• Title/Summary/Keyword: vertigo score

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Clinical Analysis on the Positional Vertigo Patients treated in an Oriental Medical Center (한방병원에 입원한 두위 현훈 환자의 임상 분석)

  • Kim, Tae-Yeon;Kim, Gi-Tae;Go, Heung
    • The Journal of Internal Korean Medicine
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    • v.32 no.3
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    • pp.371-386
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    • 2011
  • Background : Vertigo is a very common complaint in clinical practice. The number of patients who complain of vertigo has been increasing due to rapid growth of the elderly population. This study was designed to review the clinical features and success of oriental medical treatment of positional vertigo. Methods : This observation was made on 70 subjects diagnosed with positional vertigo. They were hospitalized in the Semyung University Oriental Medicine Hospital. Results : The results were as follows 1. Female patients (82.9%) were more than male patients. The most common age group was 8th decade and the patients rapidly increased after the 5th decade of age. 2. The most common past history of positional vertigo was hypertension, the second was cerebral infarction, and the third was hyperlipidemia. 3. In the oriental medicine diagnosis, phlegm-dampness syndrome (痰濕交阻 眩暈) was the most common disease (92.9%), and in western medicine, BPPV was the most (82.9%). 4. In herbal medication, Banhabaekchulchunma-tang gami (45.7%) was the most commonly used, the second being Taeksa-tang (30%). 5. The vertigo score of 94.3% patients improved and none got worse. 6. In general characteristics, men over 64 years improved best. Past history had no effect on the improvement of vertigo. 7. The sooner patients visited hospital after onset, the shorter hospitalization time was. Conclusions : Vertigo attacks patients well in advanced age, with various causative diseases. Oriental medical treatments have considerable effects on positional vertigo, especially treated with Banhabaekchulchunma-tang gami and Taeksa-tang.

The effects of Oriental medicine treatment and the characteristics of MMPI profile on Vertigo Patients (어지럼증 환자(患者)의 MMPI 프로파일 특성과 한의학적(韓醫學的) 치료효과(治療效果))

  • Kim, Jin-Woo;Lee, Soon-E;Kim, Ja-Young;Kim, Tae-Heon;Lyu, Yeong-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.3
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    • pp.67-75
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    • 2006
  • This Study is attempted to analyze Minnesota Multiphasic Personality Inventory responses to Vertigo patients and remedial value of Oriental medicine treatment. Methods: 24 Vertigo patients and 28 control group were tested by MMPI and QSCCII. It is analyzed by cluster analysis, one-way ANOVA, chi-square test, t-test, Duncan method is used as ex-post test. Results and Conclusions: 1. The MMPI scores of Vertigo patients were elevated in Hs, Hy clinical scales, 1-3 profile type, it is profile of conversional neurosis. In this case body condition where the psychological problem will get conversion is a notable feature. 2. All of the profiles can be classified three types of profile. Group 1(33.3%) showed 1-3-2 profile type and elevated Pt. scale, suggesting mainly depressive neurosis in the department of neuropsychiatry. Group 2 (37.5%) showed a normal profile. Group 3(29.2%) showed 1-3 profile type it is profile of conversional neurosis. With this result it is indicated that 62.5% Vertigo patients are related to emotional difficulties. 3. There was to a remedial value for the Vertigo patients, before treating from VAS score 10.00 after treating at VAS score 4.13. From this study, we know the possibility the Oriental medicine register remedial value for the Vertigo patients.

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A Case of Korean Medical Treatment of Sudden Hearing Loss with Severe Vertigo (심한 현훈을 동반한 돌발성 난청 치험 1례)

  • Han, Jung-Min;Jang, In-Uk;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.2
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    • pp.98-108
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    • 2013
  • Objectives : Sudden sensorineural hearing loss(SSNHL) is defined as an unexplainable decline in hearing which o㏄urs within a short period of time. This study describes a case of SSNHL accompanied by many unfavourable prognosis factors including severe vertigo. Methods : We treated 1 SSNHL patient who had many unfavourable prognosis factors including severe vertigo. After Korean medical treatment for 23 days, we measured the hearing recovery and decrease of vertigo. For diagnosis, pure tone audiometry was done. The degree of improvement was evaluated by Siegel's Criteria. Decrease of vertigo was assessed by Vertigo Scale. Results & Conclusions : The pure tone 5 frequency(0.25, 0.5, 1, 2, $4_{KHz}$) average improved by 25dB(slightly recovered). Vertigo score decreased from 4 to 1. We may expect that the Korean medical therapy improves the hearing recovery in the SSNHL patients who have unfavourable prognosis factors such as vertigo.

A Case Study of a Vertigo Patient Treated with Korean Medical Treatment (한방치료로 호전된 현훈 환자 1례)

  • Kim, Gang-san;Kim, Koang-lok;Park, Dong-ill;Lee, Jun-su
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.903-909
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    • 2016
  • Objective: To evaluate the effect of Korean Medicine on a patient having vertigo disease. Methods: The patient was treated with Korean medicine, including Bongnyeongbanha-tang (茯苓半夏湯) and acupuncture, from October 3, 2015 to October 8, 2015. The Vertigo Score Scale and Numeric Rating Scale were assessed for evaluation. Results: After the treatment, the intensity of vertigo and nausea were decreased and the patient's walking and visual difficulties were improved. Conclusions: Korean Medicine treatment can relieve vertigo symptoms.

A Case Report of Benign Paroxysmal Positional Vertigo treated by Baekho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 백호탕(白虎湯) 투여 후 호전된 양성 돌발성 체위성 현훈 증례 1례)

  • Park, Seo-yeon
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.199-209
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    • 2020
  • Objective: The purpose of this paper is to report the improvement in a patient with benign paroxysmal positional vertigo (BPPV) treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system. Methods: According to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions,'the patient was diagnosed with Guorem-byung number 350 provision, and took Baekho-tang herbal medication for 15 days. The result of administration was evaluated using the Dizziness Handicap Inventory (DHI) and the Visual Analog Scale (VAS). Results: After administration of Baekho-tang for 15 days, based on the 350 provision of Baekho-tang diagnosed according to the Shanghanlun provisions, the DHI score decreased from 74 to 16 and the VAS score decreased from 10 to 1. Conclusions: The patient recovered from symptoms of BPPV. This case report suggests that the words '滑,''厥,''裏'on the 350 provision of Shanghanlun mean physical and psychological causes of BPPV in this case.

Case of Combined Eastern-Western Medicine Treatment on a Patient Diagnosed with Benign Paroxysmal Positional Vertigo after Acute Vestibular Neuritis (양성 돌발성 체위 현훈으로 이행된 급성 전정신경염 환자의 한양방 협진 치료 1례)

  • Park, Young-hwa;Lim, Bo-ra;Ok, Hyo-joon;Sun, Jong-joo;Park, Joon-ha
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.273-282
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    • 2016
  • Objective: This clinical study was performed with a female patient to evaluate the effects of combined Eastern-Western medicine treatment on benign paroxysmal positional vertigo after acute vestibular neuritis.Method: We used acupuncture, herbal medication, Western medication, fluid therapy, and the canalith repositioning maneuver to treat a female patient suffering from dizzy spells. The vertigo scale was checked to assess any improvement in symptoms.Results: The patient had originally recovered from acute vestibular neuritis, but after the first discharge, she came down with benign paroxysmal positional vertigo and had to be rehospitalized. She eventually got better, however, and her score on the vertigo scale improved.Conclusion: This study demonstrates that combined Eastern-Western medicine treatment may be an effective option for treating benign paroxysmal positional vertigo after acute vestibular neuritis, despite the difficulty of the treatment in this case.

The Study on Characteristics of Personality on Vertigo Patients (현운(眩暈) 환자의 체질 및 성격특성 연구)

  • Ahn, Dae-Jong;Lee, Soon-Yee;Oh, Yong-Leol;Sohn, Young-Woo;Kim, Jin-Hyung;Kim, Tae-Heon;Kang, Hyung-Won;Lyu, Yeoun-Su;Kim, Jin-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.147-158
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    • 2006
  • Objective : This Study is attempted to analyze characteristics of personality by Minnesota Multiphasic Personality Inventory responses in Vertigo patients. Method : 24 Vertigo patients and 28 control group were tested by MMPI and QSCCII. It is analyzed by one-way ANOVA, chi-square test, t-test, Duncan method is used as ex-post test. Result & Conclusion : 1. 24 Vertigo patients were classified into three constitutions by QSCCII. There were 6 of Soyangin(25.0%), 8 of Soeumin(33.3%) and 10 of Taeumin(41.7%) 2. In the analysis of personality disorder scale of MMPI, BDL scale score of Soyangin group was higher than that of other groups, and STY, AVD scale score of Soeumin group was higher than that of other groups. 3. In the analysis of personality disorder scale of MMPI, vertigo patients group showed higher scores than control in CPS, PAG, PAG, DEP, STY, SZD scale.

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Case Series: Three Patients with Cervical Vertigo Treated with Hwangryunhaedok-Tang Pharmacupuncture (경추부 압통점의 황련해독탕 약침치료를 통한 경추성 어지럼증 환자 호전 치험 3례)

  • Lim, Su-Yeon;Shin, Won-Bin;Sakong, Jong-Won;Lee, Ji-Yun;Jeon, Hyun-A;Moon, Young-Joo;Lee, Yu-La
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.3
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    • pp.187-195
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    • 2020
  • Objectives: The purpose of this case report was to evaluate the effectiveness of Hwangryunhaedok-tang pharmacupuncture on three patients diagnosed as cervical vertigo. Methods: Three patients were diagnosed as cervical vertigo with cervical sprain, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. Hwangryunhaedok-tang pharmacoacupuncture was injected in the patients once daily for 10 days. The symptom change of dizziness was checked daily before and after treatment by the Visual Analogue Scale (VAS) score. The cervical pain and patient satisfaction were checked by the NRS (Numerical Rating Scale), NDI (Neck Disability Index), and the EQ-5D (EuroQol-Five Dimensions). Results: After the treatment, there was significant decrease in the value of the VAS score, measurement of dizziness, as well as the value of the NRS, NDI, a measure of pain. Also, the life quality measured by the EQ-5D improved. Conclusions: The results indicated that the Hwangryunhaedok-tang pharmacupuncture may have an effect on cervical vertigo with cervical pain.

A Case Report of Korean Medicine Treatment Including Samchulgunbi-tang-gagambang in a Patient with Vestibular Neuritis (비위허약으로 변증된 전정신경염 환자의 삼출건비탕가감방을 포함한 한의 치료 치험 1례)

  • Ye-seul Park;Jeong-hui Kim;Ju-yeon Song;Ho-ryong Yoo;In-chan Seol;Yoon-sik Kim
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.757-764
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    • 2023
  • Background: Vestibular neuritis is a common cause of acute unilateral peripheral vestibulopathy. Vestibular neuritis is the second most common disease among patients with dizziness. Clinical symptoms of vestibular neuritis include the sudden onset of vertigo with spontaneous nystagmus, unsteady gait, nausea, and vomiting that last from days to weeks. However, even after the vertigo disappears, difficulty maintaining balance while walking may persist for weeks to months. Antihistamines, serotonin receptor blockers, and benzodiazepine vestibular suppressants are widely used as symptomatic treatments to reduce the severity of symptoms that occur in the acute phase. Case Summary: A patient diagnosed with acute vestibular neuritis was treated with acupuncture, moxibustion, and herbal medicine. We used the visual analog scale (VAS) to assess each symptom and the vertigo score to observe the effect of treatment. After treatment, the VAS scores for each symptom and the vertigo score decreased, and the severity of nystagmus was reduced. Conclusion: This study suggests that Korean medicine treatments, including Samchulgunbi-tang-gagam, could be effective in improving the clinical symptoms of vestibular neuritis.

Effect Analysis of Virtual-reality Vestibular Rehabilitation based on Eye-tracking

  • Lee, Sungjin;Hong, Min;Kim, Sungyeup;Choi, Seong Jun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.14 no.2
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    • pp.826-840
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    • 2020
  • Vertigo is one of the most common complaints encountered by physicians and the patients are steadily increasing. These patients are exposed to the risk of secondary accidents such as falls due to vertigo. There are two ways to improve this symptom: medication and rehabilitation. Although temporary symptomatic improvement may be expected in patients treated with medication, vertigo may recur and medication can delay central compensation. In contrast vestibular rehabilitation exploits central mechanisms of neuroplasticity to increase postural stability and enhance visual-vestibular interactions in situations that generate conflicting sensory information. However, vestibular rehabilitation may be compromised by incorrect performance of exercises, and there is a need for active effort and interest from the patient during rehabilitation. To solve these problems, we decided to apply FOVE HMD for eye-tracking and Unity3D to create virtual reality. The proposed eye-tracking based algorithm calculates the concentration of users with eye tracking data and calculates the motion width of the patient with nystagmus, thus the severity of the patient according to the score can be determined. According to our experimental test against healty group and patients group, this result showed the meaningful data to use define the contents result.