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A Case Study of a Taeeumin Patient with Olivopontocerebellar Atrophy Improved with Jowisengcheong-tang

조위승청탕(調胃升淸湯)으로 호전된 올리브교소뇌위축증 환자 1례

  • Received : 2013.07.01
  • Accepted : 2013.08.28
  • Published : 2013.09.30

Abstract

Objectives The aim of this study was to examine significant improvement of dizziness, gait disturbance, insomnia and xerostomia after treatment with Jowisengcheong-tang in a Taeeumin patient with olivopontocerebellar atrophy (OPCA). Methods The patient's subjective and objective symptoms were observed daily throughout the hospitalization period using global assessment (G/A), and the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results The symptoms of dizziness and xerostomia decreased from G/A 100 to G/A 10~30 for five days, and the UMSARS score decreased in Part I,II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment method for OPCA. We consider that consistent treatment can contribute to improve the patient's quality of life.

Keywords

Olivopontocerebellar Atrophy;Unified Multiple System Atrophy Rating Scale (UMSARS);Jowiseungcheong-tang;Taeeumin

References

  1. Wenning GK, Tison F, Seppi K, Sampaio C, Diem A, Yekhlef F et al. Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS). Movement Disorders. 2004;19(12):1391-1402. https://doi.org/10.1002/mds.20255
  2. Shin SW, Lee EJ, Koh BH, Lee JH. The study on the development of diagnosis algorithm of Taeeumin symptomology. J Sasang Constitut Med. 2012;24(4): 28-39. (Korean) https://doi.org/10.7730/JSCM.2012.24.4.28
  3. Hwang MW. The lectures on Sasang constitutional medicine. Seoul:Koonja. 2012. (Korean)
  4. Kim SH, Kim YH, Hwang MW, Lee JH, Song IB, Koh BH. The study on the formative process of Taeumin's dry-febrile symptom. J Sasang Constitut Med. 2008;20(1):1-14. (Korean)
  5. Christina JA, Stephen AB. Olivopontocerebellar atrophy. Available from: URL:http://emedicine.medscape.com/ article/1151013-overview.
  6. Wenning GK, Tison F, Ben Shlomo Y, Daniel SE, Quinn NP. Multiple system atrophy: a review of 203 pathologically proven cases. Movement Disorders. 1997;12(2):133-147. https://doi.org/10.1002/mds.870120203
  7. Korean Neurological Association. Neurology. Seoul: Koonja. 2010:472-473. (Korean)
  8. Quinn NP. Multiple system atrophy-the nature of the beast. J Neurol Neurosurg Psychiatry. 1989;52:78-89. https://doi.org/10.1136/jnnp.52.Suppl.78
  9. Oliver F, Wassilios GM, François T. Multiple system atrophy: current and future approaches to management. Therapeutic Advances in Neurological Disorders. 2010; 3(4):249-263. https://doi.org/10.1177/1756285610375328
  10. Oriental internal medicine association. Neurological medicine in Korean medicine. Seoul:Koonja. 2010:414, 438,446. (Korean)
  11. Lee SH, KIm SG, Shin HS, Lee HB, Jin SC, Kim MS et al. A clinical study on one case of olivopontocerebellar atrophy. Korean J. Orient. Int. Med. 2002;23(3):511-518.(Korean)
  12. Kim TH, Na BJ, Lee JW, Lee CR, Yun SP, Jung WS. A case report of moxibustion effect on dysphagia induced by OPCA (olivopontocerebellar atrophy). Korean J. Orient. Int. Med. 2004:131-136. (Korean)
  13. Lee JW, Chang WS, Baek KM. A case of western- oriental medicine combined treatment on the dizziness patient diagnosed as olivopontocerebellar atrophy (OPCA). The Journal of East-West Medicine. 2010; 35(4):73-83. (Korean)
  14. Baik YS, Jo EY, Choi HJ, Jung SH. A clinical case study on multiple system atrophy-c. Korean J. Orient. Int. Med. 2008:119-25. (Korean)
  15. Park JK, Maeng YS, Lee SB, Kim DI. Case of multiple systemic atrophy treated with Korean medical treatment and rehabilitation therapy. J Korean Oriental Med. 2011;32(2):118-125. (Korean)
  16. Byeon HS, Park JY, Leem JT, Kim MY, Kim CH, Jung WS et al. A clinical case study on multiple system atrophy with dysuria treated with electroacupuncture and moxibustion. Korean J. Orient. Int. Med. 2008:196-203. (Korean)
  17. Jeong SS, An TH, Park SI, Kim JW, Seo HS, Ryu CG et al. A case report of the patient with multiple system atrophy evaluated by Unified Multiple System Atrophy Rating Scale (UMSARS). Korean J. Orient. Int. Med. 2012;33(1):102-110. (Korean)
  18. Gilman S, Low PA, Quinn N, Albanese A, Ben-Shlomo Y, Fowler CJ et al. Consensus statement on the diagnosis of multiple system atrophy. Journal of the Neurological Sciences. 1999;163:94-98. https://doi.org/10.1016/S0022-510X(98)00304-9
  19. Park GH, Park DW, Oh JC, Lee YJ, Lee SR Ham CG. Brain MRI findings of the olivopontocerebellar atrophy. Korean Journal of Radiology. 1999;41:629-634. (Korean) https://doi.org/10.3348/jkrs.1999.41.4.629
  20. Lee JE, Cheong JY, Lee SJ, Shin HS, Yoon TS. Multiple system atrophy overlaps stroke. J Korean Acad Rehab Med. 2002;26(1):94-98. (Korean)
  21. Lee SS, Yun BW, Noh JG, Kim SY, Lee MC. Tc-99m HMPAO SPECT in olivopontocerebellar atrophy. Journal of clinical neurology. 1992;10(3):324-330. (Korean)

Cited by

  1. A Case Report of Multiple System Atrophy in a Cerebellar Ataxia Patient Suffering from Gait Disturbance Treated with Korean Medicine vol.37, pp.5, 2016, https://doi.org/10.22246/jikm.2016.37.5.806
  2. A Case Study of Multiple System Atrophy Patient with Diplopia Using Korean Medical Treatment vol.38, pp.2, 2017, https://doi.org/10.22246/jikm.2017.38.2.246
  3. An Analysis of Case Reports and Case Series on Taeeum Person in Journal of Sasang Constitutional Medicine from 2006 to 2015 vol.28, pp.2, 2016, https://doi.org/10.7730/JSCM.2016.28.2.83

Acknowledgement

Supported by : 부산대학교