• 제목/요약/키워드: strabismus

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편두통을 동반한 재발성 외전신경마비 사시환자 1례 (A Case of Strabismus of Recurrent Abducent Nerve Palsy with Migraine)

  • 조재훈;김윤범;채병윤
    • 한방안이비인후피부과학회지
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    • 제14권2호
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    • pp.112-117
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    • 2001
  • Authors experienced one case of the strabismus of recurrent abducent nerve palsy with migraine, which was estimated from Brain MRA images to be induced by the sclerotic changes of internal carotid artery in carvernous portion. Headache, double vision, vertigo and corneal reflex improved under the treatment of acupuncture and herbal medicine(J eongyongtang-gagambang).

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제6 뇌신경 마비로 진단된 마비성(痲痺性) 사시(斜視) 환아(患兒) 1례(例) 보고(報告) (One Clinical Study on Strabismus Patient of Abducence Nerve Paralysis with Oriental Medicine)

  • 천진홍;민상연;김장현
    • 대한한방소아과학회지
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    • 제24권3호
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    • pp.26-32
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    • 2010
  • Objectives: This study is to report a case of the paralytic strabismus with herbal medicine and acupuncture. Strabismus refers to the oculomotor muscles imbalance resulted from improper alignment of the visual axis of the two eyes. Our goal is to know the effectiveness and safety in children from oriental medicine. Methods: We treated the case by using herbal medicine, acupuncture, and etc. Results: We found that the case was recovered perfectly in short term(24days) without any side effects or complaints. Therefore, we try to apply this treatment in many children cases and to set as a guideline protocol to treat for children. Conclusions: The case showed proper oriental medical treatment is better choice for therapy than surgery or observation.

외안근 전침요법을 이용한 교통사고 유발 마비성 사시 환자의 치험 1례 (One Case of traffic accident induced paralytic strabismus (oculomotor nerve palsy) which was treated with electroacupuncture at oculomotor muscles)

  • 김남권
    • 한방안이비인후피부과학회지
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    • 제21권1호
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    • pp.133-138
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    • 2008
  • Objectives : We already reported the effectiveness of this treatment method(electroacupuncture at oculomotor muscles) at the adult and young idiopathic paralytic strabismus patients and Miller-Fisher syndrome. Then I explored the possibility for improvement of the traumatic injury paralytic strabismus case. Methods : I treated the case by using the electroacupuncture at both paralytic lateral rectus muscle lesions. The case was treated almost daily and every treatment was enforced 10 minutes. I use the PG-306 electra-acupuncture products(Suzuki Iryoki Co. Japan) and apply the low consequence wave of 1-8Hz. Results : We gained good results from the case and not observed any sides effect or compliant. So I hope to apply this treatment for traumatic and post-operative nerve injury cases and am sure to make the treatment protocol for them in the future.

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양격산화탕(凉隔散火湯)으로 호전(好轉)된 소양인(少陽人) 외전신경마비(外轉神經痲痺) 사시환자(斜視患者) 치험 1례 (A Clinical Study on Strabismus Patient of Abducence Nerve Paralysis in Soyangin Improved with Yangkyuksanhwa-tang)

  • 최애련;하진호;이정환;장우석;구덕모
    • 사상체질의학회지
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    • 제20권3호
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    • pp.176-183
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    • 2008
  • 1. Objectives The purpose of this case study is to evaluate the effects of Yangkyuksanhwa-tang which is based on Sasang Constitutional Medicine for strabismus of abducence nerve paralysis. 2. Methods This patient was created by Soyangin's Constitutional Medications according to the result of Sasang Constitutional diagnosis. We evaluated the abduction deficit that described how to use Scott and kraft. 3. Results & Conclusions This case study shows an efficient result of using Yangkyuksanhwa-tang in treatment of Strabismus of abducence nerve paralysis.

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외상성 동안신경마비 치험 1례 (A Case Report of Traumatic Oculomotor Nerve Palsy Treated with Acupuncture and Herbal Medicine.)

  • 김희정;이길영;김윤범
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.167-173
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    • 2004
  • Strabismus is a misalignment of the eyes. It is divided into paralytic strabismus and non-paralytic strabismus. There are so many causes in paralytic strabismus, and the oculomotor nerve palsy is one of them. Many studies reported the etiology and clinical features of oculomotor nerve palsy. Common causes of oculomotor nerve palsy are idiopathic, vascula.; disease, aneurysm, head trauma, neoplasm and miscellaneous. Recently the proportion of traumatic cause has been increased, but the treatment is difficult as it used to be. In this case report, one case of traumatic oculomotor nerve palsy with zygomatic arch Fx and clavicle Fx were treated by herbal medicine and acupuncture. After Treatment, symptoms- ptosis, deviation of Lt. eye to downward & outward in primary position, diplopia, limited adduction & elevation & depression, dilated pupil without pupil reflex- were improved. There are so many hypothesises but no definite guide lines are established about the oriental medical treatment of oculomotor nerve palsy, so we expect the establishment of definite guide lines by further clinical studies.

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마비성(痲痺性) 사시(斜視)의 한방치험(韓方治驗) 3예(例) 보고(保辜) (Three Cases of Paralytic Strabismus by Acupuncture and Herbal Medicine)

  • 강승범;강성길;고형균
    • Journal of Acupuncture Research
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    • 제24권1호
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    • pp.227-234
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    • 2007
  • Objectives : This study is to report three cases of the paralytic strabismus by acupuncture and herb medicine. Methods & Results : All patient were treated with Acupuncture and herb medicine, and the symptoms were resolved in 2 cases by above treatment during about 10 weeks. Conclusion : The cases showed proper oriental medical treatment based on the exact differentiation of symptoms had good effect on this disease as one of conservative therapies.

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디지털 영상 기반 정량적인 사시각 측정을 위한 새로운 소프트웨어 (A New Software for Quantitative Measurement of Strabismus based on Digital Image)

  • 김태윤;서상신;김영재;양희경;황정민;김광기
    • 한국멀티미디어학회논문지
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    • 제15권5호
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    • pp.595-605
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    • 2012
  • 사시 진단을 위해 임상에서는 다양한 사시각 측정 방법들이 개발되어 이용되어 왔다. 그러나 기존 방법들은 대부분 육안 검사에 의해 이루어지므로 사용자의 주관적인 판단이 개입할 가능성이 크며 협조적인 대상에 대해서만 측정이 용이하다는 단점이 있다. 따라서 보다 이를 보완할 수 있는 객관적이고 신뢰성 있는 사시각 측정 방법의 개발이 필요하다. 본 논문에서는 임상 측정 방법의 문제점들을 보완할 수 있는 컴퓨터 기반의 새로운 자동 사시각 측정 소프트웨어의 개발을 소개한다. 먼저 간단하게 촬영된 환자의 전안부 영상을 획득하고 구형 RGB 모델을 이용하여 전처리를 수행하였다. 이후 새롭게 개발된 3차원 안구모델과 수학적인 측정 알고리즘을 이용하여 사시각 측정이 자동적으로 이루어지도록 하였다. 유효성 평가를 위해 10명의 환자 데이터를 대상으로 두 명의 검사자가 임상 측정 방법 중의 하나인 크림스키 테스트 방법을 통해 측정한 결과와 개발 소프트웨어를 이용하여 측정한 결과를 비교하였다. 그 결과, 두 명의 검사자의 상관계수는 각각 0.955, 0.969로 나타났으며, 두 검사자 간의 상관계수는 0.968로 나타나 객관성과 재현성이 매우 높음을 확인하였다. 향후 기존 사시진단 검사 방법들의 보조 수단이나 새로운 대안으로써 폭넓게 활용될 수 있을 것으로 기대한다.

내외전마비를 동반하는 특발성 양안사시 한의 증례보고 1례 (A Case Report of an Idiopathic Bilateral Strabismus with Internal and External Palsy)

  • 변정아;최윤영;백종찬;정현아;정지은
    • 한방안이비인후피부과학회지
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    • 제36권4호
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    • pp.156-163
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    • 2023
  • Objectives : The purpose of this study is to report the effect of Korean medical treatments on idiopathic bilateral strabismus. Methods : We treated a 43-year-old male idiopathic bilateral strabismus patient who was told to wait without a prescription as there was no problem in intraocular pressure test, fundus test, brain computed tomography, brain magnetic resonance imaging and angiography test, and cerebrospinal fluid test. The patient was admitted to Cheonan Korean medical hospital for 3 months to get Korean medical treatments including acupuncture, electroacupuncture, vapor treatment, pharmacopuncture therapy. The degree of improvement in idiopathic bilateral strabismus was determined by the objective measures of internal and external rotation disorders, and the patient's subjective opinions on eye pain and double vision discomfort. Results : The results of this patient showed distinct improvements on objective measures of internal and external rotation disorders in both eyes. Distance from the outer corner of the right eye when abducted decreased from 7mm to 0mm, and left eye decreased from 7mm to 0mm. Distance from the inner corner of the right eye when adducted decreased from 5mm to 0mm, and left eye decreased from 4mm to 0mm. In addition, eye pain decreased from 10 to 0 and diplopia decreased from 10 to 2 according to the patient's subjective opinions. Conclusions : This study shows the possibility that such medical treatment in Koreans can improve the rare idiopathic bilateral perspective among strabismus patients.

안면신경마비와 마비성 사시를 병발한 환자의 증례보고 (A Casuistics of a Patient with Facial Palsy and Paralytic Strabismus)

  • 조재훈;김윤범;채병윤
    • 한방안이비인후피부과학회지
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    • 제13권2호
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    • pp.152-164
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    • 2000
  • 1. We experienced one case with facial palsy and paralytic strabismus, which improved under the treatment of Acupuncture, Infrared, Electroacupuncture and Massage. 2. The prognostic factor of facial palsy was affected by On Set and neurodegeneration (such as synkinesis, contraction, spasm and crocodile tear). 3. In facial palsy, Myoneural Excitability Test by Electroacupuncture, which will need the objective clinical standard, was available for the evaluation of therapeutic effect and prognosis.

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外旋神經痲痺 斜視患者의 韓方治驗 1例 (A Case of Paralytic Strabismus of Abducens Nerve by Acupuncture and Herbal Medicines)

  • 김중호;김윤범;채병윤
    • 한방안이비인후피부과학회지
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    • 제7권1호
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    • pp.143-147
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    • 1994
  • We report one case with paralysis of the sixth cranial nerve, which was diagnosed at Kyung Hee Unversity Hospital. The patient was happened with traffic accident. He showed disorder of both abduction eye movement, headache, double vision and dizziness. We have experienced good improvement to recover paralytic strabismus by the Oriental Medicine.

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