• Title/Summary/Keyword: midbrain infarction

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A Case Report of Ptosis After Midbrain Infarction (중뇌 경색으로 인한 안검하수 치험 1례)

  • Kim Min-ji;Hong Seung-ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.165-169
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    • 2004
  • Objective: The purpose of this case study is to show a case of severe neurogenic ptosis due to midbrain infarction improved by acupuncture and Herb-med. Method: This case study has been carried out for a case of ptosis due to midbrain infarction which had been hospitalized at the Bundang CHA Oriental Medical Hospital. We evaluate through Levator function test and measurement of MRD and the distance between upper and lower eyelid. Results: Levator function increase 3.5mm and distance between upper and lower eyelid increase 4mm more than before. The degree of ptosis turned 'fair' state from 'poor' state. Conclusions: We suggest to treat ptosis due to midbrain infarction with acupuncture and Herb-med meaning conservative therapy and would like to research oriental medical treatment plan for the further treatment.

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A Case Report of Unilateral Ptosis with Paramedian Midbrain Infarction (정중곁 중뇌경색으로 인한 편측 안검하수에 대한 치험 1례)

  • Kim, Jae-hak;Kim, Soo-hyun;Lee, Hyun-ku;Cho, Ki-Ho;Mun, Sang-Kwan;Jung, Woo-Sang;Jin, Chul;Kwon, Seungwon
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.888-893
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    • 2019
  • Objective: The purpose of this case report was to evaluate the effectiveness of Korean medicine for treating unilateral ptosis with paramedian midbrain infarction. Methods: One patient with unilateral ptosis with paramedian midbrain infarction was treated with acupuncture, electroacupuncture and herbal medication for 32 days. We evaluated changes in ptosis by measuring the vertical distance for the frontal gaze of the right eye. Result: After 32 days of Korean medicine treatment the vertical distance for the frontal gaze of the right eye increased from 0 to 9 cm. Conclusion: The study findings suggest that Korean medicine might be effective in treating ptosis due to a paramedian midbrain infarction.

A Case of Paralytic Strabismus Caused by Midbrain Infarction (중뇌경색으로 인한 마비성 사시의 한방 치험 1례)

  • Oh, Se-Hee;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.2
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    • pp.120-130
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    • 2019
  • Objectives : Paralytic strabismus refers to the nerve paralysis in the muscles responsible for the movement of the eyeball for any reason, resulting in a restriction of eye movement. This study is to report a case of the paralytic Strabismus caused by midbrain infarction treated with Korean medicine. Methods : Patient received Korean medical treatment such as acupuncture & herbal medicine (Saengkankunbi-tang). Result & Conclusion : During 15 weeks of the treatment, patient's strabismus and diplopia were improved.

Pathological Laughing and Crying following Midbrain Infarction: Case Report and Literature Review (중뇌 경색 이후 발생한 병적 웃음과 울음 환자: 증례 보고 및 문헌 고찰)

  • Moon, So-Ri;Park, Seo-Hyun;An, Seon-Joo;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.103-112
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    • 2018
  • Pathological laughing and crying (PLC) is a condition defined by relatively uncontrollable episodes of laughter, crying or both. PLC is an uncommon symptom usually caused by cerebral lesions. Midbrain involvement causing PLC is extremely unusual and the exact mechanism by which this condition develops is poorly understood. We recently experienced a 51-year-old woman who were diagnosed as PLC after midbrain infarction. She was treated by acupuncture, pulsed electromagnetic therapy (PEMT). After 6 weeks treatment, Pathological Laughter and Crying Scale (PLACS), Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA) are decreased and Korean version of Modified Barthel Index (K-MBI) is increased. Treatment of traditional Korean Medicine could be effective for stoke rehabilitation including post-stroke PLC. And we have considered mechanism of PLC associated with midbrain lesion, dysfunction of cortex-thalamus-hypothalamus-basal ganglia-mesencephalon and faciorespiratory nuclei pathways, cerebro-ponto-cerebellar pathways and damaged serotonergic neurotransmission can cause this based on recent neurobiology of emotion. To define exact mechanism and find effective treatment, further studies are needed.

A Case of the Oculomotor Nerve Palsy in Benedikt's Syndrome Patient (베네딕트 증후군 환자의 동안신경마비 치험 1례)

  • Kim, Seung-Jin;Jeung, Jong-An;Ann, Jeung-Jo;Jeon, Sang-Yoon;Hong, Seok;Kim, Kyung-Su;Jeung, Su-Mi
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.670-676
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    • 2005
  • The purpose of this case study is to present a case of oculolmotor nerve palsy due to midbrain infarction improved by acupuncture and herb medicine. Oculomotor nerve palsy is a disorder associated with dysfunction in the third cranial nerve, which causes eye movement disorder, diplopia and ptosis. The patient, who was diagnosed with Benedikt's Syndrome(Red Nucleus Syndrome), was given oriental medical treatment. Benetikt's Syndrome has the various symptoms of weakness on one side(contralateral) and eye movement disorder, ptosis, diplopia(ipsilateral) etc., but research on Benetikt's Syndrome or midbrain infarction is scant. Results of this study suggest a role for conservative therapy with herb medicine and acupuncture to treat oculomotor nerve palsy(eye movement disorder, ptosis, diplopia, etc., ipsilateral) and right motor weakness(contralateral) due to midbrain infarction. Further research into oriental medical treatment for such disorders will be forthcoming.

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Isolated Bilateral Midbrain Infarction in A Healthy Female Adolescent: A Case Report

  • Dong Ho Yoo;Byunghoon Lee;Yong Beom Shin;Myung-Jun Shin;Jin A Yoon;Sang Hun Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.207-213
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    • 2023
  • Objective: The purpose of this study was to understand the complex anatomical structure and function of the midbrain to better understand the patient's symptoms and plan effective treatment including pharmacological and rehabilitation interventions. Design: A single case study Methods: A 17-year-old girl presented with acute onset of drowsiness, gait disturbance, mutism, and ptosis. Physical examination revealed postural instability, rigidity of all limbs, and limitations in extraocular movement. The brain MRI revealed an isolated acute infarction in the bilateral midbrain. Considering the location of the infarction, the presenting symptoms were the result of an impairment of the dopaminergic pathway in addition to lesions in the nuclei of the oculomotor nerve. Levodopa/carbidopa was prescribed. And the intensive and comprehensive rehabilitation program was done. Results: As a result of the study, through comprehensive intervention, which encompassed assessments such as the manual muscle test, Korean Modified Barthel Index score, and Trail-making test, significant enhancements in the patient's condition were observed. These findings provide evidence supporting the effectiveness of the intervention in promoting the patient's physical functioning and overall well-being. Conclusions: The results of this case highlight the significance of comprehending the intricate anatomical structure and functional aspects of the midbrain, which led us to approach appropriate pharmacological and rehabilitation interventions. Through active communication among the medical team, we were able to establish a therapeutic plan, which demonstrated that effective treatment can be achieved.

A Case Report of a Thalamus, Midbrain, and Cerebellum Infarction Patient Suffering from Blepharoptosis and Ocular Motility Disorders Treated by Korean Medicine (시상, 중뇌, 소뇌경색으로 인한 안검하수, 안구운동장애를 호소하는 환자의 한방 치험 1례)

  • Woo, Seong-jin;Baek, Kyung-min;Jang, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.201-208
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    • 2018
  • Objectives: This is a case report about the effect of Korean medicine on blepharoptosis and ocular motility disorders that occur with thalamus, midbrain, and cerebellum infarctions. Methods: The patient was treated using Korean medicine such as acupuncture, moxibustion, and herbal medicine (Boyanghwano-tang-gamibang). The change of blepharoptosis was evaluated by measurement of palpebral fissure width (PFW), marginal reflex distance-1 (MRD1), and marginal reflex distance-2 (MRD2). The change inocular motility disorders was evaluated by comparison using photographs of the extraocular movements of the patient. We used the Numeric Rating Scale-11 (NRS-11) of diplopia and dizziness to evaluate the effectiveness of treatment. Results: After treatment, blepharoptosis and ocular motility disorders were improved. The NRS-11 score of dizziness decreased from 10 to 7, and diplopia disappeared after Korean medicine treatment. Conclusions: According to this study, Korean medicine can be effective for treating blepharoptosis and ocular motility disorders in thalamus, midbrain, and cerebellum infarctions.

A Case Report of a Patient with Ptosis and Ataxia Diagnosed as Claude's Syndrome Who Was Treated with Korean Medicine (Claude's syndrome으로 인한 안검하수 및 운동실조에 대한 한방 복합 치료 치험 1례)

  • Kim, Su-bin;Jeong, Yun-kyeong;Yang, Jung-yun;Mun, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won;Cho, Ki-ho
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.93-102
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    • 2017
  • Objective: We describe the case of an 84-year-old man with a midbrain infarction causing pupil sparing oculomotor nerve palsy, with ipsilateral cerebellar ataxia diagnosed as Claude's syndrome. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, and electro-acupuncture, during 45 days of hospitalization. Improvements in the patient's symptoms and changes in ptosis were evaluated using the Korean version of the Scale for the Assessment and Rating of Ataxia (SARA). Results: After 45 days of treatment with the Korean medicine, the patient's symptoms, including ataxia and ptosis, improved. Conclusions: This study suggests that the treatment with Korean medicine was effective in aiding the patient's recovery.

A case of a patient with ocular motor dysfunction treated with Traditional Korean Medicine (안구운동장애를 주소로 하는 환자 치험 1례)

  • Woo, Ji Myung;Yei, Young-chul;Jin, Chul;Kim, Young-seok;Cho, Ki-ho;Mun, Sang-Kwan;Jung, Woo-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.85-89
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    • 2014
  • ■ Objectives The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with abnormal eye movement. ■ Methods A patient with abnormal eye movement of limbs diagnosed with midbrain infarction was treated with herbal medication, acupuncture, moxa, and herbal medical injection. Then we evaluated the improvement by measuring range of eye movement. ■ Results Increase of range of eye movement and improvement of symptom of diplopia were observed after the TKM treatment. ■ Conclusion This study proved the effect of TKM treatment on abnormal eye movement due to midbrain infarction.

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The Case Study of Wallenberg's Syndrome The Oriental & Occidental Cooperative Therapeutic Model(1) (Wallenberg's syndrome 치험(治驗) 1례(例)를 통해 본 동(東).서협진(西協診) 유형(類型) 연구(硏究)(1))

  • Jang Hyun-Ho;Yang Hyun-Duk;Min Yang-Ki;Son Il-Hong;Suk Seung-Han;Min Sang-Joon;Lyu Yeoung-Su;Lee Geon-Mok;Kang Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.1
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    • pp.219-229
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    • 2001
  • The brainstem include midbrain, pons & medulla. In acute stage of brainstem infarction, neurologic symptoms may be progressive. So we must pay special attention to Wallenberg's syndrome. In other words, Wallenberg's syndrome is dorsolateral medullary syndrome. A-54-years-old woman was admitted because of vertigo, ataxia & somatic sensory loss of left face and right half-body. Brain MRI showed high SI in T2W, low SI in T1W lesion left medullary infarction. We diagnosed the case as Shin-heo type Oriental medically and prescribed Gihwangemjakamibang. Diabetes mellitus was found out. So We have controlled diabetes mellitus by Occidental medical therapy. In the end, The symptoms of the patient became better. We know that cooperative(oriental & occidental) medical therapy is better than one medical therapy.Here we present one case of Wallenberg's syndrome who was admitted at Kunpo Wonkwang University Hospital Oriental Neuropsychiatry from 14th March to 6th April. 2001.

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