• Title/Summary/Keyword: oculomotor

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Case Reports of Korean Medicine Treatment of Two Patients with Oculomotor Nerve Palsy Complaining of Ptosis and Limitation of Eye Movement After Subarachnoid Hemorrhage (지주막하출혈 후 안검하수와 안구운동장애를 호소하는 동안신경마비 환자의 한방치료 증례보고 2례)

  • Lee, Hyun-seung;Shim, Sang-song;Jeong, Sol;Shin, Yong-jeen;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.745-753
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    • 2020
  • Background: A number of studies have identified the effect of Korean medicine treatment for oculomotor nerve palsy, but few have reported treatment of subarachnoid hemorrhage. This paper reports two cases of oculomotor nerve palsy with ptosis and limitation of eye movement after subarachnoid hemorrhage whose conditions were improved by Korean medicine treatment. Methods: Two patients with ptosis and limitation of eye movement after subarachnoid hemorrhage were treated with Korean medicine, including acupuncture, electroacupuncture, herbal medicine, cupping, moxibustion, and pharmacoacupuncture. Clinical symptoms were measured as the distance of the interpalpebral fissure and eyeball movement (adduction, abduction). Results: After treatment, their clinical symptoms showed improvement. Conclusion: Korean medicine treatment, including pharmacoacupuncture and electroacupuncture, could be adopted as a treatment method for oculomotor nerve palsy after subarachnoid hemorrhage.

A Case Report of a Vascular Oculomotor Nerve Palsy Patient who Complains of Diplopia and Ptosis Treated with Korean Medicine (복시와 안검하수를 호소하는 혈관성 동안신경마비 환자에 대한 한의치료 증례보고 1례)

  • Jo, Myeong-jae;Kim, Seon-u;Lee, Se-won;Yoo, Sang-gu;Park, Cheol-u;Moon, Yeong-ju;Kim, Young-kwang;Jang, Hye-yeon
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.534-540
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    • 2019
  • This study aimed to report the improvement in a vascular oculomotor nerve palsy patient treated with Korean medicine. A 68-year-old man with vascular oculomotor nerve palsy was treated with acupuncture, pharmacopuncture, and an herbal medicine (Gangwhalyufung-tang). This case was measured and assessed by the numerical rating scale (NRS), EuroQol-5 Dimension Index (EQ-5D), score of diplopia, and ratio of MRD1. The NRS decreased, and the patient showed improvement in EQ-5D, score of diplopia, and ratio of MRD1. Korean medicine treatments are considered helpful in treating diplopia and ptosis due to vascular oculomotor nerve palsy.

Endovascular Treatment Using Graft-Stent for Pseudoaneurysm of the Cavernous Internal Carotid Artery

  • Ko, Jun-Kyeung;Lee, Tae-Hong;Lee, Jae-Il;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.48-50
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    • 2011
  • A 57-year-old man presented with a 2-day history of left oculomotor palsy. Digital subtraction angiography revealed a pseudoaneurysm of the left cavernous internal carotid artery (ICA) measuring $37{\times}32mm$. The pseudoaneurysm was treated with a balloon expandable graft-stent to occlude the aneurysmal neck and preserve the parent artery. A post-procedure angiogram confirmed normal patency of the ICA and complete sealing of the aneurysmal neck with no opacification of the sac. After the procedure, the oculomotor palsy improved gradually, and had completely resolved 3 months after the procedure. A graft-stent can be an effective treatment for a pseudoaneurysm of the cavernous ICA with preservation of the parent artery.

Clinical Study on a case of Ptosis Patient Diagnosed as Oculomotor Palsy (동안신경마비로 진단된 안검하수 환자에 대한 임상적 고찰)

  • Moon, Mi-Hyun;Nam, Sang-Kyu;Lee, Jung-Sub;Shin, Sun-Ho;Lee, In;Jeong, Hyun-Ae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.4
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    • pp.1068-1072
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    • 2006
  • This is a clinical report of a ptosis patient diagnosed as oculomotor palsy. A 47-year-old man with ptosis, diplopia, anorexia, dyspepsia, general weakness was admitted at Wonkwang Oriental Medicine Hospital. He was treated with the herbal medicine Bojungikgi-Tang and with acupunture. Results showed improvement of symptoms and total body conditions. The process used in this sucessful treatment is here described.

Oculomotor system characteristic by using MIMIC program (MIMIC 프로그램에 의한 동안계의 특성)

  • 변윤식;박상희
    • 전기의세계
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    • v.30 no.5
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    • pp.291-296
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    • 1981
  • In the paper, in order to get the characteristics of the saccadic and the smooth pursuit movements of the oculomotor systems, a revised stochastic sampled data model suggested by Young et. al. was simulated and analyzed by using the MIMIC language. The results are summerized as follows; (1) The predictability to the sinusoidal inputs increased as the input frequency increased, but at the frequency of 1.0[Hz] the prediction started to decrease. (2) The responses of the system drifted when the system was open-looped. (3) The responses showed the transient state during the first period of the input waves, and then moved into the steady state.

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Quantitative Analysis of Oculomotor System by Automatic Identification Algorithm (자동 판별 알고리즘에 의한 동안계의 정량적인 해석)

  • 장인호;이세현
    • Journal of Biomedical Engineering Research
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    • v.7 no.2
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    • pp.151-158
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    • 1986
  • In this paper, the design and implementation of a microcomputer-based measuring system for quantitative analysis of oculomotor system are described. An algorithm for microcomputer analysis of electro-oculographicaay recorded horizontal saccadic eye movements is presented. From a brief, 4-min recording session detailed statistical information about saccade amplitude, duration, and velocity can be obtained.

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Quantitative analysis of oculomotor system by automatic identification algorithm (자동판별 알고리즘에 의한 동안계의 정량적인 해석)

  • 장인호;이세현;박상희
    • 제어로봇시스템학회:학술대회논문집
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    • 1986.10a
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    • pp.637-640
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    • 1986
  • The design and use of a micro-computer-based system for quantitative study of ocular kinetics are described. An algorithm for microcomputer analysis of electro-oculographically recorded saccadic eye movement is presented. From a brief, 4-min recording session detailed statistical information about saccade amplitude, duration, and velocity can be obtained. Since this data is not significantly altered by practice of motivational factors, it provides a sensitive functional test of the oculomotor system and its brain control system.

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Synthesis on External Feedback Loop of Oculomotor Control System (안구제어계의 외부귀환 루우프 구성)

  • 박상희;김성환
    • 전기의세계
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    • v.26 no.4
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    • pp.54-60
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    • 1977
  • The feedback sources of oculomotor control system consist of three types of feedback path originating from retinal image displacement, in the proprioceptive fibers of the extraocular muscles, in the efference copy within the C.N.S. From above feedback loops, the retinal image feedback path is a main subject in this experiment. The electrical output of eye ball motion detecting with a photo-electric matrix method is fed into galvanometer through the external feedback path, and the stability was also examined.

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A Case Report of Diplopia and Limitation of Eye Movement in Oculomotor Nerve Palsy Treated with Korean Medicine (복시 및 안구운동장애를 호소하는 동안신경마비 환자 치험 1례)

  • Son, Jeong-hwa;Jung, Min-ho;Kim, Jae-hak;Cho, Ki-ho;Jung, Woo-sang;Kwon, Seung-won;Mun, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.190-194
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    • 2017
  • A 70-year-old Korean female with diplopia and left ptosis due to oculomotor nerve palsy presented to the hospital. The patient was treated with electroacupuncture, sweet bee venom pharmacopuncture, and moxibustion. She also received acupuncture and herbal medicines Siryeng-tang and Boikyangwi-tang. The change in length (mm) from the medial canthus to the lateral iris was measured to evaluate limitation of eye movement, and Numeric Rating Scale (NRS) for diplopia. Limitation of eye movement and diplopia was used to determine diplopia. The limitation of eye movement and diplopia were improved after the administration of the Korean medicines. Korean medicine may be effective in treating limitation of eye movement and diplopia due to oculomotor nerve palsy.

Unruptured Intracranial Aneurysms with Oculomotor Nerve Palsy : Clinical Outcome between Surgical Clipping and Coil Embolization

  • Nam, Kyoung-Hyup;Choi, Chang-Hwa;Lee, Jae-Il;Ko, Jun-Gyeong;Lee, Tae-Hong;Lee, Sang-Weon
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.109-114
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    • 2010
  • Objective : To evaluate the clinical outcome of coil embolization for unruptured intracranial aneurysm (UIA) with oculomotor nerve palsy (ONP) compared with surgical clipping. Methods : A total of 19 patients presented with ONP caused by UIAs between Jan 2004 and June 2008. Ten patients underwent coil embolization and nine patients surgical clipping. The following parameters were retrospectively analyzed to evaluate the differences in clinical outcome observed in both coil embolization and surgical clipping : 1) gender, 2) age, 3) location of the aneurysm, 4) duration of the symptom, and 5) degree of ONP. Results : Following treatment, complete symptomatic recovery or partial relief from ONP was observed in 15 patients. Seven of the ten patients were treated by coil embolization, compared to eight of the nine patients treated by surgical clipping (p = 0.582). Patient's gender, age, location of the aneurysm, size of the aneurysm, duration of symptom, and degree of the ONP did not statistically correlate with recovery of symptoms between the two groups. No significant differences were observed in mean improvement time in either group (55 days in coil embolization and 60 days in surgical clipping). Conclusion : This study indicates that no significant differences were observed in the clinical outcome between coil embolization and surgical clipping techniques in the treatment of aneurysms causing ONP. Coil embolization seems to be more feasible and safe treatment modality for the relief and recovery of oculomotor nerve palsy.