• 제목/요약/키워드: facial tremor

검색결과 13건 처리시간 0.03초

간혈부족(肝血不足)으로 변증한 진전(振顫)환자 치험(治驗) 1례(例) (A Clinical Report of Patient with Tremor diagnosed as Ganhyeolbujok(肝血不足))

  • 김태용;박준범;오민규;신현수
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.776-783
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    • 2006
  • Tremor is a rhythmic and involuntary muscular contraction characterized by oscillations of a part of the body. The most common of all involuntary movements, tremor can affect various body parts such as hands, head, facial structures, vocal cords, trunk, and legs; most tremors, however, occur in the hands. Clinically, tremor is classified into postural tremor, resting tremor, action tremor, and other kinds of tremor, and treated according to the causes. The author reports the improvement of the patient, hospitalized at Dong Seo Medical Center, whose tremor was not classified specifically in western medicine but was diagnosed as Ganhyeolbujok (肝血不足) by Korean medicine.

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자율 훈련법과 침치료를 시행하여 뉴로피드백 지표를 통해 관찰한 진전환자(震顫患者)의 증례 (A Case of Autogenic training and Acupuncture treatment on facial tremor by neurofeedback)

  • 유종호;김근우;구병수;김헌일
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.181-188
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    • 2005
  • The purpose of this study is to investigate how much acupuncture treatment and autogenic training can affect to physical, mental relaxation through neurofeedback(Alpha/Theta training). I measured the numerical value of Alpha/H-Beta on the patient with facial tremor due to anxiety during acupuncture treatment and autogenic training, and when that patient wasn't relaxed I gave her feedback. The result shows that autogenic training is always more effective than aucupuncture in making the patient relaxed. On this case, the symptom was not much improved after having the treatments 10 times, but the frequency and intensity of the tremor decresed little. In according to the number of treatments, relaxtion didn't ascend regularly. I think it depends on the patient's condition or surroundings. I am unsatisfied I had only one case in this study and the number of treatments wasn't enough. In the future, much more clinical and statistical studies on herbal, musical, aroma therapies should be needed.

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침(針)과 한약(韓藥) 치료(治療)를 통한 진전 환자 4례(例)에 대한 증례보고 (A Clinical Study on 4 Cases of Tremor Patients with Acupuncture Treatment)

  • 신현권;공현우;박세진;서주희;김주원
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.267-276
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    • 2005
  • Tremor is a rhythmic, involuntary muscular contraction characterized by oscillations(to-and-fro movements) of a part of the body. The most common of all involuntary movements, tremor can affect various body parts such as the hands, head, facial structures, vocal cords, trunk, and legs; most tremors, however, occur in the hands. Tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and social embarrassment. The clinical study was carried out the 4 patients with tremor who were treated in Dong Seo Medical Center from 1 January 2005 to 31 August. The results were summarized as follows. Tremor has relation to liver according to Jangbu theory. So we performed acupuncture treatment(Ganseonggyeok) and Herbal medication on tremor. After our treatments, tremor and some other symptoms were improved.

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심리적인 충격으로 인해 발병한 하악진전(下顎振顫) 환자 치험 1례 (A Clinical Report of Patient with Mandibula Tremor Caused by Spiritual Trauma)

  • 서영민;이지원;차혜진;서덕원;박세진;이창희
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.237-247
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    • 2009
  • Objectives : Tremor is increasing recently especially among senior citizens. In this case, the patient who had mandibular tremor caused by trauma, was not improved by western medicine. We tried to apply Oriental medical treatment. Methods : We treated the patient with acupuncture therapy and herbal medication and measured the frequency of the tremor, Jaw expression of Abnormal Involuntary Movement Scale(AIMS) and Visual analog scale. Results: After treatment symptom of mandibular tremor was decreased significantly and other symptoms such as insomnia disappeared. Conclusions : During the admission days symptoms are decreased in contentment. This result suggests that Oriental medical treatment has good effect on tremor.

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소양인(少陽人) 전신(全身) 진전(振顫)에 대한 증례 (A clinical case study of Whole Tremor in Shaoyangin patient)

  • 배효상;한경석;박은경;박성식
    • 사상체질의학회지
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    • 제13권1호
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    • pp.104-108
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    • 2001
  • The tremor which has been showed most frequently in the clinic has various reasons, which is common in the dyskinesias and has rhythmic vibration involuntarily. The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the constitutional medicine for the patient who has suffered from tremor which is accompanied with diarrhea in the lacunar infarction. The subject is a 70-year-old woman who has had the symptoms caused by lacunar infarction, which are tremor, right side weakness, right facial palsy, dizziness, chest discomfort, and chronic diarrhea, dipsia, abdominal discomfort, andominal pain and so forth. We have diagnosed her as Shaoyangin(少陽人) Mangyin(亡陰證) and have prescribed Huashi Kushen Tang(滑石苦蔘湯) in accordance with the principle of Pyoeumganggi(表陰降氣). The consequence is that the accompanied tremor and diarrhea and general depressed condition have improved.

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Fluoxetine 및 Sertraline으로 유도된 심한 세로토닌 증후군 1예 (A Case of Severe Serotonin Syndrome Induced by Fluoxetine and Sertraline)

  • 전진숙;이상신;김성희;조웅
    • 생물정신의학
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    • 제8권1호
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    • pp.167-174
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    • 2001
  • A 54-year old male patient who was suffering from bipolar I disorder for 19 years and was admitted to the National Bugok Mental Hospital due to a depressive episode, was referred to the Kosin University Gospel Hospital. On arrival at the emergency room, he had confused mentality with disorientation, memory impairment, hypomania, marked anxiety and hyperirritability. The change of neuromuscular activity such as ataxia, gait disturbance, tremor, shivering, myoclonus and epileptic seizures was also shown. In addition, the symptoms and signs of autonomic instability including diaphoresis, tachycardia, hypotension, fever and facial flushing were noticed. The above symptoms developed after the administration of sertraline successive to the discontinuation of fluoxetine without any washout period. The degree of severity seemed to be severe because he had epileptic seizures, fever and hypotension. He was recovered from the severe serotonin syndrome by the supportive symptomatic treatment with sodium valproate, clonazepam, lorazepam and cyproheptadine after cessation of the selective serotonin reuptake inhibitors during hospitalization. Therefore, this rare case of severe serotonin syndrome was reported and related literatures were also reviewed.

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심화상염(心火上炎)으로 진단된 설통(舌痛)과 구강안면부 진전(振顫)의 세심약침을 이용한 한의치료 1례 (A Case Study of Burning Mouth Syndrome with Oro-facial Dyskinesia Treated with Korean Medicine using Se-sim Pharmacopuncture)

  • 김민서;이준수;박상은;홍상훈
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.564-575
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    • 2017
  • Objectives: This clinical report describes one patient with the clinical characteristics of burning mouth syndrome accompanied by oro-facial dyskinesia. Methods: The patient with burning mouth syndrome and jaw tremor was treated using the following Korean medicine treatments: the herbal medicines Yukgunja-tang-gami (六君子湯加味) and Sibak-tang-gami (柴朴湯加味) and acupuncture for 16 days, together with 10 Se-sim (Uncaria Ramulus et Uncus) pharmacopuncture procedures. Patient symptoms were evaluated daily using a Visual Analog Scale questionnaire and twice using the STAI (State-Trait Anxiety Inventory) questionnaire. Results: After the treatments, the oro-facial dyskinesia and burning sensation on the tongue were improved by 62.5%. The mental state of anxiety, regarded as the reason for these complaints, was also improved, based on the State-Trait Anxiety Inventory results (67/61 versus 57/52). We found that the improvement was better when combining Se-sim (Uncaria Ramulus et Uncus) pharmacopuncture with the conventional herbal medicine and acupuncture used in Korean medicine. Conclusion: Korean medicine treatments may be valuable for patients with burning mouth syndrome and oro-facial dyskinesia.

소양인(少陽人) 갑상선기능항진증 환자 1례에 대한 임상보고 (A Case Study of Soyangin Hyperthyroidism Patient)

  • 이진욱;최재송;장문희;안택원
    • 혜화의학회지
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    • 제21권2호
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    • pp.149-156
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    • 2013
  • 1. Objectives This study is about a "Soyangin" hyperthyroidism patient with palpitation, facial flushing, fatigue, hand tremor and vertigo etc. In this case, we evaluated the effect of Oriental medicine treatment for hyperthyroidism. 2. Methods This patient was treated by Sasang constitutional herbal medication based on "Donguisusebowon". Acupuncture and west medications were used together. We evaluated the clinical progress through two method, Blood Test(T3, Free T4, TSH) and VAS(Visual Analogue Scale). 3. Results During 2months treatment, chief complaints, symptoms and blood test results(T3, Free T4, TSH) of this patient were improved. 4. Conclusion This study shows that Yangkyuksanhwa-tang is an effective treatment for "Soyangin" hyperthyroidism patient.

A Characteristic EEG Pattern of Angelman Syndrome

  • Yoon, Joong-Soo;Song, Woon-Heung;Choi, Hwa-Sik
    • 대한임상검사과학회지
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    • 제42권2호
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    • pp.97-102
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    • 2010
  • The two new female cases of Angelman syndrome (AS) were described, which diagnosed on the basis of clinical features (dysmorphic facial features, severe mental retardation with absent speech, peculiar jerky movements, ataxic gait and paroxysms of inappropriate laughter) and neurophysiological findings. Failure to detect the deletion of the long arm of chromosome 15 or the absence of epileptic seizure were not considered sufficient to exclude a diagnosis of AS. Feeding problems, developmental delay and early signs of ataxia, especially tremor on handling objects and unstable posture when seated, proved effective as the clinical markers for early diagnosis of AS. Most of the authors agreed about the existence of three main EEG patterns in AS which may appear in isolation or in various combinations in the same patient. The most frequently observed pattern in children has prolonged runs of high amplitude rhythmic 2-3 Hz activity predominantly over the frontal region with superimposed interictal epileptiform discharges. High amplitude rhythmic 4-6 Hz activity, prominent in the occipital regions, with spikes, which can be facilitated by eye closure, is often seen in children under the age of 12 years. The EEG findings are characteristic of AS when seen in the appropriate clinical context and can be helpful to identify AS patients at an early age when genetic counselling may be particularly important.

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뇌교병변의 수술적 접근에 대한 증례보고 (Experience of Surgical Approach to the Pontine Lesions - Report of 4 Cases -)

  • 허성민;최하영
    • Journal of Korean Neurosurgical Society
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    • 제29권10호
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    • pp.1396-1401
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    • 2000
  • Although direct surgical treatment of the lesion in the pons may cause severe neurologic morbidity, safe route to minimize injuries of the important structures in the pons should be considered. The authors operated four cases of intrapontine lesions via safe approach route without causing severe neurologic complications. Two cases were intrapontine tumors and other two were intrapontine hematoma. An anaplastic astrocytoma($3{\times}3{\times}3cm$) located bilaterally in the pons was approached via midline of the median sulcus, and a metastatic tumor($1.5{\times}1.5{\times}1.5cm$) located at the left posterolateral aspect in the upper pons was approached via suprafacial space. Two cases of hematoma were evacuated via median sulcus, and supra- and infrafacial spaces. Preoperatively, quadriplegia, swallowing difficulty, diplopia, speech disturbance, and nystagmus were noted in a patient with an anaplastic astrocytoma. A patient with metastatic tumor showed mild right hemiparesis, right hemisensory disturbance, diplopia, and dizziness. Two patients with hematoma in the pons were comatous, and had contracted, fixed pupils. Postoperatively, a patient with an anaplastic astrocytoma recovered and a patient with a metastatic tumor showed temporary hemifacial palsy. Mental status was fully recovered normal even though facial palsy, diplopia, severe ataxia, dizziness, and tremor persisted in both patients with pontine hematoma. Careful operation based on the anatomical knowledge of the floor of the 4th ventricle is of prime importance in appraoching to the intrapontine lesion with minimal injuries of the eloquent structures during surgery.

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