• 제목/요약/키워드: Cerebellar infarction

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A Case Study of a Patient with a Cerebellar Infarction, Dizziness, and Ataxia Who Was Treated with Traditional Korean Medicine (어지러움 및 보행실조를 주소로 하는 소뇌경색 환자 한의 증례보고 1례)

  • Cho, Yoon-young;Shin, Ji-hye;Baik, Tai-hyeun;Park, Hae-mo;Sun, Seung-ho
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.270-275
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    • 2017
  • Objective: We describe the case of a patient with a cerebellar infarction, with dizziness and ataxia who was treated with traditional Korean medicine. Methods: The patient was treated with the herbal medicine Jaeumgeonbi-tang. Acupuncture and moxibustion therapy were also administered on a daily basis. Dizziness was evaluated using the Numeric Rating Scale, and spontaneous movement was observed daily. Results: After the administration of Jaeumgeonbi-tang, the patient's dizziness and ataxia improved. Conclusion: This case shows that traditional Korean medicine appears to be effective in improving side effects of a cerebellar infarction.

Emergent Endovascular Embolization for Iatrogenic Vertebral Artery Injury during Cervical Discectomy and Fusion

  • Jung, Hyeun-Jin;Kim, Dong-Min;Kim, Seok-Won;Lee, Sung-Myung
    • Journal of Korean Neurosurgical Society
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    • v.50 no.6
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    • pp.520-522
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    • 2011
  • Injury to the vertebral artery during anterior cervical discectomy is rare but potentially fatal. We report a case of cerebellar infarction after endovascular embolization for iatrogenic vertebral artery injury at C5-C6 during an anterior cervical discectomy and fusion. A 61-year-old man had an intraoperative injury of the right vertebral artery that occurred during anterior cervical discectomy and fusion at C5-C6. Hemorrhage was not controlled successfully by packing with surgical hemostatic agents. While the patient was still intubated, an emergency angiogram was performed. The patient underwent endovascular occlusion of the right V2 segment with coils. After the procedure, his course was uneventful and he did not show any neurologic deficits. Brain computed tomographic scans taken 3 days after the operation revealed a right cerebellar infarction. Anti-coagulation medication was administered, and at 3-month follow-up examination, he had no neurologic sequelae in spite of the cerebellar infarction.

Three Cases of Cerebellar Infarction Patients with Dizziness and Ataxia who were Evaluated using the Equilibrium Function Test (균형기능검사를 활용한 현훈과 운동실조 주소의 소뇌경색 환자 치험 3례)

  • Choi, Jae-Song;Lee, Joo-Yong;Bae, Na-Young;Ahn, Teak-Won
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.4
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    • pp.113-123
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    • 2010
  • 1. Objectives This study is about three cerebellar infarction patients with dizziness and ataxia. In this study, we evaluated the effects of Sasang constitutional treatment and suggested using the 'Equilibrium Function Test' as scale. 2. Methods These three patients were treated by Sasang constitutional herbal medications based on "Donguisusebowon". Acupuncture & moxa therapy and west medications were limited as much as possible. We evaluated the symptoms through two methods, the Visual Analogue Scale and the Equilibrium Function Test. 3. Results and Conclusions Dizziness and ataxia that were these three patients' chief complaints were improved. This case study shows that Sasang constitutional herbal medications are an effective treatment for cerebellar infarction patients.

Peripheral Facial Palsy due to Cerebellar Artery Infarction is Improved by Korean Medical Treatment: A Case Report (소뇌동맥 경색으로 발생한 말초성 안면마비 환자에 대한 한방통합치료 증례보고)

  • Park, Mu-jin;Jin, So-ri;Oh, Eun-jae;Oh, Joo-hee;Song, Woo-sub;Lee, Hyun-seok;Woo, Jae-hyuk;Hwang, Kyu-hyun;Bae, Gun-hee;Yun, Yeong-chan
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.122-129
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    • 2022
  • Objective: This study investigates the efficacy of Korean medical treatment for a patient with peripheral facial palsy caused by cerebellar artery infarction. Methods: A 45-year-old male patient with right facial palsy and left side numbness from cerebellar artery infarction was treated with herbal medicine (ligigeopoongsan), acupuncture, pharmacopuncture, and cupping therapy for 37 days. The effects were evaluated using the House-Brackmann (H-B) and Yanagihara's unweighted grading systems. Results: Following treatment, the patient's H-B grade decreased and Yanagihara score improved. Conclusion: Korean medical treatment improved peripheral facial palsy in a patient with cerebellar artery infarction.

The Two Case Reports of Taeumin with Central Dizziness and Cerebellar Ataxia (중추성 현훈과 소뇌성 보행실조를 주소로 한 태음인 환자 치험2례)

  • Sun, Seung-Ho;Lee, Jae-Eun;Han, Dong-Youn;Lee, Seong-Woo;Lee, Seon-Lan;Ko, Seong-Gyu
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.335-343
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    • 2004
  • The two case reports here presented are based on an inpatient with lateral medullary infarction, known as Wallenberg's syndrome with chief complains of central dizziness and cerebellar ataxia, and an inpatient with infarctions of cerebellar, pontine, and lacunar thalamic region. QSCCII was performed while the patient was hospitalized and, by consultation with the Dept. of Sasang Constitutional Medicine, the patient was diagnosed with Taeumin. Thus, an oriental medical therapy of Cheongsimyeonjatang, acupuncture, and moxibustion was carried out. As a result the degree of dizziness decreased noticeably while other symptoms improved as well. Before leaving the hospital, the degree of cerebellar ataxia also improved and the patient was able to go on foot by himself. In conclusion, significant improvements were observed in cerebellar and a pontine infarction patients who suffered central dizziness and cerebellar ataxia through Sasang medical therapy.

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Clinical Study of Stroke Type (뇌졸중(腦卒中) 환자(患者) 형태(形態)에 관(關)한 임상연구(臨床硏究))

  • Youn, Hyoun-min;Ahn, Chang-beohm;Song, Choon-ho;Son, In-seok;Jang, Kyung-jeon
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.29-41
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    • 2003
  • Clinical observation was made on 52 cases of Stroke that were confined through brain CT, MRI scan. The Stroke cases wee classified into the following kinds cerebral infarction, cerebral hemorrhage, cerebellar or brain stem infarction, cerebellar or brain stem hemorrhage. And among the 52 cases of Stroke cerebral infarction was noticed in 75.00%, cerebral hemorrhage in 11.54%, cerebellar or brain stem infarction in 9.52%, cerebellar or brain stem hemorrhage in 3.85%. The ratio between males and females was 1.74:1 in the whole groups of Stroke and most cases were over 60 of age. As the time of hospitalization, most patients hospitalized from 1 day after stroke to 7 days after stroke. And as the course of hospitalization, most patients hospitalized first. Among the preceding disease at the onset of Stroke hypertention was noted in 32.69%, and deabetes mellitus or heart problem was noted frequently(15.39%). Electrocardiography findings were as follows: The normal was noted in 53.85%, the abnormal in 46.15%. And as the abnormal, left ventricular hypertrophy was noted in 17.54%. The predisposing factors or conditions at the onset of brain infarction were usually initiated during the time of sleeping and those of brain hemorrhage chiefly during the time of exercising like overwork or walking etc. It was noted that smoking a pack of cigarette showed highest disease rate(33.33%) among the average of smoking amount of one day in case of man. Prior to attack, the most chiefly complain was dyspnea or discomfort on chest region. And 30.70% of patients had no previous sign. There were a large number of recurrent cases. The first attack was noted in 71.15%, the 2nd attack in 23.08%, the 3rd attack in 5.77%.

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A Case of Dizziness Patient diagnosed as Cerebellar infarction and treated with Qingyanligetang(淸咽利膈湯) (소뇌경색(小腦梗塞)으로 인한 중추성(中樞性) 현운환자(眩暈患者)의 치험(治驗) 1례(例))

  • Han, Gi-Sun;Lee, Won-Chul
    • The Journal of Dong Guk Oriental Medicine
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    • v.9
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    • pp.25-33
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    • 2000
  • Dizziness is one of the common symptoms in many patients. The disorders of the labyrinth, vestibular nerve, vestibular neclei, or their central connections are responsible for practically all vertigo. Most disorders of the central connections are the vascular diseases and tumors. This study is based on the clinical consideration of one patient who sufferd from the cerebellar infarction and the upper respiratory infection. The patient, 61 - year - old man was diagnosed as the cerebellar infarction has been troubled with dizziness, a headache, a sore throat, a cough etc. The symptoms are classed as the Sanchopungyeul.(上焦風熱) Pungdam(風痰), and we prescribed Qingyanligetang(淸咽利膈湯) for him and his symptoms took a tum for the better.

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A case study on Intention tremor of Cerebellar Infarction (소뇌경새(小腦硬塞) 환자(患者)의 기도진전(企圖振顫)에 대한 치험(治驗) 보고(報告))

  • Sung, Gang-Keyng
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.40-45
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    • 1994
  • A case study was done on 1 case of cerebellar infarction which was diagnosed with brain CT scan. the following conclusions were obtained: 1. Intention tremor was improved 10 days after administration of Youngyang gaksan. 2. Intention tremor was nearly disappeared 14 days administration of Young yanggaksan.

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A Case of Cerebellar Infarction Patient with Vertigo, Nausea, and Vomiting (현훈과 오심, 구토를 주소로 하는 소뇌경색 환자의 한의학적 치료 증례보고 1례)

  • Kim, Chan-young;Jung, Eun-sun;Cha, Ji-yun;Seol, In-chan;Kim, Yoon-sik;Jo, Hyun-kyung;Yoo, Ho-ryong
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.853-862
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    • 2018
  • Objectives: The aim of this study was to report on the Korean medicine treatment of a case of a cerebellar infarction patient suffering from vertigo, nausea, and vomiting. Methods: We applied herbal medicine (Yangjin-tang), acupuncture, and moxibustion to the patient, who was admitted to hospital for 51 days. Clinical symptoms were assessed with a numeral rating scale (NRS) and neurologic examination. Results: After treatment, the vertigo, nausea, and vomiting symptoms were improved, and the NRS showed improvement. Conclusions: This case shows that Korean medicine treatments are effective in relieving the symptoms of cerebellar infarction patients experiencing vertigo, nausea, and vomiting.

Change of gait pattern of a patient with ataxic gait by cerebellar infarction (소뇌 경색 환자의 임상양상에 따른 보행의 변화)

  • Hong, Haejin;Choi, Sanho;Lee, Ilsuk;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.31-39
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern according to the clinical status in a patient with ataxic gait by cerebellar infarction. ■ Methods We measured the spatiotemporal gait parameters of a patient with ataxic gait four times, in which, first, the patient was not able to walk independently, second, able to walk independently, third, unable to walk independently by general tremor, and, last, able to walk independently after disappearing of general tremor. ■ Results When a patient with cerebellar ataxic gait was able to walk independently and the cerebellar tremor was disappeared, the change of gait pattern was that step and stride length decreased and total double support and stance phase increased. ■ Conclusion When different clinical characteristics were improved, the change of gait showed same pattern.

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