한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제31권4호
  • /
  • Pages.193-201
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  • 2021
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  • 1229-1854(pISSN)
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  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
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가쪽쏠림보행을 동반한 외측 연수경색 환자의 두침요법을 병행한 한의치료: 증례보고

A Case Report of a Patient with Lateropulsion in Lateral Medullary Infarction Improved by Korean Medicine Treatment Including Scalp Acupuncture

  • 현재철 (세명대학교 한의과대학 한방재활의학교실) ;
  • 정수현 (세명대학교 한의과대학 한방재활의학교실)
  • Hyun, Jae-Cheol (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Se-Myung University) ;
  • Jeong, Su-Hyeon (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Se-Myung University)
  • 투고 : 2021.09.13
  • 심사 : 2021.09.28
  • 발행 : 2021.10.31
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초록

The aim of this study was to report the effect of Korean medicine treatment with scalp acupuncture of patient with lateropulsion, dizziness, headache caused by lateral medullary infarction. We treated the patient with scalp acupuncture, acupuncture, herbal medicine. Numeric rating scale (NRS), Korean version of berg balance scale (K-BBS), gait balance evaluation, dizziness handicap inventory (DHI), activities-specific balance confidence scale (ABC) and vestibular disorders activities of daily living scale (VADL) were used to evaluate symptoms. NRS of Lateropulsion, dizziness, headache were decreased. K-BBS score increased from 4 to 56, and in the gait balance evaluation, it returned to normal. DHI, VADL score were decreased and ABC score increased from 0 to 1,300. This case report shows that Korean medicine treatment with scalp acupuncture can be effective in lateral medullary infarction. However, further controlled studies are needed to confirm the effect of scalp acupuncture on such patients.

키워드

참고문헌

  1. Currier RD, Giles CL, Westerberg MR. The prognosis of some brain stem vascular syndromes. Neurology. 1958;8:664-8. https://doi.org/10.1212/WNL.8.9.664
  2. Netter FH. The CIBA collection of medical illustrations. West Caldwell, NJ:CIBA. 1986:63.
  3. Kim JS. Pure lateral medullary infarction: clinical-radiological correlation of 130 acute, consecutive patients. Brain. 2003;126:1864-72. https://doi.org/10.1093/brain/awg169
  4. Salerno A, Cotter BV, Winters ME. The use of tissue plasminogen activator in the treatment of Wallenberg syndrome caused by vertebral artery dissection. J Emerg Med. 2017;52(5):738-40. https://doi.org/10.1016/j.jemermed.2017.01.025
  5. Caplan LR, Pessin MS, Scott RM, Yarnell P. Poor outcome after lateral medullary infarcts. Neurology. 1986;36: 1510-3. https://doi.org/10.1212/WNL.36.11.1510
  6. Department of Simgye Internal Medicine in National Universities of Korean Medicine. Cardiology, neurology of Korean medicine I. 4th ed. Seoul:Goonja. 2013:388-415.
  7. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. Acupuncture medicine. Seoul:Hanmibook. 2020:255-64.
  8. Kang AR, Woo JM, Lee MR, Kim SB, Cho KH, Moon SK, Jung WS. Two case studies of scalp acupuncture on post-stroke global aphasia patients. The Journal of Internal Korean Medicine. 2016;37(2):265-72.
  9. Kim JH, Park GC. A case report of central post-stroke pain patient treated with scalp acupuncture (MS6 and MS7) and usual treatment of Korean medicine. Journal of Acupuncture Research. 2014;31(3):57-65. https://doi.org/10.13045/acupunct.2014043
  10. Lee SS, Kim DW, Yook TH. One case treated subdural hematoma by scalp acupuncture therapy. The Journal of Korean Acupuncture & Moxibustion Society. 2001; 18(5):195-203.
  11. Jang SG, Kim YW, Kang JH, Kim JH, Yim YK, Lee H, Lee BR. A clinical report on 30 cases with H.I.V.D by scalp acupuncture. The Journal of Korean Acupuncture & Moxibustion Society. 2003;20(5):252-60.
  12. Heo J. Donguibogam. Seoul:Bupin publishes. 2009:573-6.
  13. Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada. 1989;41(6): 304-11. https://doi.org/10.3138/ptc.41.6.304
  14. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ, Lee H, Cheon BC, Kim JI, Gon EK, Koo JW, Ban JH, Sung KB, Choung YH, Lee WS, Kim BK, Kim KS. The study of standardization for a Korean adaptation of self-report measures of dizziness. J Korean Bal Soc. 2004;3(2):307-25.
  15. Nowak DA, Topka HR. The clinical variability of Wallenberg's syndrome. The anatomical correlate of ipsilateral axial lateropulsion. J Neurol. 2006;253:507-11. https://doi.org/10.1007/s00415-005-0982-x
  16. Lee H, Sohn CH. Axial lateropulsion as a sole manifestation of lateral medullary infarction: a clinical variant related to rostral-dorsolateral lesion. Neurol Res. 2002;24:773-4. https://doi.org/10.1179/016164102101200870
  17. Korean Neurological Association. Neurology. 2nd ed. Seoul:Beommun Education. 2012:87-97.
  18. Jeong HW, Lee GS, Yang GH. A comparative study of action mechanism on the cerebral hemodynamics by Cheonghunhwadam-tang and Cheonghunhwadam-tang adding gastrodiae rhizoma in rats. Journal of Physiology & Pathology in Korean Medicine. 2002;16(6):1127-33.
  19. Yang WJ. Yangweijiequanji 1. Seoul:Daesung Publishing Company. 2005:160-4.
  20. Nelles G, Contois KA, Valente SL, Higgins JL, Jacobs DH, Kaplan JD, Pessin MS. Recovery following lateral medullary infarction. Neurology. 1998;50(5):1418-22. https://doi.org/10.1212/WNL.50.5.1418
  21. Kang CH, Kim HJ, Kang JH, Kang SY, Lee JS, Song SK. Isolated axial lateropulsion in lateral medullary infarction. Journal of the Korean Neurological Association. 2014;32(4):314-6.