DOI QR코드

DOI QR Code

Case Reports of Diplopia and Limitation of Eye Movement in Idiopathic Abducens Nerve Palsy Patient Treated with Korean Medicine

복시를 동반하는 특발성 외전신경마비 한의 치험 2례

  • Lee, Ma-Eum (Pusan National University Korean Medicine Hospital) ;
  • Lee, Deuk-Joo (Pusan National University Korean Medicine Hospital) ;
  • Seo, Hyung-Sik (Pusan National University Korean Medicine Hospital) ;
  • Kwon, Kang (Pusan National University Korean Medicine Hospital)
  • 이마음 (부산대학교한방병원 한방안이비인후피부과) ;
  • 이득주 (부산대학교한방병원 한방안이비인후피부과) ;
  • 서형식 (부산대학교한방병원 한방안이비인후피부과) ;
  • 권강 (부산대학교한방병원 한방안이비인후피부과)
  • Received : 2018.10.10
  • Accepted : 2018.11.08
  • Published : 2018.11.25

Abstract

Objectives : The purpose of this study is to report the effect of Korean medicine treatment on diplopia and limitation of eye movement in Idiopathic abducens nerve palsy. Methods : Two patients were treated with acupuncture and herbal medicines who has been suffering from diplopia and limitation of eye movement. To evaluate the results of this treatment, we everyday checked distance(cm) from middle of the forehead to occurring diplopia, limitation of abduction(Scott and Kraft grade) and other symptoms(visual analogue sacle). Results : After treatment, the limitation of eye movement and diplopia were improved remarkably even other symptoms. Conclusions : This study shows us that the Korean medicine treatments are effective on diplopia and limitation of eye movement due to idiopathic abducens nerve palsy.

Keywords

References

  1. Lee YS, Park MS, Shin CS, Lee KR, Choi SM, Lee SH, et al. A case of isolated abducens nerve palsy caused by vascular compression. J Korean Neurol Assoc. 2006;24(6):628-9.
  2. Lee CH, Lee CH, Park MK, Jung WH, Choi BS, Hong KE, et al. A idiopathic oculomotor nerve palsy patient treated by acupuncture complex therapy. J Korean Acupunct & Med Sci. 2010;27(4):233-8.
  3. Scott AB, Kraft SP. Botulinum toxin injection in the management of lateral rectus paresis. Ophthalmology. 1985;92:676-83. https://doi.org/10.1016/S0161-6420(85)33982-9
  4. Azarmina M, Azarmina H. The six syndromes of the sixth cranial nerve. J Ophthalmic Vis Res. 2013;8(2):160-71.
  5. Graham C, Mohseni M. Abducens Nerve (CN VI), Palsy. Treasure Island (FL): StatPearls Publishing; 2018 Jan- Available from: URL: https://www.statpearls.com/as/eyes/17031/
  6. Choi AR, Ha JH, Lee JH, Jang WS, Goo DM. A clinical study on strabismus patient of abducence nerve paralysis in soyangin improved with yangkyuksanhwa-tang. J Sasang Constitutional Med. 2008;20(3):176-83.
  7. Chung WH, Park JH, Park SA, Sung KB. A case of isolated unilateral abducens nerve palsy caused by clival metastasis from rectal cancer. J Korean Balance Soc. 2006;5(1):78-80.
  8. Shakya S. Profile of isolated sixth cranial nerve palsy: A hospital based study. J Neuroscience. 2004;1:32-5.
  9. Han ER, Lim KH. Clinical features of the sixth cranial nerve palsy. J Korean Ophthalmol soc. 2008;49(8):1323-9. https://doi.org/10.3341/jkos.2008.49.8.1323
  10. Noh SS. Oriental Ophthalmology & Otorhinolaryngology. Seoul:IBC Inc. 2007:281-98.
  11. Kim HS, Kim HM, Sung GJ, Yoo YS. Ophthalmology. Seoul:ilchokak, Inc. 2017:322-38.
  12. Kim JM, Nam HJ. A case of occurred oculomotor nerve palsy on the same side after recovery of abducent nerve palsy at right eye. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(2):238-50.
  13. Lee JH, Jo DC, Kim CG, Moon SJ, Park TY, Ko YS, et al. A Literature Review of Effectiveness on the Gongjin-dan (Gongchen-dan). J Korean Med Rehabilitation. 2013;23(3):69-78.
  14. Choi CH, Kim SJ, Shin JC, Wi TS, Kim JH, Choi JB, et al. Clinical Study of Dokhwalkigisaengtanggagambang(DGG) and Gamisayuktanggagambang(GSG) for Improving Lumbago and Knee Joint Pain. Kor J Herbology. 2013;28(2):75-82. https://doi.org/10.6116/KJH.2013.28.2.75
  15. Seo MJ, Lee KB, Park JH, Hong SH. The current trend of research about Bojungikkitang. Korean Journal of Oriental Medicine. 2010;16(2):83-90.
  16. Kang NR, Tark MR, Byun SM, Ko WS, Yoon HJ. A clinical analysis on 250 cases of inpatients with facial paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(3):109-21.
  17. Jo EH, Noh HM, Park SG, Lee YJ, Park MC. A clinical study on abducens nerve palsy patient improved with traditional korean medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(2):123-9. https://doi.org/10.6114/JKOOD.2016.29.2.123