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Risperidone으로 유발된 것으로 의심된 약물유발성 이상운동증에 대한 의심약물 중단 및 억간산가진피반하와 GB34(陽陵泉) 전침치료를 통한 외래기반 관리 : 증례보고

Drug-Induced Dyskinesia Outpatient Suspected to be Induced by Risperidone Management with Yigan-san with Citri Pericarpium and Pinelliae Rhizoma (modified Yigan-san, Yokukan-san Kachimpihang), Electro-Acupuncture at GB34 (陽陵泉), and Stopping Suspected Medication: A Case Report

  • 노민영 (목동동신한방병원 한방내과) ;
  • 장승원 (목동동신한방병원 침구과) ;
  • 김현호 (목동동신한방병원 침구과) ;
  • 한양희 (목동동신한방병원 한방내과) ;
  • 임정태 (목동동신한방병원 한방내과)
  • Roh, Min-yeong (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital) ;
  • Jang, Seung-won (Dept. of Acupuncture & Moxibustion Medicine, Dongshin Korean Medicine Hospital) ;
  • Kim, Hyun-ho (Dept. of Acupuncture & Moxibustion Medicine, Dongshin Korean Medicine Hospital) ;
  • Han, Yang-hee (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital) ;
  • Leem, Jungtae (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital)
  • 투고 : 2019.11.29
  • 심사 : 2019.12.27
  • 발행 : 2019.12.30

초록

Objectives: Drug-induced Parkinsonism has similar symptoms to Parkinson's disease, but each has different causes. Drug-induced Parkinsonism accounts for the largest proportion of secondary Parkinsonism We report a outpatient case of drug-induced Parkinsonism after taking Risperidone, an atypical antipsychotic. Method: With discontinuing of antipsychotic drug, modified Yigan-san extract was administered for 12 weeks, and acupuncture and electroacupuncture procedures were performed 20 times. Results: Abnormal Involuntary Movement Scale (AIMS) score decreased from 23 to 3 during 59 days of treatment period without adverse events and worsening of depression. The Patient was highly satisfied. Conclusion: Modified Yigan-san and electroacupuncture (GB34) can be used as an treatment option in patients with drug-induced Parkinsonism.

키워드

참고문헌

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피인용 문헌

  1. 루이소체 치매로 추정되는 이차성 파킨슨증 환자의 Non-Motor Symptom Scale(NMSS)로 평가한 비운동성 증상을 한약과 침의 복합치료로 호전시킨 증례보고 1례 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.833