• Title/Summary/Keyword: Paralytic Strabismus

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A Case Report of Traumatic Oculomotor Nerve Palsy Treated with Acupuncture and Herbal Medicine. (외상성 동안신경마비 치험 1례)

  • Kim, Hee-jeong;Lee, Gil-Young;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.167-173
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    • 2004
  • Strabismus is a misalignment of the eyes. It is divided into paralytic strabismus and non-paralytic strabismus. There are so many causes in paralytic strabismus, and the oculomotor nerve palsy is one of them. Many studies reported the etiology and clinical features of oculomotor nerve palsy. Common causes of oculomotor nerve palsy are idiopathic, vascula.; disease, aneurysm, head trauma, neoplasm and miscellaneous. Recently the proportion of traumatic cause has been increased, but the treatment is difficult as it used to be. In this case report, one case of traumatic oculomotor nerve palsy with zygomatic arch Fx and clavicle Fx were treated by herbal medicine and acupuncture. After Treatment, symptoms- ptosis, deviation of Lt. eye to downward & outward in primary position, diplopia, limited adduction & elevation & depression, dilated pupil without pupil reflex- were improved. There are so many hypothesises but no definite guide lines are established about the oriental medical treatment of oculomotor nerve palsy, so we expect the establishment of definite guide lines by further clinical studies.

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A Casuistics of a Patient with Facial Palsy and Paralytic Strabismus (안면신경마비와 마비성 사시를 병발한 환자의 증례보고)

  • Cho, Jae-Hun;Kim, Yoon-Bum;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.13 no.2
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    • pp.152-164
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    • 2000
  • 1. We experienced one case with facial palsy and paralytic strabismus, which improved under the treatment of Acupuncture, Infrared, Electroacupuncture and Massage. 2. The prognostic factor of facial palsy was affected by On Set and neurodegeneration (such as synkinesis, contraction, spasm and crocodile tear). 3. In facial palsy, Myoneural Excitability Test by Electroacupuncture, which will need the objective clinical standard, was available for the evaluation of therapeutic effect and prognosis.

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A Case of Paralytic Strabismus of Abducens Nerve by Acupuncture and Herbal Medicines (外旋神經痲痺 斜視患者의 韓方治驗 1例)

  • Kim, Joong-Ho;Kim, Yoon-Bum;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.7 no.1
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    • pp.143-147
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    • 1994
  • We report one case with paralysis of the sixth cranial nerve, which was diagnosed at Kyung Hee Unversity Hospital. The patient was happened with traffic accident. He showed disorder of both abduction eye movement, headache, double vision and dizziness. We have experienced good improvement to recover paralytic strabismus by the Oriental Medicine.

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12 Cases of Strabismus Treated by Acupuncture and Herb Medicine (사시질환(斜視疾患)의 한방치험(韓方治驗) 12례(例))

  • Kim, Joong-Ho
    • The Journal of Korean Medicine
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    • v.29 no.1
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    • pp.207-222
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    • 2008
  • Objectives : I report 12 cases of strabismus presented at [Oriental Medical Clinic of Kim Joong-Ho and Strabismus - Amblyopia Clinic, East-West Neo Medical Center, Kyung Hee University] from 2nd March 2006 to 29th February 2008. All have experienced good improvement of strabismus by treatment with Oriental medicine. Methods : Patients were treated with acupuncture, infra-red and herb medicine. The acupuncture points of (B2) 絲竹空(TE23) 承泣(S1) 陽白(G14) 太陽(E36) were mainly used. Herb medicines prescribed were Gagamseunggal-tang and Gamiboik-tang. Results : 9 cases of strabismus were caused by paralysis of the sixth cranial nerve and the third cranial nerve, while 3 cases happened with concomitant strabismus of esotropia and exotropia. They were treated to recover paralytic muscles and unelastic muscles around the eyes and face. Treatment took between 1 and 8 months. Conclusions : In the results of this study, treatment was effective to correct position at the eyeball. I report it is possible to treat strabismus successfully with Oriental medicine in a shorter time compared to western medicine.

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A Clinical Case Report of Oculomotor Nerve Palsy (동안신경마비 사시환자 1례 증례보고)

  • Eom, Yu-Sik;Sim, Seong-Yong;Nam, Hye-Jeong;Kim, Gyeong-Jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.126-130
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    • 2004
  • Oculomotor nerve palsy presents itself with sudden onset unilateral ptosis and inability to turn the eye upward, downward, or inward, which causes visual disturbances. Strabismus caused oculomotor nerve palsy refers to muscle imbalance that results in improper alignment of the visual axes of the two eyes It may be divided into paralytic and non paralytic strabismus. paralytic strabismus is primarily a neurologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the third nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. Objective: This study was designed to evaluate the effects of oriental medicine therapy on a peripheral oculomotor nerve palsy. Methods & Result: The clinical data was analyzed on a patient with oculomotor nerve palsy whose main symptoms were right side ptosis and inability to turn the eye inward. The patient was treated by the electroacupucture(4Hz frequency, intensity was adjusted so that localized muscle contractions could be seen). As the result, symptoms are improved remarkably. Conclusion: The patient showed right eye ptosis and unilateral deviation of the right eye ball in neutral position. After acupuncture treatment and electroacupuncture treatment, the ptosis and deviation of the patient's right eye was recovered six weeks after the onset. The study suggests that oriental medicine therapy is significantly effective on the treatment of peripheral oculomotor nerve palsy.

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One Clinical Study on Strabismus Patient of Abducence Nerve Paralysis with Oriental Medicine (제6 뇌신경 마비로 진단된 마비성(痲痺性) 사시(斜視) 환아(患兒) 1례(例) 보고(報告))

  • Cheon, Jin-Hong;Min, Sang-Yeon;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.26-32
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    • 2010
  • Objectives: This study is to report a case of the paralytic strabismus with herbal medicine and acupuncture. Strabismus refers to the oculomotor muscles imbalance resulted from improper alignment of the visual axis of the two eyes. Our goal is to know the effectiveness and safety in children from oriental medicine. Methods: We treated the case by using herbal medicine, acupuncture, and etc. Results: We found that the case was recovered perfectly in short term(24days) without any side effects or complaints. Therefore, we try to apply this treatment in many children cases and to set as a guideline protocol to treat for children. Conclusions: The case showed proper oriental medical treatment is better choice for therapy than surgery or observation.

A Case Report of One Patient with Paralytic Strabismus Resulting from Pontine Hematoma During Puerperium (산욕기에 발생한 뇌교출혈로 인한 마비성 사시 환자 치험 1례)

  • Kim, Yu-Kyung;Kim, Woo-Sung;Kang, Sei-Young;Sim, Kuk-Jin;Yoon, Ji-Won;Baek, Dong-Gi;Lee, Jong-Deok;Won, Jin-Hee;Lee, Sang-Kwan;Kim, Hong-Joon
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.640-647
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    • 2004
  • Pregnancy related stroke is significant because it has dire impact on both mother and the fetus. Pregnant or puerperal women are reported to have about 13-fold more risk of stroke compared to non-pregnant women. Pregnancy-related stroke must be differentiated from stroke in elderly patients, because it is different in pathophysiological etiologies and recurrence rates and also diagnostic and therapeutic methods may affect the fetal health status. Because the VI cranial nerve manages lateral rectus muscles, it' s palsy causes sudden onset of double vision. The eyes turn medially. In this article, one case of paralytic strabismus resulting from pontine hematoma during puerperium is reported. It was treated with herb medicine and acupuncture. Symptoms improved. This case is submitted with a brief overview of related lit.

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Recent Clinical Research on Effect of Acupuncture for Strabismus (사시의 침치료에 대한 최근 임상 연구 동향)

  • Lee, Ji Na;Lee, Sun Haeng;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.2
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    • pp.23-30
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    • 2016
  • Objectives The purpose of this study is to investigate recent clinical studies on effect of acupuncture for strabismus in Korea and other countries. We have analyzed 10 years (from 2006 to 2015) of case studies and randomized controlled trials (RCT) on effect of acupuncture for strabismus. Methods The search database includes Oasis, KTKP (Korean Traditional Knowledge Portal), Medline, Embase, and Cochrane library. To narrow the search, the following key search terms were used: 'strabismus, acupuncture'. The search was limited to the publication date from 2006 to 2015. 7 case studies and 5 control studies were selected for analysis. Results and Conclusions 1. The acupuncture treatment is effective for paralytic strabismus 2. The studies used BL1, GB1, ST2, TE23, GB15, EX-HN5, ST1, and LI4 acupoints and also an electroacupuncture treatment, which is 15 minutes of extraocular muscle stimulation, was used. 3. Degree of strasbismus was tested by Ocular motor range test, Corneal light reflex test, Ocular abducent scale test (Scott and Kraft, Diploptic range test).

The One Case Report of Strabismus of Traffic Accident Induced Abducence Nerve Paralysis Treated with Electro-acupuncture (전침치료를 통한 교통사고로 유발된 외전신경마비로 인한 사시 환자의 치험 1례)

  • Han, Jeong-Seok;Won, Jeong-Yoon;Kim, Moon-Joon;Choi, Jeong-Eun
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.111-117
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    • 2015
  • Objectives The purpose of this case is to report the effect of Korean Medicine, especially Electro-acupuncture on strabismus of traffic accident induced abducens nerve paralysis. Methods Patient received Korean Medicine treatment such as acupuncture, electro-acupuncture & Herb-medicine. Patienst was treated with the electro-acupuncture at Right eye paralytic lateral rectus muscle lesions. The case was enforced 10 minutes using the PG-306 electro-acupuncture and applyed the low consequence wave of 1-8Hz. The improvement of the strabismus was observed. Results During ten weeks of treatment, patient's strabismus and diplopia were improved. Conclusions In this case, Electro-acupuncture on strabismus and diplopia of traffic accident induced abducens nerve paralysis was effective. The effectivity is depended on the time stimulation is performed.

Two Clinical Case Reports of Ipsilateral Facial Palsy and Conjugate Gaze Palsy caused by Foville Syndrome & Foville-Millard-Gubler Syndrome (동측 안면마비와 측방주시마비를 일으키는 Foville Syndrome & Foville-Millard-Gubler Syndrome 치험 각 1례)

  • Kim, Ji-Eun;Hong, Chul-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.3
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    • pp.129-137
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    • 2011
  • Objective : Foville syndrome & Foville-Millard-Gubler syndrome is a disease characterized by facial palsy, ipsilateral conjugate gaze palsy and ipsilateral internal strabismus. There has never been a clinical report of this disease in oriental medicine. Since gradual improvement has been experienced with oriental medical treatments based on facial palsy and paralytic strabismus in this case, it is worthwhile to introduce this disorder and report the case referring to clinical record. Methods : 75-year-old female patient and 45-year-old male patient suffering right facial palsy, right conjugate gaze palsy and right internal strabismus were treated with acupuncture, herbal medicine, pharmacopuncture and electroacupuncture. Result : Concurrence of right facial palsy, right conjugate gaze palsy and right internal strabismus was diagnosed with Foville syndrome or Foville-Millard-Gubler syndrome which is generally caused by the impairment of PPRF, abducens and facial nerves on the affected side and showed improvement with oriental medical treatments. Conclusion : More accurate diagnosis, more aggressive treatments and further researches are all required on this disease afterwards.