peripheral neuropathy.

A Case of n-Hexane Induced Neuropathy with Focal Conduction Block (국소적 전도차단을 보인 n-Hexane induced neuropathy 1례)

  • Seo, Wookeun;Park, Beom-Sik;Cho, Seong Jin;Jhun, Hyung-Jun;Koh, Seong-Beom;Kim, Byung-Jo;Park, Jong-Tae;Park, Min-Kyu;Park, Kun-Woo;Lee, Dae-Hie
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.78-80
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    • 2002
  • A 32-year-old man who had worked at aluminum processing plant for 4 months visited us. He complained of numbness and paresthesia of both foot and hands and weakness of all extremities. Electrophysiologic study showed motorsensory polyneuropathy of diffuse axonal type with focal conduction block. And we discovered higher concentration of n-Hexane in his workplace. On sural nerve biopsy, bubbly enlarged nerve fibers in light microscope and thick myelin sheath and axonal degeneration on electron microscope were found. We diagnosed it as n-Hexane induced neuropathy.

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A Philological Study on the prescription of Beriberi (각기(脚氣)의 처방(處方)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim Ki-Hyung;Sin Mi-Suk;Sul Jae-Uk;Choi Jin-Bong
    • Herbal Formula Science
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    • v.12 no.1
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    • pp.29-77
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    • 2004
  • After this study: I report the following result from it. 1. Beriberi is defined as sensory or motor disorder of leg with a painful-swelling and pyrexia. If it progress severely, the disease transmits to heart and cause numbness of the lower abdomen, vomiting, anorexia, palpitation, chest distress and confusion. 2. The external etiologic factors of Beriberi are wind-toxic pathogen, dampness, improper diet and climate sickness, the internal etiologic factors are deficiencies of the kidney, both Gi and blood and original vital energy. 3. The treatment of Beriberi is free-going of blockage, because it is a blocked disease. 4. Danggwiy-juntongtang and Ganghwar-dochetang is the most in the order of frequency of use. Mahwang-juagyongtang, Banha-juagyongtang, Daehwang-juagyongtang, Shinbi-juagyongtang are used in sequence. 5. The prescriptions of Beriberi are made up of the herbs that clear heat, for example, Ganghwar, Changchul, Mahwang and Bangpung, and the herbs that reinforces Gi, for example, Insam and Bakchul.

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Study on Clinical Application of Low Level Laser Therapy in Oriental Medicine by Reviewing Recent Research (저단계 레이저 치료에 대한 국내 논문 분석 및 한의학 임상 활용 방안)

  • 장인수;조기호;김영석;배형섭;이경섭;강신화;선중기
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.11-20
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    • 2001
  • Objective: As early as 1967, professor Endre Mester's group published the first scientific report concerning the effects of low level laser therapy (LLLT) on the skin of rats. After that, there have been some two thousand research reports from many countries in which the biological effects of low level lasers have been demonstrated. We reviewed some theses about LLLT published in Korea recently, and we make a proposal concerning the new method of study using LLLT in Oriental Medicine. Methods: We have selected 12 medical theses about low level laser therapy published in Korean Oriental Medicine journals recently, reviewed them, and investigated their methods. Results and Conclusion: There were several clinical studies in Korea about hyperlipidemia, hypercholesteremia, hyperfibrinogenemia, hyperlipoproteinemia, headache, dizziness, stroke, pain and numbness published from 1996 to 2000 using LLLT. The number of theses of good quality is showing a tendency to increase, recently. Sooner or later LLLT will be a very useful treatment and we believe that it will be an alternative useful method in Oriental Medical fields. There have been some negative public opinions about LLLT voiced in the Korean Oriental Medical society recently, but we expect a positive re-evaluation of this new treatment within Oriental Medicine in the near future.

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Type I Chiari malformation presenting orthostatic syncope who treated with decompressive surgery

  • Shin, Hyun-Seung;Kim, Jeong A;Kim, Dong-Seok;Lee, Joon Soo
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.149-151
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    • 2016
  • Chiari malformations are a congenital anomaly of the hindbrain. The most common, Chiari malformation type I (CM-I), is characterized by herniation of the cerebellar tonsils extending at least 3 mm below the plane of the foramen magnum. Consequently, CM-I is associated with hydrocephalus and symptoms involving compression of the cervicomedullary junction by ectopic tonsils. Several studies have reported the clinical symptoms associated with CM-I, including suboccipital headache, weakness in the upper extremities, facial numbness, loss of temperature sensation, ataxia, diplopia, dysarthria, dysphagia, vomiting, vertigo, nystagmus, and tinnitus. Syncope is one of the rarest presentations in patients with CM-I. There are many hypotheses regarding the causes of syncope in patients with CM-I; however, the mechanisms are not clearly understood. Although surgical decompression for CM-I in patients with syncope has yielded good clinical results in some studies, such cases are rarely reported. We report a case of orthostatic syncope in a patient with CM-I who was treated with surgical intervention.

A Case of Radial Nerve Palsy (요골신경마비(撓骨神經痲痺) 치험(治驗) 1례(例))

  • Lee, Se-yun;Lee, Kyung-min;Jung, Tae-young;Seo, Jung-chul;Han, Sang-won
    • Journal of Acupuncture Research
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    • v.20 no.1
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    • pp.236-243
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    • 2003
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by oriental medical treatment. Methods : The patient was managed by bee venom aqua-acupuncture, sclp acupuncture and herbal medicine. We took picture of the patients's wrist and checked the power of muscles. Results : After 4 week treatment, the movement and power of wrist was restored of nearly normal range. also the numbness of hand was removed. Combined oriental medical treatment can treat radial nerve palsy earlier than other methods. Conclusions : The results suggest that combination of bee venom aqua-acupuncture, scalp acupuncture and herbal medicine is good method for treatment of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this methods for treating radial nerve palsy.

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A Case Report of a Central Pontine Myelinolysis Patient Treated with Korean and Western Medicine (중심성 뇌교 수초용해증 환자에 관한 한양방 복합치료 1례)

  • Kang, Da Hyun;Lim, Myong Ah;Lee, Hee Jung;Kim, Doo Ri;Kang, Jae Hyun;Kim, So Yun;Youn, In Yae
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.191-201
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    • 2016
  • Objectives : The purpose of this study is to report the clinical effect of Korean and Western medical treatment on a hemiplegic inpatient with central pontine myelinolysis(CPM). Methods : A patient who was diagnosed with central pontine myelinolysis(CPM) was treated with acupuncture, herbal medicine, Korean physical therapy, along with receiving continuous Western medication and rehabilitation treatment. The patient was evaluated through Manual Muscle Testing(MMT), measurement of grip strength, dysarthria, and dysuresia. The Korean and Western medical treatment was conducted for 4 weeks. Results : After the 4 weeks of Korean and Western medical treatment, MMT grade improved from 2 to 4 and grip strength improved from 6 to 13. Dysarthria and dysuresia also improved. Conclusion : According to these results, this report suggests that Korean and Western medical treatment could be effective in the treatment of central pontine myelinolysis(CPM) patients.

Medulloblastoma Manifesting as Sudden Sensorineural Hearing Loss

  • Terakawa, Yuzo;Tsuyuguchi, Naohiro;Takami, Toshihiro;Ohata, Kenji
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.51-53
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    • 2011
  • We present a rare case of medulloblastoma which presented with unilateral sudden sensorineural hearing loss as an initial symptom. A 19-year-old man was admitted to our hospital with a chief complaint of dizziness and facial numbness on the right side. His illness had begun two years previously with sudden hearing loss on the right side, for which he had been treated as an idiopathic sudden hearing loss. Magnetic resonance imaging demonstrated abnormal signals located mainly in the right middle cerebellar peduncle. We performed partial resection of the tumor by suboccipital craniotomy. The histopathological diagnosis was medulloblastoma. Intrinsic brain tumor is an extremely rare cause of sudden sensorineural hearing loss and is therefore easily overlooked as was in the present case. The present case highlights not only the need to evaluate patients with sudden sensorineural hearing loss by magnetic resonance imaging but also the importance of paying attention to intrinsic lesions involving the brainstem. Although this condition like the presented case might be rare, intrinsic brain tumor should be considered as a potential cause of sudden sensorineural hearing loss, as it may be easily missed leading to a delay in appropriate treatment.