The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Thalamic and Hypothalamic Infarction with Hypersomnolence and Memory Impairment

시상 및 시상하부 뇌경색 후에 수면과다와 기억력 장애가 발생한 환자의 증례보고

  • Han, Seung-hee (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Nam, Hyun seo (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Jung, In-chae (Dept. of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Kim, Mikyung (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Han, In-sik (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Sun, Seung-ho (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University)
  • 한승희 (상지대학교부속한방병원 한방내과) ;
  • 남현서 (상지대학교부속한방병원 한방내과) ;
  • 정인채 (상지대학교부속한방병원 한방재활의학과) ;
  • 김미경 (상지대학교부속한방병원 한방내과) ;
  • 한인식 (상지대학교부속한방병원 한방내과) ;
  • 선승호 (상지대학교부속한방병원 한방내과)
  • Received : 2020.03.20
  • Accepted : 2020.06.01
  • Published : 2020.05.30
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Abstract

Introduction: We report a rare case in which the symptoms of hypersomnia were caused by cerebral infarction that occurred in the hypothalamus and hypothalamus. Case Presentation: The patient underwent Korean medicine treatments using Gami-seonghyangjeonggi-san, acupuncture, electroacupuncture, and physical therapy for 37 days. We evaluated the degree of improvement in hypersomnolence based on the amount of sleeping time and the degree of memory impairment with the patient's suggestive conditions as observed by the patient's guardian, and one-sided facial palsy using the Yanagihara Scale. As treatment was applied, sleeping time was decreased from 22 to 9 hours a day. Memory impairment did not show clear improvements as the patient could not recognize others when they visited during the period in which the patient underwent treatment. One-sided facial palsy showed no improvements and there were no changes in the Yanagihara Scale results. Conclusion: This case showed that Korean medicine treatment could be effective to relieve some of the symptoms of thalamus and hypothalamus infarction. Further research is needed to confirm the effectiveness of Korean medicine treatment.

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References

  1. John HM. Neuroanatomy Text and Atlas. Seoul: Panmun education; 2014, p. 46-9, 392-6.
  2. Kwon YS, Seo MJ, Yang WS, Yu HJ, Roh SY. A Case of Unilateral Hypothalamic Infarction with Polyphagia and Hypersomnolence. J Korean Neurol Assoc 2005;23(3):374-6.
  3. Korean Stroke Society. Stroke. 2 ed. Seoul: Panmun education; 2015, p. 87-98.
  4. Sohn EH, Lee AY, Kim SK. Pure Amnesia Following Unilateral Thalamic Infarction. J Korean Dementia Assoc 2002;1(1):57-9.
  5. Lee MR, Park MJ, Kim GM, Cho KH, Moon SK, Kwon SW, et al. A Case Study of Dysgeusia in a Patient with an Acute Thalamic Infarction Treated with Korean Medicine. J Int Korean Med. 2017;38(2):226-34. https://doi.org/10.22246/jikm.2017.38.2.226
  6. Woo SJ, Baek KM, Jang WS. A Case Report of a Thalamus, Midbrain, and Cerebellum Infarction Patient Suffering from Blepharoptosis and Ocular Motility Disorders Treated by Korean Medicine. J Int Korean Med 2018;39(2):201-8. https://doi.org/10.22246/jikm.2018.39.2.201
  7. Yanagihara N. Grading of facial palsy. In: Fisch U, ed. Facial nerve surgery. Proceedings: Third International Symposium on Facial Nerve Surgery. Zurich: 1976. Kugler Medical Publications, Amstelveen, The Netherlands: Aesculapius Publishing Co., Birmingham, AL; 1977, p. 533-6.
  8. Hwang DY. Bangyakhappyeon. Seoul: Youngrimsa; 2002, p. 184-5.
  9. Kim SY, Lee WC. The Effects of Sunghyangjunggi-san and Gwackhyangjunggi-san Extracts on Cerebral Ischemia Following the MCA Occlusion in Rat. J Korean Oriental Med 2001;22(4):142-50.
  10. Meridian and Acupoints Textbook Compilation Committee. Details of Meridians & Acupoints A guidebook for College Student. Daejeon: Jonglyeonamu; 2012, p. 412-668.
  11. Lee SH, Chio KH, Cho SJ, Choi SM, Hong KE, Ryu YH. EEG Changes due to Low-Frequency Electrical Stimulation to the BL62 and KI6 of Elderly Women. Korean J Acupunct 2013;30(2):135-42. https://doi.org/10.14406/acu.2013.30.2.135
  12. Korean Medical College Society Textbook Compilation Committee. Herbal medicine. Seuol: Younglimsa; 2011, p. 156, 161, 171, 208, 218, 333, 335-6, 345, 389, 395, 407, 411-3, 458, 485, 487, 497, 579, 584, 586, 630.