• 제목/요약/키워드: 현훈(眩暈)

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A Case of Vertigo with Heterophoria and Nystagmus (안구편위와 진탕을 동반한 현훈 환자 1례)

  • Sim Sung-yong;Kim Kyung-tae;Um Yu-sik;Nam Hae-jeong;Kim Kyung-jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제17권2호
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    • pp.106-111
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    • 2004
  • Vertigo is a symptom, not a disease. The tenn vertigo refers to the sensation of spinning or whirling that occurs as a result of a disturbance in balance. It's sometimes referred to as a hallucination of motion. The cause of vertigo is very various and generally divided into peripheral and central. A patient presented with severe vertigo, nystagmus and heteophoria. She has taken the BanHaBaekChulChunMa-tang and treated by acupuncture. After 2 days, her symptoms become disappeared and about 1 week, all symptoms except heterophoria were disapperaed. And after 2 weeks, heterophoria was disappeared. In conclusion, we diagnosed her case as vestbular neuronitis by her clinical course, but we also considered her illness as vertebrobasilar insufficiency, TIA etc.

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Review of Vertigo (현훈에 관한 고찰)

  • Kim Seong-Hak;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.26-31
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    • 2002
  • Appeal that when treat patient in physical therapy room, several disease person plains are dizzy. When we understand background and cause about there and treat, there may be qualitative growth of physical therapy. In field of otology Physical therapy in case receive request up to now rare misgovernment be. This treatise Introduced contents about vertigo that is not introduced in physical therapy learned society up to now Desire that examination method or rehabilitation exercise therapy of vertigo is magnified by physical therapy area, and this treatise that become smallish help in physical therapy room to patient who appeal vertigo symptoms.

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Posttraumatic Peripheral Vertigo (외상 후 말초성현훈)

  • Yoon, Soyeon;Kim, Mi Joo;Kim, Minbum
    • Research in Vestibular Science
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    • 제17권4호
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    • pp.125-129
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    • 2018
  • Posttraumatic vertigo can be defined as the vertiginous disorder occurred after head and neck trauma without other pre-existing vestibular disorder. Central, peripheral, and combined deficits might cause this condition. Especially, various peripheral vestibulopathies are possible causes of posttraumatic vertigo; benign paroxysmal positional vertigo, temporal bone fracture, perilymphatic fistula, labyrinthine concussion, posttraumatic hydrops, and cervical vertigo. Since the differential diagnosis of the posttraumatic vertigo is often difficult, it is essential to acquire knowledge of their pathophysiology and clinical features. In this review, peripheral vestibulopathy as the possible causes of posttraumatic vertigo were described according to the current literature.

A clinical review of Benign Paroxysmal Positional Vertigo Patient-1 case (양성 발작성 체위성 현훈 환자 치험 1례)

  • Kim, Seong-beom;Sim, Sung-yong;Kim, Kyung-jun;Nam, Hye-jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제16권1호
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    • pp.214-219
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    • 2003
  • Vertigo is one of the common symptoms that we can see often clinically. It is hallucination to motion of oneself or surroundings. Vertigo include not only simple whirling sensation but also leaning or falling down sensation. Particularly in benign paroxysmal positional vertigo(BPPV), the principal symptom is dizziness and accompanied by nausea, lightheadness, vomiting. They are induced by positional change which like shake ones head or lay down or turn over in one' s sleep. Cause of BPPV is otoconium fragments which are released from inner ear and stimulate ampulla of semicircular canal. So in treatment BPPV, we often using the Dix-hallpike maneuver that realignment otoconium fragments. A case of vertigo patient suggested BPPV who is diagnosed oriental medically as weakly dizziness showed prominent improvement by medicate Bojungikgi-tang and operate otoconium-realignmentation (improved Dix-hallpike maneuver) maneuver so we reported.

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Pitfalls in the Diagnosis of Vertigo (현훈 진단에 있어 함정)

  • Kim, Hyun Ah;Lee, Hyung
    • Journal of the Korean neurological association
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    • 제36권4호
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    • pp.280-288
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    • 2018
  • Vertigo/dizziness is a common complaint in patients who are seeking a primary health clinic. Vertigo is traditionally attributed to damage of the vestibular system. Many peripheral and central vestibular disorders are usually presented with vertigo. However, patients with benign paroxysmal positional vertigo (BPPV), a leading cause of vertigo, may present with postural lightheadedness, near faint, imbalance rather than true vertigo. On the contrary, patients with orthostatic hypotension may present with true spinning vertigo, not dizziness. Persistent postural perceptual dizziness, a second most common cause of dizziness (after BPPV), is mainly occurred after organic vestibular disorders such as BPPV or vestibular neuritis, and classified as a chronic functional vestibular disorder. This article describes non-vestibular disorders presenting dizziness and/or vertigos, which conditions may be misdiagnosed as structural vestibular disorders.

A Case Report of Benign Paroxysmal Positional Vertigo treated by Baekho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 백호탕(白虎湯) 투여 후 호전된 양성 돌발성 체위성 현훈 증례 1례)

  • Park, Seo-yeon
    • 대한상한금궤의학회지
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    • 제12권1호
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    • pp.199-209
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    • 2020
  • Objective: The purpose of this paper is to report the improvement in a patient with benign paroxysmal positional vertigo (BPPV) treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system. Methods: According to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions,'the patient was diagnosed with Guorem-byung number 350 provision, and took Baekho-tang herbal medication for 15 days. The result of administration was evaluated using the Dizziness Handicap Inventory (DHI) and the Visual Analog Scale (VAS). Results: After administration of Baekho-tang for 15 days, based on the 350 provision of Baekho-tang diagnosed according to the Shanghanlun provisions, the DHI score decreased from 74 to 16 and the VAS score decreased from 10 to 1. Conclusions: The patient recovered from symptoms of BPPV. This case report suggests that the words '滑,''厥,''裏'on the 350 provision of Shanghanlun mean physical and psychological causes of BPPV in this case.

Clinical Characteristics of Patients with Tinnitus accompanied Vertigo (현훈을 동반한 이명 환자들의 임상적 특성)

  • Kyung-Jun Kim
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제37권2호
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    • pp.27-36
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    • 2024
  • Objectives : This study is to find out clinical characteristics of patients with Tinnitus and Vertigo. Methods : 28 patients were recruited in this study who were ill with tinnitus accompanied vertigo. They told me the aspects of tinnitus and wrote out the Tinnitus Handicap Inventory(THI). Also, they were divided into central and peripheral vertigo. Through symptoms of tinnitus and vertigo, the discrimination of Heo-sil(虛實) was based on the specific aspect of tinnitus along with Zhuang fu bian zheng(臟腑辨證). Results : In tinnitus, high-narrow tone group is more than low-wide tone group and the rate of Heo symptom(虛證) group is higher than Sil symptom(實證) group. In vertigo, the rate of peripheral group is higher than central group. Conclusions : It is expected that this survey will help patients with both tinnitus and vertigo in their treatment progress and prognostic judgment.

A clinical study of two patients on vertigo with Banhabaekchulcheonma-tang gamibang (반하백출천마탕가미방(半夏白朮天麻湯加味方)을 이용한 현훈(眩暈) 치험2례(例))

  • Koo, Jin Suk;Kim, Bong Hyun;Seo, Bu Il
    • The Korea Journal of Herbology
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    • 제30권5호
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    • pp.1-6
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    • 2015
  • Objectives : Vertigo is a sensation of spinning while stationary. It is commonly associated with nausea or vomiting, unsteadiness (postural instability), falls. It can affect a person's thoughts and life style. Recurrent episodes in those with vertigo are common and frequently impair the quality of life. The purpose of this study was to report the clinical effects of herbal medicine on vertigo.Methods : We employed oriental medical treatments; herbal-medication (Banhabaekchulcheonma-tang gamibang), acupuncture and moxibustion. At the same time, the blood cupping therapy in the neck area was applied. We treated the patients two or three times a week with oriental therapy methods. They took medicine three times a day after a meal. During taking medicine, we let the patients avoid fatty food, flour based food, and alcohol. We determined the course of treatment with visual analogue scale (VAS). We let them respond to a VAS item between 0 and 10 point continuously. The symptoms that we evaluated were vertigo, headache, chest discomfort, nausea and vomiting.Results : After taking treatment - acupuncture and moxibustion during some period and taking herbal-medicine, the VAS scale was gradually getting decreased. Generally the symptom of vomitting and nausea was eased at first, and then the symptom of chest discomfort, headache, vertigo was relieved.Conclusions : Banhabaekchulcheonma-tang gamibang was effective in the treatment of vertigo and its related symptoms, headache, chest discomfort, nausea and vomiting.

A case report of Cardiac chest pain with dizziness and headache treated by Oriental Medicine (현훈(眩暈), 두통(頭痛)을 동반한 심장성(心臟性) 흉통(胸痛) 환자 1례의 한방치료에 의한 증례보고)

  • Koh, Young-Tak;Yoo, Yeoung-Eun;Shim, Sang-Min;Chung, Young-Hoon;Lee, Ki-Ha;Kim, Ki-Joo;Han, Eul-Joo
    • Journal of Oriental Neuropsychiatry
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    • 제18권3호
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    • pp.309-319
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    • 2007
  • Chest pain is classified into two major categories of cardiac chest pain and non-cardiac chest pain. Cardiac chest pain is caused by cardiovascular disease, for example, myocardial infarction, angina pectoris, valvular heart disease, cardiac enlargement or hypertrophy, dissecting aortic aneurysm, pericarditis, myocarditis, etc. When the chest pain is not attributed to heart disease, it is termed non-cardiac chest pain. Non-cardiac chest pain is caused by pulmonary, gastrointestinal, musculoskeletal disease, psychiatric factor, etc. In tills case, we treated a 54-year old female patient who was diagnosed with dilated cardiomyopathy and suspicious sick sinus syndrome. She complained of chest pain, exertional dyspnea, dizziness and headache. For treatment, we made use of Yugultangami(六鬱湯加味) and Daejobwan(大造丸). Before and after treatment, we measured Heart rate variability(HRV). In result, the clinical symptoms were improved and there was a significant increase in assessmeut by Heart rate variability(HRV). Tills result suggests that Yugultaugami aud Daejowhan have a good effect on cardiac chest pain.

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Clinical Analysis on the Positional Vertigo Patients treated in an Oriental Medical Center (한방병원에 입원한 두위 현훈 환자의 임상 분석)

  • Kim, Tae-Yeon;Kim, Gi-Tae;Go, Heung
    • The Journal of Internal Korean Medicine
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    • 제32권3호
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    • pp.371-386
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    • 2011
  • Background : Vertigo is a very common complaint in clinical practice. The number of patients who complain of vertigo has been increasing due to rapid growth of the elderly population. This study was designed to review the clinical features and success of oriental medical treatment of positional vertigo. Methods : This observation was made on 70 subjects diagnosed with positional vertigo. They were hospitalized in the Semyung University Oriental Medicine Hospital. Results : The results were as follows 1. Female patients (82.9%) were more than male patients. The most common age group was 8th decade and the patients rapidly increased after the 5th decade of age. 2. The most common past history of positional vertigo was hypertension, the second was cerebral infarction, and the third was hyperlipidemia. 3. In the oriental medicine diagnosis, phlegm-dampness syndrome (痰濕交阻 眩暈) was the most common disease (92.9%), and in western medicine, BPPV was the most (82.9%). 4. In herbal medication, Banhabaekchulchunma-tang gami (45.7%) was the most commonly used, the second being Taeksa-tang (30%). 5. The vertigo score of 94.3% patients improved and none got worse. 6. In general characteristics, men over 64 years improved best. Past history had no effect on the improvement of vertigo. 7. The sooner patients visited hospital after onset, the shorter hospitalization time was. Conclusions : Vertigo attacks patients well in advanced age, with various causative diseases. Oriental medical treatments have considerable effects on positional vertigo, especially treated with Banhabaekchulchunma-tang gami and Taeksa-tang.