대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

수면장애와 보행장애를 호소하는 올리브교소뇌위축증 환자 증례보고 1례

A Case Report of Olivopontocerebellar Atrophy (Multiple Systemic Atrophy-Cerebellum) Patient Complicating Sleep Disorders and Gait Disturbance

  • 이수영 (원광대학교 한의과대학 내과학교실) ;
  • 김두리 (원광대학교 한의과대학 내과학교실) ;
  • 이현승 (원광대학교 한의과대학 내과학교실) ;
  • 채한나 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • 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)
  • 투고 : 2018.08.28
  • 심사 : 2018.09.29
  • 발행 : 2018.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Shin SJ. The therapeutic key factors, CX3CL1 and PEDF secreted from human fetal neural percursor cells (hfNPC) for treatment of Parkinsonism Multiple System Atrophy (MSA-P). CHA University 2016.
  2. Hawley JS, Robottom BJ, Weiner WJ. Multiple system atrophy. Rev Neurol Dis 2010;7(2-3): 45-55.
  3. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicie. Cardiovascular and Neurological Medicine in Korean Medicine III Neurology. Seoul: Woori medical pub; 2016, p. 117-9.
  4. Rohkamm R. Color Atlas of Neurology. Seoul: Daehan medical pub; 2009, p. 302-3.
  5. Jung MH, Son JH, Cho KH, Mun SK, Kwon SW, Jung WS. A Case Study of Multiple System Atrophy Patient with Diplopia Using Korean Medical Treatment. J of Int Korean Medicine 2017;38(2):246-51. https://doi.org/10.22246/jikm.2017.38.2.246
  6. Lee MS, Bae NY. A Case Study of a Taeeumin Patient with Olivopontocerebellar Atrophy Improved with Jowisengcheong-tang. J of Sasang Constitutional Medicine 2013;25(3):243-53. https://doi.org/10.7730/JSCM.2013.25.3.243
  7. Baik YS, Jo EY, Choi HJ, Jung SH. A clinical case study on multiple system atrophy-C. J of Int Korean Med 2008;spr:119-26.
  8. Go GY, Jang MH, Kim KY, Ahn TW. A Case Study about Soyangin Cerebellar Atrophy Patient suffering from dizziness improved by Hyeungbangjihwang-tang. J of Sasang Constitutional Medicine 2013;25(3) :233-42. https://doi.org/10.7730/JSCM.2013.25.3.233
  9. Im JW, Lee JE, Yei YC, Kim YS, Cho KH, Moon SK, et al. A case report of mutiple system atrophy patient treated by Korean medicine. J of Int Korean Med 2013;spr:206-10.
  10. Woo SJ, Baek KM, Jang WS. A case report of mutiple system atrophy in a cerebellar ataxia patient suffering from gait disturbance treated with korean medicine. J of Int Korean Medicine 2016;37(5):806-14. https://doi.org/10.22246/jikm.2016.37.5.806
  11. 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):133-47. https://doi.org/10.1002/mds.870120203
  12. Gilman S, Low PA, Quinn N, Albanese A, Ben-shlomo Y, Flower CJ, et al. Consensus statement on the diagnosis of multiple system atrophy. J of the Neurological Sciences 1999; 163(1):94-8. https://doi.org/10.1016/S0022-510X(98)00304-9
  13. Na SJ, Park JH, Kim HS, Hong JM, Lee KO, Lee MS. Measurements of brain stem and cerebellum on brain MRI: for the differential diagnosis between multiple system atrophy and idiopathic parkinson's disease. J Korean Neurol Assoc 2004;22(5):478-84.
  14. Flabeau O, Meissner WG, Tison F. Multiple system atrophy: current and future approaches to management. Therapeutic advances in neurological disorders 2010;3(4):249-63. https://doi.org/10.1177/1756285610375328
  15. National Korean Medical College Neuropsychological Textbook Compilation Committee. Korean Neuropsychology. Seoul: Jibmundang; 2012, p. 255, 261.
  16. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. The Acupuncture and Moxibustion Medicine. Seoul: Jibmundang; 2012, p. 599, 759-60, 773.
  17. Lee SY. Acupuncture. Seoul: Cheonghong; 2007, p. 611, 717, 848-9.
  18. Yang SB, Kim YJ, Lee HM, Lee HJ, Cho SY, Park SU, et al. Case report of ceneralized anxiety disorder treated with Guibiondamtang-gami. J of Int Korean Medicine 2016;37(2):361-7.
  19. Yun YK. Oriental medicine Prescription and Prescription Commentary. Seoul: Euiseongdang; 2011, p. 277.
  20. Kim YS, Moon SK, Park SW, Han CH. Integrated clinical approach to stroke. Seoul: Jeongdam; 2007, p. 497.