The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Korean Medicine Treatment for a Patient with Ramsay Hunt Syndrome with Multiple Cranial Nerve Palsy Accompanied by Dizziness and Nausea

어지럼증 및 오심을 호소하는 다발성 뇌신경마비 동반 람세이 헌트 증후군 환자 한의 치험 1례

  • Kyeong-hwa Heo (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Dong-joo Kim (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hye-min Heo (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Seong-eun Huh (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Jung-mi Park (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chang-nam Ko (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong-uk Park (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seung-yeon Cho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 허경화 (경희대학교 대학원 임상한의학과) ;
  • 김동주 (경희대학교 대학원 임상한의학과) ;
  • 허혜민 (경희대학교한방병원 순환.신경내과) ;
  • 허성은 (경희대학교한방병원 순환.신경내과) ;
  • 박정미 (경희대학교 대학원 임상한의학과) ;
  • 고창남 (경희대학교 대학원 임상한의학과) ;
  • 박성욱 (경희대학교 대학원 임상한의학과) ;
  • 조승연 (경희대학교 대학원 임상한의학과)
  • Received : 2024.09.13
  • Accepted : 2024.10.29
  • Published : 2024.10.30
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Abstract

A 63-year-old female diagnosed with Ramsay Hunt syndrome with multiple cranial nerve palsy, presenting with severe dizziness and nausea, was treated using Korean medicine, including herbal medicine (Geopung-tang and Gyejibanhasaenggang-tang), acupuncture, pharmacopuncture, electroacupuncture, and moxibustion. The patient underwent a 58-day course of treatment during hospitalization, and the effects were evaluated using the Korean dizziness handicap inventory, the index of nausea, vomiting, and retching, the gastrointestinal symptom rating scale, and the numeric rating scale for dizziness and nausea. Vestibular function was assessed using the video head impulse test. After treatment, the patient showed significant improvement in dizziness, nausea, and her overall health condition. This case suggests that Korean medicine may offer an effective treatment for persistent dizziness and nausea in patients with Ramsay Hunt syndrome, particularly when conventional treatments are insufficient.

Keywords

References

  1. Park SY. Herpes Zoster Oticus. Korean J Otolaryngol-Head Neck Surg 2014;57(2):78-83.
  2. Lee SH, Lee JK, Kwon HJ, Jin SM. Herpes zoster oticus with multiple cranial nerve involvement: 2 cases. Korean J Otorhinolaryngol-Head Neck Surg 2007;50(7):635-8.
  3. Burke BL, Steele RW, Beard OW, Wood JS, Cain TD, Marmer DJ. Immune responses to varicella-zoster in the aged. Arch Intern Med 1982;142(2):291-3.
  4. Kuo MJ, Drago PC, Proops DW, Chavda SV. Early diagnosis and treatment of Ramsay Hunt syndrome: the role of magnetic resonance imaging. J Laryngol Otol 1995;109(8):777-80.
  5. Uscategui T, Doree C, Chamberlain IJ, Burton MJ. Corticosteroids as an adjuvant to antiviral treatment in Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults. Cochrane Database of Systematic Reviews 2008;3:CD006852. DOI: 10.1002/14651858. CD006852.pub2.
  6. Tan R, Yang X, Tang X, Ma W, He L. The efficacy and safety of acupuncture for Ramsay Hunt syndrome: A protocol for systematic review. Medicine (Baltimore) 2020 Mar;99(12):e19582.
  7. Han GC, Lee EJ, Lee JH, Park SN, Jeon EJ, Lee H, et al. The study of standardization for a Korean adaptation of self-report measures of dizziness. J Korean Bal Soc 2004;3(2):307-25.
  8. Kim YJ, Kim JY, Choi IR, Kim MW, Rhodes V. The index of nausea, vomiting, and retching. J Korean Acad Adult Nurs 2000;12(2):278-85.
  9. Kwon SS, Jung HK, Hong JH, Park HS. Diagnostic validity of the Korean gastrointestinal symptom rating scale (KGSRS) in the assessment of gastro-esophageal reflux disease. Ewha Med J 2008;31(2):73-80.
  10. Yang CJ, Park HJ. Video Head Impulse Test. J Clinical Otolaryngol 2017;28(1):29-35.
  11. Kim YJ, Kim YJ, Jung SH, Park BG. A Case of Ramsay Hunt Syndrome Involving Multiple Cranial Nerves and Delayed Onset Facial Palsy. J Clin Otolaryngol 2015;26(1):81-6.
  12. Lapresle J, Lasjaunias P. Cranial nerve ischemic arterial syndromes. A review. Brain 1986;109(1):207-16.
  13. Kim YH, Choi IJ, Kim HM, Ban JH, Cho CH, Ahn JH. Bilateral simultaneous facial nerve palsy: clinical analysis in seven cases. Otol Neurotol 2008;29(3):397-400.
  14. Murakami S, Hato N, Horiuchi J, Honda N, Gyo K, Yanagihara N. Treatment of Ramsay Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment. Ann Neurol 1997;41(3):353-7.
  15. Hwang MW, Park HS, Lee EJ. Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine: Greater Yin Symptomatology. J Sasang Constitut Med 2014;26(1):45-54.
  16. The Whole Korean Medicine Bonchohak Professor Coedition. Bonchohak. Seoul: Younglimsa; 1992, p. 125-6, 136-7.
  17. Kang BS, Go WC, Kim SH, No SH, Park YG, Seo BI, et al. Herbal Medicine. 4th ed. Seoul: YoungRimSa; 1988, p. 136-7.
  18. Taguchi Y, Takashima S, Tanaka K. Pramipexole-induced dropped head syndrome in Parkinson's disease. Intern Med 2008;47(22):2011-2.
  19. Schroder L, von Werder D, Ramaioli C, Wachtler T, Henningsen P, Glasauer S, et al. Unstable gaze in functional dizziness: a contribution to understanding the pathophysiology of functional disorders. Front Neurosci 2021;15:685590.
  20. Yang MS, Jong KS, CHoi JB. Current Research Trend on Acupuncture Treatment for Nerve Regeneration and Recovery: Based on the Data of PubMed. Korean J Acupunct 2014;31(4):147-57.
  21. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther 2008;13(1):2-11.
  22. Kim DJ, Heo KH, Lee KH, Lee HJ, Cho SY, Park JM, et al. A case of chronic Meniere's disease improved by Korean medicine treatment including pharmacoacupuncture of cervical and temporomandibular area: A case report. J Korean Med 2023;44(3):150-62.
  23. Ku JS, Jung C, Hwang JH. Toxicological study of su-eohyeol pharmacopuncture in an in vivo micronucleus test in sprague-dawley rats. Korean J Acupunct 2022;39(2):54-62.