The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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One Case Study of a Patient with NPH Who Showed No Improvement after Ventriculo-peritoneal Shunt

뇌실-복강 단락술 후 증상 호전 없었던 Normal Pressure Hydrocephalus 환자의 치험 1례

  • Yoon, Kyoung-Sun (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Kwon, Gun-Rok (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Han, Chang-Ho (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Jung, Seung-Hyun (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Sin, Gil-Jo (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Lee, Won-Chul (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Jung, Hyun-Jung (Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University)
  • 윤경선 (동국대학교 부속 한방병원 내과) ;
  • 권건록 (동국대학교 부속 한방병원 내과) ;
  • 한창호 (동국대학교 부속 한방병원 내과) ;
  • 정승현 (동국대학교 부속 한방병원 내과) ;
  • 신길조 (동국대학교 부속 한방병원 내과) ;
  • 이원철 (동국대학교 부속 한방병원 내과) ;
  • 정현정 (동국대학교 부속 한방병원 내과)
  • Published : 2005.12.30
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Abstract

The basic mechanism of normal pressure hydrocephalus(NPH) is found in an impediment to CSF absorption. In about half of the cases, the etiology remains obscure. NPH is more frequently found in elderly people. The main symptoms are gait disturbances, urinary incontinence and various degree of cognitive changes. The current treatment is ventriculo-peritoneal shunting, ideally using an adjustable valve. In about half of surgical operations, results are poor. Hyeongbangjihwang-tang(荊防地黃湯) is used to treat Soyangin(少陽人) weakness(虛弱) and edema(浮腫). It is and important Gang-Yin(降陰) medicine. A Soyangin patient diagnosed with NPH, who had undergone surgery for ventriculo-peritoneal shunting, was treated with Hyeongbangjihwang-tang. Significant improvement of clinical symptoms was seen, so it is here reported.

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