• Title/Summary/Keyword: motor disorder

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Clinical Report on a Case of Patient with Incomplete Spinal Cord Injury on epidural hematoma & dural arteriovascular hemangioma malformation C6- T1 (경막외 혈종 및 경막의 동정맥 기형 환자의 척수손상 1례에 대한 임상적 고찰)

  • Park Sung Cheul;Mun Sung Won;Song Yung Sun;Yeom Seung Ryong;Lee Jung hun;Yun Kyoung Hwan;Kwon Young Dal;Kim Kwan Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.6
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    • pp.1302-1307
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    • 2002
  • We experienced a case of patient of incomplete spinal cord injury following slipping off his clothes. He had complications : both leg paresisㆍboth arm weaknessㆍurine disturbanceㆍboth leg & arm sensory disorder . We could treat these complications with the methods of medical treatments ; acupunctureㆍmoxa therapyㆍherb-medicationㆍelectro-acupuncture & muscle exercises. We obtained results that motor grade and muscle atrophy were improved.

A Case Report on a Neuromyelitis Optica Patient with Painful Tonic Spasm and Decreased Motor Function Improved by Korean Medicine Treatment Including Dokwhalgisaeng-tang (시신경척수염으로 인한 통증긴장연축과 하지 운동기능 저하를 호전시킨 독활기생탕을 포함한 한의치료 증례 보고 1례)

  • Kim, Du-ri;Yun, Jong-min
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.130-138
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    • 2018
  • Neuromyelitis optica (NMO) is an autoimmune inflammatory disorder of the central nervous system characterized by optic neuritis and longitudinally extensive myelitis. Painful tonic spasm is a common complication of NMO, but there have been no reports about it in Korean medicine studies. In this case, we treated a 53-year-old woman diagnosed with NMO with paraplegia, painful tonic spasm, and decreased visual acuity using Korean medicine treatment, including acupuncture, herbal medicine, cupping, and moxibustion. We measured changes in clinical symptoms using the manual muscle testing (MMT), the numeric rating scale (NRS), the modified Barthel Index (MBI), and the Functional Independence Measure (FIM). After treatment, clinical symptoms were improved. The results indicate that Korean medicine treatment may be effective in the treatment of an NMO patient with paraplegia and painful tonic spasm.

A Philological Study on the prescription of Beriberi (각기(脚氣)의 처방(處方)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim Ki-Hyung;Sin Mi-Suk;Sul Jae-Uk;Choi Jin-Bong
    • Herbal Formula Science
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    • v.12 no.1
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    • pp.29-77
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    • 2004
  • After this study: I report the following result from it. 1. Beriberi is defined as sensory or motor disorder of leg with a painful-swelling and pyrexia. If it progress severely, the disease transmits to heart and cause numbness of the lower abdomen, vomiting, anorexia, palpitation, chest distress and confusion. 2. The external etiologic factors of Beriberi are wind-toxic pathogen, dampness, improper diet and climate sickness, the internal etiologic factors are deficiencies of the kidney, both Gi and blood and original vital energy. 3. The treatment of Beriberi is free-going of blockage, because it is a blocked disease. 4. Danggwiy-juntongtang and Ganghwar-dochetang is the most in the order of frequency of use. Mahwang-juagyongtang, Banha-juagyongtang, Daehwang-juagyongtang, Shinbi-juagyongtang are used in sequence. 5. The prescriptions of Beriberi are made up of the herbs that clear heat, for example, Ganghwar, Changchul, Mahwang and Bangpung, and the herbs that reinforces Gi, for example, Insam and Bakchul.

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A Clinical Study on the Factors that Influence Functional Evaluation of Stroke (중풍의 기능평가에 영향을 미치는 요인에 관한 임상적 고찰)

  • 박숙자;권정남;김영균
    • The Journal of Korean Medicine
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    • v.23 no.4
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    • pp.73-90
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    • 2002
  • Objectives: This study investigated significant factors that influence functional evaluation of stroke so as to be a fundamental data for estimating prognosis of stroke patients. Methods: 204 patients were studied within 7 days of admission, after the diagnosis of stroke through brain CT scan, brain MRI scan and clinical observations. They were hospitalized in the oriental medical hospital of Dongeui University from February to July in 2001. They were examined at the early stage of onset, after 2 weeks, 4 weeks and 6 weeks, and measured for average mark and the degree of improvement by using the Activity Index. Results: Ischemic stroke, past history of stroke, hypertension, diabetes mellitus, risk factor of obesity, non-professional emergency treatment and hospitalizing time after 1 day from onset, high blood pressure, tachycardia pulse and high blood sugar in abnormal vital sign in acute stage, conscious, cognitive or communication disorder, motor aphasia, dysphagia, constipation for more than 3 days, urinary incontinence, visual field defect, insomnia, and chest discomfort in early stage of onset had a negative influence on functional evaluation. Conclusions: Type of stroke, past history, risk factors, emergency treatment and hospitalizing time after onset, abnormal vital sign and intercurrent symptoms in Acute stage were relevant factors in predicting functional evaluation of stroke.

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Yearly Report on CVA Patients(VI) (뇌졸중환자에 대한 연례보고(VI))

  • 이청정;홍의실;백은기;최유경;고승희;박세기;김동우;한양희;전찬용
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.81-91
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    • 2001
  • Objectives : This study was prepared for investigating the clinical features of stroke patients. Methods : We retrospectively reviewed the medical records of 177 patients who were admitted to the Dept. of Internal Medicine, College of Oriental Medicine, Kyungwon University with a diagnosis of stroke from Jan. I, 1999 to Dec. 31, 1999. Results : Ischemic stroke (74.0%) was more common than hemorrhagic stroke (19.8%). The proportion of males was 53.7%, of females was 46.3%, and the most prevalent age group is those in their sixties. Cerebral infarction was most frequently noticed in MCA territory, hemorrhage in putamen. Hypertension was the most common preceding disease, followed by diabetes mellitus. The rate of recurrence was high in cerebral infarction. The onset mode of cerebral infarction was sleeping and rising and of cerebral hemorrhage was acting. Most patients visited the hospital within 24 hours. The most common symptoms at admission were motor weakness and speech disorder. The most common complication was urinary tract infection. Admission period was 29.5 days. Physical treatment from onset in cerebral infarction and in cerebral hemorrhage was 17.4 and 22.0 days, respectively. Conclusions : Our study of CVA patients was similar to previous studies from 1994 to 1998. In most cases, western and oriental treatment and medicine were given synthetically. Prescription of sasang constitutional medicine had wide application.

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Case of Multiple Systemic Atrophy Treated with Korean Medical Treatment and Rehabilitation Therapy (재활치료와 한방치료를 병행한 다발성 뇌신경계 위축증 1례)

  • Park, Jang-Kyung;Maeng, Yu-Sook;Lee, Seung-Bok;Kim, Dong-Il
    • The Journal of Korean Medicine
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    • v.32 no.2
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    • pp.118-125
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    • 2011
  • Multiple system atrophy (MSA) is an idiopathic and progressive neurodegenerative disorder. Up to now, treatment of MSA patients had not been reported in Oriental medicine and only rarely reported in Western medicine. We experienced a 75-year-old female diagnosed with MSA and had quadriparesis with dysphagia. She was admitted to the hospital and received herbal medication, acupuncture, moxibustion and rehabilitation therapy. After 2 months, her motor power and swallowing function on video fluoroscopic swallowing test significantly improved. This report shows that Oriental medicine may play a role in the treatment of MSA, and further study is merited.

Experience of Epidural Steroids in Transverse Myelitis -A case report- (횡단척수염 환자에서 경막외 스테로이드 투여에 의한 치료 경험 -증례보고-)

  • Nam, Voki;Mun, Ho Sik;Kim, Jung Hak;Kim, Dae Sung;Sung, Choon Ho
    • The Korean Journal of Pain
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    • v.22 no.1
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    • pp.92-95
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    • 2009
  • Transverse myelitis is a focal inflammatory disorder of the spinal cord characterized by motor, sensory, and autonomic dysfunction. A 41-year-old man with transverse myelitis and no pre-existing neurologic disease presented with hypesthesia, numbness, weakness in the both lower extremities, back pain, decreased libido, constipation, and dysuria. A MRI test showed intramedullary high signal intensity between T4 and T8 on a T2-weighted image. After high-dose intravenous methylprednisolone and oral prednisolone therapy, he showed facial swelling and acneiform eruption. Therefore, we injected 40 mg methylprednisolone via an epidural route. A 7-dose serial treatment improved most symptoms. A follow up MRI showed radiological improvement. We report a case of transverse myelitis treated by epidural steroids.

Complex Regional Pain Syndrome after Wedge Resection of Apex of Lung (폐 첨 쐐기 절제술 후 생긴 복합 국소 동통 증후군)

  • 박일환;김부연;오중환;박정미
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.98-101
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    • 2004
  • Complex regional pain syndrome is pain disorder which is characterized by aching pain, marked painful sensation, hypothermesthesia, vasomotor dysfunction, hyperhidrosis, impairment of motor function, trophic changes of distal part of not-operated extremity after trauma and operation. Pain produce increased sensitivity to catecholamine and diagnosed by infra red thermography and Treatment consists of pain relief and rehabilitational therapy for functional restoration of affected limb. We experienced a case of complex regional pain syndrome in a 16-year-old man after wedge resection of pulmonary apex for bullae and report this case with a review of the literature.

Galactosialidosis with a Family History in a Sibling (남매에서 가족력을 가진 galactosialidosis 1례)

  • Im, Sun Ju;Nam, Sang Oak
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.6 no.1
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    • pp.32-39
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    • 2006
  • Galactosialidosis is a lysosomal storage disease associated with a combined deficiency of ${\beta}$-galactosidase and ${\alpha}$-neuraminidase, secondary to a defect of another lysosomal protective protein. It is a neurodegenerative disorder clinically characterized by psychomotor deterioration, cerebellar ataxia, coarse facies, generalized bony deformity and organomegaly. Three phenotypic subtype are recognized: early infantile, late infantile and juvenile/adult type. We report a 13 months old boy with a late infantile galactosialidosis. He was presented with progressive mental regression and motor disturbance and observed cherry red spot, hearing loss, moderate dysostosis multiplex and vacuolated lymphocytes in peripheral blood. He showed only ${\beta}$-galactosidase deficiency in the lymphocytes and was initially diagnosed as $GM_1$-gangliosidosis type 1. However, further studies revealed the possible defect of ${\alpha}$-neuraminidase suggesting that he was a case of galactosialidosis which was mimicking $GM_1$-gangliosidosis type 1.

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Case Report of Sensory Disturbance with Suspicious Syringomyelia (척수공동증 의증으로 인한 감각장애 환자 치험 1례)

  • Kang, Baek-Gyu;Han, Deok-Jin;Lee, Jung-Wook;Kim, Hoi-Young;Lee, In;Kim, Kang-San;Park, Sang-Moo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.246-251
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    • 2008
  • Syringomyelia is a rare disorder that causes a cyst to form in spinal cord. This cyst, called a syrinx, can damage to the spinal cord and cause symptoms such as motor weakness, pain, sensory disturbance, etc. We experienced a case of tactile hypesthesia suspecting syringomyelia in 16 year old male patient. Syringomyelia in T2/3 level was diagnosed by magnetic resonance imaging. Hypesthesia was similar to mamokbulin in oriental medicine. And we assumed these symptoms induced by conditions called kiheo in analyzing patient's symptoms and signs. We treated the patient by acupuncture, herbal medicine improving kiheo, and other methods. In the result, the symptoms had withdrawn. This case suggested possibility to treat syringomyelia in oriental medicine, but single case is insufficient for evidence.