• 제목/요약/키워드: Oculomotor Nerve Palsy

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당뇨 합병증의 과거력이 있는 동안 신경마비 환자1례에 대한 임상적 고찰 (Clinical study on one patient with oculomotor nerve palsy accompanied by Diabetes mellitus complication history)

  • 윤철;윤채성;이동효;성은진;김환영;황충연
    • 대한한의학방제학회지
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    • 제17권2호
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    • pp.233-238
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    • 2009
  • Objective : To carry out the oriental medicine treatment on a patient with oculomotor nerve palsy accompanied by Diabetes mellitus complication history Methods : We conducted one patient with oculomotor nerve palsy at Won-Kwang University Kwang-Ju Oriental Medical Hospital. We treated patient by herbal medicine, acupuncture, etc. Results : We had an effect that one patient's symptom had improved. Conclusion : We suggest that the oriental medical treatment and management have an effect with oculomotor nerve palsy accompanied by DM complication history.

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A Systematic Review of Acupuncture for Oculomotor Nerve Palsy

  • Ku, Yong Ho;Kang, Jae Hui;Kong, Hae Jin;Ryu, Hwa Yeon;Lee, Hyun
    • Journal of Acupuncture Research
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    • 제36권2호
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    • pp.59-71
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    • 2019
  • Acupuncture treatment for oculomotor nerve palsy has been increasing recently. This study analyzed randomized controlled trials (RCTs) and case reports, using the Cochrane risk of bias tool to investigate the efficacy of acupuncture therapy for oculomotor nerve palsy. This analysis was performed on March 7, 2019, using online databases (PubMed, Cochrane, NDSL, OASIS, CNKI) where 208 articles were retrieved. Of these, there were 18 case reports and 18 RCTs that matched the inclusion criteria, of which 32 studies used acupuncture as the primary intervention, 1 used pharmacopuncture, 1 used fire-needling, and 1 used electroacupuncture. The most commonly used acupoints were BL1, BL2, ST2, TE23, Ex-HN5, LI4, GB14, ST36, GB20 and GB1. Significant findings were reported in all RCTs. Six adverse events were reported in 3 RCTs, with no effect on the outcome. No side effects were reported in the case reports. The risk-of-bias analysis showed that the articles did not report the experimental protocol used and it was not clear whether the study was blinded. Hence, it was difficult to assess the risk of bias. Analysis of 36 studies showed that acupuncture therapy for oculomotor nerve palsy was effective in many cases. It was difficult to evaluate the potential bias.

침구 치료로 호전된 동안신경마비 치험 1례 (A Case Report of Oculomotor Nerve Palsy Treated with Acupuncture and Moxibustion)

  • 김서희;이주현;경다현;홍석훈
    • 한방안이비인후피부과학회지
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    • 제35권2호
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    • pp.61-71
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    • 2022
  • Objectives : The aim of this study is to report the effect of acupuncture and moxibustion treatment for patient with oculomotor nerve palsy. Methods : We treated a patient who had suffered from right. ptosis, diplopia, ophthalmoplegia and diagnosed with oculomotor nerve palsy with acupuncture(including pharmacopuncture, electroacupuncture), moxibustion, cupping therapy. Photographs of eye movement were used to evaluate the changes in limitation of eye movement. We also evaluated symptoms such as diploma, ptosis. Results : After treatment, patient's symptoms such as limitation of eye movement, diplopia, ptosis were improved. There are no adverse effects and no relapse after treatments. Conclusions : This case report suggests that acupuncture and moxibustion treatment can be effective for patient with limitation of eye movement, diplopia, ptosis in oculomotor nerve palsy.

동안신경 마비환자에 대한 치험 2례 (Case Report of Two Cases of the Oculomotor Nerve Palsy)

  • 노현민;박승구;조은희;박민철
    • Korean Journal of Acupuncture
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    • 제34권3호
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    • pp.156-163
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    • 2017
  • Objectives : The purpose of this study is to evaluate the effects of Korean Medicine in two patients with oculomotor nerve palsy. Methods : Acupuncture was inserted into left Sojangjungkyuk(BL66, SI2, GB41 and SI3) for 15 minutes in multiple visits. Also, two kinds of herbal medicine, Gaejigeogaegayoungchul-tang and Younggaekamjo-tang were given to each patient. Results : After the treatment, patient's main symptoms were improved. Conclusions : We suggest that especially Sojangjungkyuk-based Korean Medical treatment may be effective for improvement of oculomotor nerve palsy.

한방치료 후 호전된 동안신경마비 1례에 대한 증례보고 (A Case Report of Oculomotor Nerve Palsy Patient Treated by Traditional Korean Medicine)

  • 정순현;조종관;지영승;김현지;김영일
    • 혜화의학회지
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    • 제23권2호
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    • pp.45-52
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    • 2015
  • Object : This study is designed to confirm the effect of Traditional korean Medicine on oculomotor nerve palsy patient. Method : We treated with acupuncture therapy, electro-acupuncture therapy, herbal therapy, physical therapy, moxibustion therapy. And we evaluated a patient's eyelid ptosis, eyelid levator function, eyeball movement, eyeball pain. Result : After Traditional korean Medical treatment, ptosis and pain caused by ophthalmoplegia were improved. Conclusion : This study shows Traditional korean Medicine has a good effect on oculomotor nerve palsy.

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Post-Stroke Oculomotor Nerve Palsy Treated by Traditional Korean Medicine: Three Case Reports

  • Lee, Yoo-na;An, Yu-min;Jang, Woo-seok;Baek, Kyungmin
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1237-1247
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    • 2019
  • Post-stroke oculomotor nerve palsy occurs more frequently than previously reported, but only a few studies of traditional Korean medicine treatments have been reported. The symptoms are severe and difficult to treat, and current treatments are high-cost, short-lasting, insufficient for shortening the therapeutic period and promoting better recovery, or involve the risk of post-operative over-correction or under-correction. Traditional Korean medicine treatments may be comparatively effective at lower cost and less harmful. Thus, we report three cases of post-stroke oculomotor nerve palsy treated with traditional Korean medicine.

Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report

  • Noh, Hae Won;Song, Jae Young;Kim, Jong Hyun;Kim, Jang Hun
    • Journal of Trauma and Injury
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    • 제30권2호
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    • pp.66-69
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    • 2017
  • We introduce a patient who was suffered from isolated traumatic bilateral oculomotor nerve palsy after head trauma. The patient presented with bilateral ptosis and abnormal pupilary responses with slightly drowsy mentality at first. Performed images demonstrated some hematomas along subarachnoid, intraventricular, subdural spaces and multiple small supratentorial contusions. There was no bony abnormality or ligament injury. We assumed that small amount of interpeduncular hematoma might be the proper lesion associated with oculomotor nerve palsies, since the clinical symptom and signs presented bilaterally and the oculomotor neural fascicles run through the interpeduncular fossa.

Oculomotor Nerve Palsy Associated with Rupture of Middle Cerebral Artery Aneurysm

  • Kim, Sung-Chul;Chung, Joon-Ho;Lim, Yong-Cheol;Shin, Yong-Sam
    • Journal of Korean Neurosurgical Society
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    • 제45권4호
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    • pp.240-242
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    • 2009
  • Oculomotor nerve palsy (ONP) with subarachnoid hemorrhage (SAH) occurs usually when oculomotor nerve is compressed by growing or budding of posterior communicating artery (PcoA) aneurysm. Midbrain injury, increased intracranial pressure (lCP), or uncal herniation may also cause it. We report herein a rare case of ONP associated with SAH which was caused by middle cerebral artery (MCA) bifurcation aneurysm rupture. A 58-year-old woman with clear consciousness suffered from headache and sudden onset of unilateral ONP. Computed tomography showed SAH caused by the rupture of MCA aneurysm. The unilateral ONP was not associated with midbrain injury, increased ICP, or uncal herniation. The patient was treated with coil embolization, and the signs of oculomotor nerve palsy completely resolved after a few days. We suggest that bloody jet flow from the rupture of distant aneurysm other than PcoA aneurysm may also be considered as a cause of sudden unilateral ONP in patients with SAH.

Clinical Observation on Oculomotor Nerve Palsy Treated by Moxibustion

  • Woo, Hyun-Su;Seo, Dong-Min;Kim, Jong-Deog;Park, Sang-Min;Kim, Hyun-Dong;Byun, Im-Jeung;Kim, Chang-Hwan
    • 대한한의학회지
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    • 제24권4호
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    • pp.149-153
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    • 2003
  • Objective : Moxibustion is one of the primary remedies in traditional oriental medicine. We successfully treated a one patient who complained of oculomotor nerve palsy related to diabetes mellitus with moxibustion. Methods : We performed moxibustion treatment on the protuberances surrounding the Mok-chang acupoint and adjacent frontal scalp of the patient's head at the same time every day and observed the recovery of eye movement and changes of ptosis. Results : After about I week of moxibustion treatment, there were some changes of ptosis and eyeball movement. The patient felt better opening his eyes than before and seemed to reduce his paralytic condition. After 14 days, ptosis was remarkably improved, although slight diplopia remained, and eye movement had recovered to almost normal. Furthermore, his blood glucose was on the decrease and revealed an average 120 mg/dl. Conclusions : Moxibustion treatment performed on the Mok-chang acupoint remarkably improved ptosis and limited eye movement arising from oculomotor nerve palsy related to diabetes mellitus. We hope moxibustion is used for treating nerve palsies and similar diseases in the future.

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외안근 전침요법을 이용한 교통사고 유발 마비성 사시 환자의 치험 1례 (One Case of traffic accident induced paralytic strabismus (oculomotor nerve palsy) which was treated with electroacupuncture at oculomotor muscles)

  • 김남권
    • 한방안이비인후피부과학회지
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    • 제21권1호
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    • pp.133-138
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    • 2008
  • Objectives : We already reported the effectiveness of this treatment method(electroacupuncture at oculomotor muscles) at the adult and young idiopathic paralytic strabismus patients and Miller-Fisher syndrome. Then I explored the possibility for improvement of the traumatic injury paralytic strabismus case. Methods : I treated the case by using the electroacupuncture at both paralytic lateral rectus muscle lesions. The case was treated almost daily and every treatment was enforced 10 minutes. I use the PG-306 electra-acupuncture products(Suzuki Iryoki Co. Japan) and apply the low consequence wave of 1-8Hz. Results : We gained good results from the case and not observed any sides effect or compliant. So I hope to apply this treatment for traumatic and post-operative nerve injury cases and am sure to make the treatment protocol for them in the future.

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