• 제목/요약/키워드: Abducent nerve palsy

검색결과 4건 처리시간 0.021초

편두통을 동반한 재발성 외전신경마비 사시환자 1례 (A Case of Strabismus of Recurrent Abducent Nerve Palsy with Migraine)

  • 조재훈;김윤범;채병윤
    • 한방안이비인후피부과학회지
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    • 제14권2호
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    • pp.112-117
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    • 2001
  • Authors experienced one case of the strabismus of recurrent abducent nerve palsy with migraine, which was estimated from Brain MRA images to be induced by the sclerotic changes of internal carotid artery in carvernous portion. Headache, double vision, vertigo and corneal reflex improved under the treatment of acupuncture and herbal medicine(J eongyongtang-gagambang).

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우안 외전신경마비 회복 후 동측 동안신경마비가 발생한 환자 치험 1례 (A Case of Occurred Oculomotor Nerve Palsy On the Same Side after Recovery of Abducent Nerve Palsy at Right Eye)

  • 김진명;남혜정
    • 한방안이비인후피부과학회지
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    • 제22권2호
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    • pp.238-250
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    • 2009
  • Recurrence of peripheral nerve palsy is unusual, specially in eye. So there's seldom report about recurrent peripheral nerve palsy in eye. We treated a patient who had consecutive oculomotor nerve palsy after recovery of abducent nerve palsy at right eye. The patient visited our clinic for abducent nerve palsy. When he was hospitalized, ophthalmalgia was VAS 4 but it disappeared when he discharged on 21th of June. Although there was, in the case of abduction of eye, no noticeable change during the hospitalization, it was healed after he received outpatient service twice a week until Nov. 3rd. Oculomotor nerve palsy appeared on 24th of November, 2008 and the patient was hospitalized on Nov. 26th. At that time ophthalmalgia was VAS 4, but disappeared when he discharged. When he entered hospital, the length between upper & lower eyelid and MRD 1 were all 0mm. However, when he discharged, the length between upper & lower eyelid was 11mm, and MRD 1, 4mm which were the same lengths as those of the normal left eye. In the case of eye movement, the motion of supraduction, infraduction, and adduction was entirely inhibited when the patient was hospitalized. By the time of discharge, the inhibition of infraduction was recovered after that of adduction, but the inhibition of supraduction was not recovered. This is a very rare case of peripheral nerve palsy, nevertheless he recovered complete twice by acupuncture and herb medicine therapy.

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마비성 사시환자 1례 (One Case of Paralytic Strabismus)

  • 이규진;김혜정
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.120-125
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    • 2004
  • Strabismus is a misalignment of eye, and which devided paralytic and non-paralytic strabismus. Paralytic strabismus is generally a neurological problem, especially 3rd, 4th or 6th nerve. The abducent nerve was most common affected. Paralytic strabismus are treated based on the theory of Oriental medicine with herbal medicine bal-san(發散) and gue-pung(祛風) effects and acupuncture around the eyes and etc. Authors experienced one case of the strabismus of abducent nerve palsy, 35-year-old male, showed disorder abduction of Lt. eye, diplopia and dizziness. Disorder abduction of Lt. eye, diplopia and dizziness and cervical pain improved under the treatment of acupuncture and herbal medicine Thus further clinical study and treatment principle should be made to raise the recovery rate for paralytic strabismus and it's effectiveness of Oriental medical treatment should be informed.

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단안 외전신경마비를 보이는 뇌경색 환자 치험 1례 (A Case of Monocular Abducens Nerve Palsy in a Patient with Pontine Infarction)

  • 이형민;김정화;양승보;신희연;조승연;박정미;고창남;박성욱
    • 대한중풍순환신경학회지
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    • 제18권1호
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    • pp.67-75
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    • 2017
  • ■ Objective This is a case report about monocular abducens nerve palsy in a patient with pontine infarction. ■ Method At the time of onset, the patient had eye movement impairment in right eye and diplopia. Brain MRI image showed that there was an infarction in the right pons where the nucleus of abducens nerve is located. There was no obvious improvement in the eye movement before he received Korean medicine treatment. He recieved Korean medicine including acupuncture, electroacupuncture, pharmacoacupuncture and herb medicines for fifty three days. ■ Result After treatment, the movement of right eye was improved to a normal range. The difference in distance from 'center of the pupil' to 'external canthus of the eye' at maximum abducent in both eye changed 0.9cm to 0.1cm at the discharge. In addition, Diplopia was improved at the discharge. ■ Conclusion This case report demonstrated that the Korean medicine treatment is effective to diplopia and eye movement impairment from abducens nerve palsy caused by pontine infarction.

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