• 제목/요약/키워드: Vertigo

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구토(嘔吐)를 동반한 두위변화(頭位變化)에 따른 현훈증(眩暈症) 치험(治驗) 1예(例) (A Clinical Study about Treatment of Vertiginous Patient)

  • 김정주;김명균;최정락;박성식
    • 사상체질의학회지
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    • 제16권2호
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    • pp.99-104
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    • 2004
  • 1. Objectives Benign Paroxysmal Positional Vertigo (BPPV) is thought to be due to debris which has collected within a part of the inner ear. It is best characterized by true vertigo and geotropic nystagmus that occur a few seconds after specific head movements. The symptoms of BPPV include dizziness or vertigo, lightheadedness, imbalance, and nausea. The vertigo usually lasts no more than a minute. This study is reported to evaluate the effect of Geopung-san(祛風散) to patient with vertigo. 2. Methods This patient was treated by Geopung-san(祛風散) and Acupuncture, who was diagnosed as Soeumin interior disease. We used Visual analogue scale(VAS) for the assessment of vertigo. 3. Results This patient's main symptom is vertigo according to head movement with nausea and vomiting. So she was treated by Geopung-san(祛風散) in "Dongyisasangsinpyun(東醫四象新編)" and showed a positive response about her problems. 4. Conclusions We suggest that Geopung-san(祛風散) is effected significantly to patient with vertigo, but then we consider that studies about the case like this are more needed.

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심한 현훈을 동반한 돌발성 난청 치험 1례 (A Case of Korean Medical Treatment of Sudden Hearing Loss with Severe Vertigo)

  • 한정민;장인욱;윤화정;고우신
    • 한방안이비인후피부과학회지
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    • 제26권2호
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    • pp.98-108
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    • 2013
  • Objectives : Sudden sensorineural hearing loss(SSNHL) is defined as an unexplainable decline in hearing which o㏄urs within a short period of time. This study describes a case of SSNHL accompanied by many unfavourable prognosis factors including severe vertigo. Methods : We treated 1 SSNHL patient who had many unfavourable prognosis factors including severe vertigo. After Korean medical treatment for 23 days, we measured the hearing recovery and decrease of vertigo. For diagnosis, pure tone audiometry was done. The degree of improvement was evaluated by Siegel's Criteria. Decrease of vertigo was assessed by Vertigo Scale. Results & Conclusions : The pure tone 5 frequency(0.25, 0.5, 1, 2, $4_{KHz}$) average improved by 25dB(slightly recovered). Vertigo score decreased from 4 to 1. We may expect that the Korean medical therapy improves the hearing recovery in the SSNHL patients who have unfavourable prognosis factors such as vertigo.

양성돌발체위현기증 환자 치험 1례 (Case Study of Peripheral Vertigo and Nausea Diagnosed as Benign Paroxysmal Positional Vertigo Improved by Traditional Korean Medicine)

  • 정윤경;이한결;정민호;조기호;문상관;정우상
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.243-250
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    • 2016
  • Objective: We report a case of a 73-year-old Korean male with vertigo and nausea, both of which were brought about by head repositioning. The condition was diagnosed as benign paroxysmal positional vertigo (BPPV).Method: The patient was treated with acupuncture, electroacupuncture, cupping, transcutaneous electrical nerve stimulation (TENS), and herbal medicine (Bosimsahwacheonggan-tang [補心瀉火淸肝湯]). We conducted the vertigo symptoms scale (VSS) and the dizziness handicap inventory (DHI) to evaluate the degree of the patient’s symptoms.Results: Vertigo and nausea started to improve after the administration of Bosimsahwacheonggan-tang, but although the patient took the anti-vertigo medication and a tranquilizer after the symptoms became aggravated, no prominent improvements could be observed.Conclusion: These results suggest that traditional Korean medical treatment may be effective in treating peripheral vertigo due to BPPV.

Factors Analysis Affecting Lateral Canal Benign Paroxysmal Positional Vertigo

  • Kim, Chul-Seung;Choi, Hee-Young;Kwon, Pil-Seung;Lee, Eun-Pyo;Seo, Choong-Won
    • 대한임상검사과학회지
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    • 제47권1호
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    • pp.35-38
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    • 2015
  • Lateral canal benign paroxysmal vertigo (BPPV) causing dizziness is a common cause is not found while continuing to appeal for vertigo is a typical disease. It is characterized by acute stand up, brief and rotatory vertigo attacks provoked by change in head position. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The purpose of this study benign paroxysmal positional vertigo treatment of type affect is to analyze the cause. Dizziness and vertigo patient's in patients admitted to the dizziness center of lateral canal benign paroxysmal positional vertigo were classified. In patients with lateral canal benign paroxysmal positional vertigo and accompanying lateral 15 treatment affects disease were investigated. March 2008 to November 2010 lateral canal benign paroxysmal positional vertigo 166 people cure rate of patients was investigated. First time the success rate of 74.1%, twice times the success rate of 12.0%, three times the success rate of 9.6%, more than three times the success rate was 4.2%. Affecting factor treatment of benign paroxysmal positional vertigo in post-traumatic, medicine disease, headache, cerebral infarction, small vessel disease, vestibulopathy, (p<0.05). Statistical analysis using SPSS (version 12K) in coefficient measure through descriptive statistical of cross table.

안진검사에서 단속운동검사, 시추적검사, 시운동성 안진검사의 임상적 의의 (Clinical significance of saccade test, smooth pursuit test, and optokinetic nystagmus test in nystagmography)

  • 최윤석;나형균;송시연;김용대;배창훈
    • Journal of Yeungnam Medical Science
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    • 제34권1호
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    • pp.29-36
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    • 2017
  • Background: Saccade test, smooth pursuit test, and optokinetic nystagmus test are clinically useful tests to accurately diagnose vertigo. However, there have only been a few studies regarding a correlation between the anatomical site of the lesion and the abnormality of eyeball movement in patients with vertigo. Methods: The medical records of 97 patients with vertigo between January 2006 and June 2008 were reviewed retrospectively. We classified many kinds of abnormalities regarding the saccade test, smooth pursuit test and optokinetic nystagmus test into several categories and analyzed the localizing lesion of vertigo. Results: According to the saccade test, both total saccade abnormality (S-total) and slow velocity of saccade (S-type 3) were shown to be significantly higher in the central lesion of vertigo. According to the smooth pursuit test, symmetrical unidirectional smooth pursuit abnormality (SP-type 2) was observed to be significantly higher in the peripheral lesion over vertigo. Moreover, according to the optokinetic nystagmus test, total optokinetic nystagmus abnormalities (OKN-total) were shown to be significantly useful findings in the diagnosis of the central lesion of vertigo. The coexisting abnormalities of all three tests (S+SP+OKN abnormalities) were shown to be significantly higher in the central lesion of vertigo. Conclusion: These results suggest that all these tests, saccade test, smooth pursuit test, and optokinetic nystagmus test, are very useful to distinguish between the central lesion and the peripheral lesion of vertigo. However, these tests are not beneficial in localizing the central lesion of vertigo.

담훈으로 변증된 말초성 현훈 환자 5례에 대한 임상보고 - 반하백출천마방 가감방을 중심으로 - (Five Case Report of Peripheral Vertigo Diagnosed Dam Hun with Oriental Medical Treatment - Banhabaeckchulchunma-tang gagam -)

  • 안소현;최정식;조충식;김철중
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.263-268
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    • 2009
  • Pripheral vertigo occurs if there is a problem with the part of the inner ear that controls balance or with the vestibular nerve, which connects the inner ear to the brainstem. Peripheral vertigo is caused by benign paroxysmal positional vertigo(BPPV), Menieres disease, vestibular neuronitis, or labyrinthitis. We diagnosed five patients who have severe vertigo as peripheral vertigo and Dam Hun. We treated them with Banhabaeckchulchunma-tang gagam and acupuncture. After treatment, vertigo and other symptoms -nausea, vomiting, abdominal discomfort had improved. So I report these cases, but more clinical case reports are needed.

현운(眩暈)의 원인(原因)과 기전(機轉)에 대(對)한 문헌적(文獻的) 고찰(考察) (The bibliographical study on the cause and originative of vertigo)

  • 김강산
    • 대한한방내과학회지
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    • 제13권1호
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    • pp.167-180
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    • 1992
  • This study has been carried out to investigate the cause and originative mechanism of vertigo by referring to 46 literatures. The results were as follows; 1. The 1st factors causing vertigo are exuberance of fire in the Liver (肝火偏亢). and ascending of Yang of Wind (風陽升動) resulting from thought excess (思慮太過) and melancholy (憂鬱). 2. The 2nd factors causing vertigo is a malnurtrient of the brain resulting from dispersion of the Liver function (肝血虛) and failure in ascending of the Clear Yang (淸陽不升) due to hemorrhage and so on. 3. The 3rd factors causing vertigo are failure in ascending to the Brain and deficiency of blood of the Liver (肝血虛) resulting from the injury of the essence of the Kidney (肝精虧損). 4. The 4th factors causing vertigo is a ascending of exogenous pathogenic factors (外邪) to the Brain on deficiency state. 5. The 1st factors causing vertigo are Stagnatum of clear Yang (淸陽不振) and pershing of Yang (亡陽) resulting from loss of water and damage of active thin body fluid (津氣虧損). 6. The obesity is beonged to excessiveness Symptom-Complex (實證) and the thin to deficiency Symptom-complex (虛證). 7. The vertigo is connective with the Live (肝), Spleen (脾) and the Kidney (腎), but among those, most intimative viscera is the Liver (肝).

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동씨침을 이용한 양성 발작성 체위성 현훈환자 치험 1례 (A case report of Benign Paroxysmal Positional Vertigo Patient Treated with Dong-Shi(董氏) Acupuncture Therapy)

  • 박민제;김정욱;김은걸;이원희;황민섭;윤종화
    • 대한의료기공학회지
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    • 제10권1호
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    • pp.37-45
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    • 2007
  • Benign Paroxysmal Positional Vertigo(BPPV) is a common disorder that peripheral vertigo in clinic, it is provoked Paroxysmal vertigo according to positional change. A man, aged 75, suffered from attacks of vertigo when get out of bed, He complained vertigo, nausea and walking trouble So he visited our clinic Based upon the case history and position-provoked vertigo with characteristic findings on the Dix-Hallpike maneuver, we diagnosed as BPPV. Through only Shang-San-Huang(上三黃) of Dong Shi Xue(董氏穴) acupuncture therapy symptoms were vanished completely. This study was showed effect that operating only Dong-Shi acupuncture therapy without maneuver therapy and the other therapies to patient can not tolerate the Dix-Hallpike Maneuver. We need additional researches with methodological improvement and many clinical cases.

한방치료로 호전된 현훈 환자 1례 (A Case Study of a Vertigo Patient Treated with Korean Medical Treatment)

  • 김강산;김광록;박동일;이준수
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.903-909
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    • 2016
  • Objective: To evaluate the effect of Korean Medicine on a patient having vertigo disease. Methods: The patient was treated with Korean medicine, including Bongnyeongbanha-tang (茯苓半夏湯) and acupuncture, from October 3, 2015 to October 8, 2015. The Vertigo Score Scale and Numeric Rating Scale were assessed for evaluation. Results: After the treatment, the intensity of vertigo and nausea were decreased and the patient's walking and visual difficulties were improved. Conclusions: Korean Medicine treatment can relieve vertigo symptoms.

현훈(眩暈)에 관한 문헌적(文獻的) 고찰(考察) (Study of oriental medical science documentory records of vertigo and dizziness)

  • 박은숙;윤일지
    • 혜화의학회지
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    • 제17권1호
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    • pp.157-166
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    • 2008
  • 1. Vertigo and dizziness is also called as Mok-hyun, Hyun-mo, Pung-hyun, Du-pung-hyun-un, Du-sun. 2. Causes and processes of Vertigo and dizziness are mainly divided into external infection and internal damage. Wind, cold, dampness and summer heat are included in the one and in the other, vital energy and blood deficiency, insufficiency of the liver and kidney, retention of phlegm and fluid, emotional disorder and so on. 3. Symptoms of vertigo and dizziness are disequilibrium, nausea, inability of hearing, vomiting, sweating and syncope. 4. Treating of vertigo and dizziness are recovery of vital energy and blood deficiency, strenthening of insufficiency of the liver and kidney, drying of dampness and removing of phlegm.

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