The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Case Report of Fahr Disease with Tremor

진전을 동반한 Fahr Disease 환자 치험례

  • Kim, Tae-Yeon (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Shin, Woo-Jae (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Park, Yu-Jin (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Moon, Joo-Ho (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Shin, Seon-Mi (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Kim, Gi-Tae (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Go, Heung (Dept. of Internal Medicine, College of Oriental Medicine, Se-Myung University)
  • 김태연 (세명대학교 한의과대학 내과학교실) ;
  • 신우재 (세명대학교 한의과대학 내과학교실) ;
  • 박유진 (세명대학교 한의과대학 내과학교실) ;
  • 문주호 (세명대학교 한의과대학 내과학교실) ;
  • 신선미 (세명대학교 한의과대학 내과학교실) ;
  • 김기태 (세명대학교 한의과대학 내과학교실) ;
  • 고흥 (세명대학교 한의과대학 내과학교실)
  • Published : 2011.09.30
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Abstract

Fahr disease (FD) is a rare neurological disorder characterized by presence of abnormal and associated cell loss in certain areas of the brain, mostly in basal ganglia, thalamus, cerebellum and subcortical areas. Approximately two-thirds of the patients are symptomatic. The most common neurological manifestations include movement disorders, cognitive impairment, cerebellar signs and speech disorders. We report one case of estimated FD through brain computed tomography (bilateral calcifications of basal ganglia, thalamus, centrum semiovale, subcortical white matter of occipital lobes, cerebellum). At the first time of treatment, he complained of tremors in his upper limbs. We diagnosed the patient as deficiency of qi (氣) and movement of phlegm-heat-wind (痰熱風動) type according to symptoms and treated by herbs and acupuncture of oriental medicine. During treatments, we evaluated how well the oriental medical treatments were working using visual analogue scale (VAS) and amplitude of hands. After the oriental medical treatments about tremor, VAS dropped from 10 to 2 and amplitude of hands from 20 mm to 2 mm, but the ratio of brain calcifications was not changed. This study suggests that oriental medical treatments can be applicable to improve FD.

Keywords

References

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