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Korean Medicine Treatment with Scalp Acupuncture for Diplopia and Lateropulsion in a Patient with Lateral Medullary Infarction: A Case Report

두침요법을 병행한 복합한의치료로 호전된 복시 및 가쪽쏠림보행을 동반한 외측연수경색환자에 대한 증례보고 1례

  • Yeong-Sang Kim (Department of Rehabilitation Medicine of Korean Medicine, Se-Myung University Chungju Korean Medicine Hospital) ;
  • Hyeonjun Woo (Department of Rehabilitation Medicine of Korean Medicine, Se-Myung University Chungju Korean Medicine Hospital) ;
  • Jin-Ah Oh (Department of Sasang Constitutional Medicine, Se-Myung University Chungju Korean Medicine Hospital) ;
  • Su-Hyeon Jeong (Department of Rehabilitation Medicine of Korean Medicine, Se-Myung University Chungju Korean Medicine Hospital)
  • 김영상 (세명대학교 부속 충주한방병원 한방재활의학과) ;
  • 우현준 (세명대학교 부속 충주한방병원 한방재활의학과) ;
  • 오진아 (세명대학교 부속 충주한방병원 사상체질과) ;
  • 정수현 (세명대학교 부속 충주한방병원 한방재활의학과)
  • Received : 2024.07.15
  • Accepted : 2024.08.23
  • Published : 2024.09.01

Abstract

Background: This case study aimed to report the efficacy of scalp acupuncture in a patient with diplopia or lateropulsion and lateral medullary infarction. Case report: A 41-year-old woman with lateral medullary infarctions presented with symptoms of left-sided diplopia, left lateropulsion, headache, dizziness, and right-sided dysesthesia for 8 months. She received daily Korean medicine treatments, including scalp acupuncture. During the treatment period, various assessments were conducted, including the symptom score, visual analog scale (VAS), diplopia questionnaire (DQ), eyeball movement, dizziness handicap inventory (DHI), Korean version of the berg balance scale (K-BBS), activities-specific balance confidence scale (ABC), vestibular disorders activities of daily living scale (VADL), and the EuroQol five-dimension index (EQ-5D index). The patient's symptom score, VAS, DQ, DHI, and VADL scores decreased, while K-BBS, ABC, and EQ-5D scores increased. Additionally, eyeball movements improved after Korean medicine treatment including scalp acupuncture. Conclusions: The observed improvements suggest that Korean medicine treatment including scalp acupuncture can effectively alleviate diplopia and lateropulsion in patients with lateral medullary infarction.

Keywords

References

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