Case Report of Sensory Disturbance with Suspicious Syringomyelia

척수공동증 의증으로 인한 감각장애 환자 치험 1례

  • Kang, Baek-Gyu (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Han, Deok-Jin (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Lee, Jung-Wook (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Kim, Hoi-Young (Department of Internal Medicine, Kwangdong Oriental Medicine Hospital) ;
  • Lee, In (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Kim, Kang-San (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Park, Sang-Moo (Department of Internal Medicine, School of Oriental Medicine, Wonkwang University)
  • 강백규 (원광대학교 한의과대학 한방내과학교실) ;
  • 한덕진 (원광대학교 한의과대학 한방내과학교실) ;
  • 이정욱 (원광대학교 한의과대학 한방내과학교실) ;
  • 김회영 (광동한방병원 한방내과) ;
  • 이인 (원광대학교 한의과대학 한방내과학교실) ;
  • 김강산 (원광대학교 한의과대학 한방내과학교실) ;
  • 박상무 (원광대학교 한의과대학 한방내과학교실)
  • Published : 2008.02.25

Abstract

Syringomyelia is a rare disorder that causes a cyst to form in spinal cord. This cyst, called a syrinx, can damage to the spinal cord and cause symptoms such as motor weakness, pain, sensory disturbance, etc. We experienced a case of tactile hypesthesia suspecting syringomyelia in 16 year old male patient. Syringomyelia in T2/3 level was diagnosed by magnetic resonance imaging. Hypesthesia was similar to mamokbulin in oriental medicine. And we assumed these symptoms induced by conditions called kiheo in analyzing patient's symptoms and signs. We treated the patient by acupuncture, herbal medicine improving kiheo, and other methods. In the result, the symptoms had withdrawn. This case suggested possibility to treat syringomyelia in oriental medicine, but single case is insufficient for evidence.

Keywords

References

  1. Kenneth W. Lindsay, Ian Bone 著, 이광우 編. 임상신경학 4판. 서울, EPUBLIC. pp 562-564, 2006
  2. E. Braunwald 외 著. 대한내과학회 해리슨내과학 편집위원회 譯. Harrison's 내과학 15판 제2권. 서울, MIP. p 2502, 2507, 2003
  3. 許浚 著, 元秦喜 譯. 精校註譯 東醫寶鑑. 서울, 新宇文化社. 外形篇 431, 雜病篇(上) p 224, 225, 228, 230, 2004
  4. 고성규. 마목과 이상감각과의 연관성에 관한 연구(1). 대한한의학회지 18(1):251-266, 1997
  5. Cohodarevic, T., Mailis, A., Montanera, W. Syringomyelia : Pain, Sensory Abnormalities and Neuroimaging. J Pain. 1(1):54-66, 2000 https://doi.org/10.1016/S1526-5900(00)90088-9
  6. Gardner, W.J. Hydrodynamic mechanism of syringomyelia:Its relationship to myelocele. J Neurol Neurosurg Psychiatry. 28: 247-259, 1965 https://doi.org/10.1136/jnnp.28.3.247
  7. Williams, B. Pathogenesis of syringomyelia. Lancet. 2(7784): 969-970, 1972
  8. Ball, M.J., Dayan, A.D. Pathogenesis of syringomyelia. Lancet. 2(7781):799-801, 1972
  9. Aboulker, J. Syringomyelia and intra-rachidian fluids. X. Rachidian fluid stasis. Neurochirugie. 25(1):98-107, 1979
  10. 조병문, 박세혁, 오세문, 이규호. Chiari 제1기형과 동반된 척수공동증의 대공 감압술에 의한 치료. J Korean Neurosurg Soc. 26(8):1149-1153, 1997
  11. Greitz, D. Unraveling the riddle of syringomyelia. Neurosurg Rev. 29(4):251-263, 2006 https://doi.org/10.1007/s10143-006-0029-5
  12. Proceedings of the international symposium syringomyelia 2007 abstracts of free papers. Br J Neurosurg. 21(5):425-462, 2007 https://doi.org/10.1080/02688690701592688
  13. 정대진, 김성민, 김훈, 심영보, 박용기, 최선길. 외상성 척수공동증의 치료를 위한 지주막하강 재건술. J Korean Neurosurg Soc. 29(2):255-260, 2000
  14. Hwang, J.Y., Kim, Y.J., Oh, S.H., Kang, J.K., Kim, Y.S. Observation between Clinical Outcomes and the Size of the Syrinx with Magnetic Resonance Image. J Korean Neurosurg Soc. 40(3):169-174, 2006
  15. Nogues, M.A., Leiguarda, R.C., Rivero, A.D., Salvat, F., Manes, F. Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia. Neurology. 52(4):823-834, 1999 https://doi.org/10.1212/WNL.52.4.823
  16. 정석희, 이종수, 김성수, 신현대. 마목에 관한 문헌적 고찰. 대한한의학회지 9(1):137-144, 1988
  17. 王殿华, 陈金亮. 脊髓空洞症的中医病机治则探讨. 辽宁中医杂志 33(1):25-26, 2006
  18. 王殿华. 龟鹿益髓胶囊配合针灸治疗脊髓空洞症60例. 中医杂志 48(6):530-531, 2007
  19. 김경호, 윤종화, 김갑성. 척수공동증으로 인한 양하지마비 환자에 대한 임상보고. 동국대 한의학연구소 논문집. 2(2):153-161, 1993
  20. 황의형, 김정연. 척수공동증 환자 치험 1례. 한방재활의학과학회지 15(3):187-194, 2005