The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Olivopontocerebellar Atrophy (Multiple Systemic Atrophy-Cerebellum) Patient Complicating Sleep Disorders and Gait Disturbance

수면장애와 보행장애를 호소하는 올리브교소뇌위축증 환자 증례보고 1례

  • Lee, Su-yeong (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Du-ri (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Hyun-seung (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Chae, Han-nah (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 이수영 (원광대학교 한의과대학 내과학교실) ;
  • 김두리 (원광대학교 한의과대학 내과학교실) ;
  • 이현승 (원광대학교 한의과대학 내과학교실) ;
  • 채한나 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Received : 2018.08.28
  • Accepted : 2018.09.29
  • Published : 2018.09.30
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Abstract

This case report describes a patient with olivopontocerebellar atrophy accompanied by sleep disorder and gait disturbance whose condition was improved by treatment with Korean medicine. The 61-year-old woman, who was diagnosed with olivopontocerebellar atrophy (Multiple Systemic Atrophy-Cerebellum), was admitted to hospital twice and treated with Korean medicine (acupuncture and herbal medicine) and rehabilitation. The Korean medicine was Gwibiondam-tang-gami and Jaeumgeonbi-tang-gami. Clinical symptoms were assessed by the Modified Bathel index, functional independent measurement, Berg balance scale, and Unified Multiple System Atrophy rating scale. A brain MRI at the one-year follow up after onset showed similar progress but clinical symptoms were improved after treatment, and the evaluation index score increased. Multiple system atrophy, a type of degenerative neurological disease, has no targeted treatment. In this situation, although this report describes a single case, Korean medicine treatment could provide a meaningful improvement in the sleep disturbance and gait disorder symptoms of patients with olivopontocerebellar atrophy.

Keywords

References

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