• Title/Summary/Keyword: Clinical neurology

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A Case Study of Korean Medicine Treatment in a Patient Complaining of Generalized Dystonia (전신성 근긴장이상을 호소하는 환자에 대한 한의 치료 1례)

  • Kyeong-hwa Lee;Hye-min Heo;Dong-joo Kim;Min-jae Kwak;Ye-chae Hwang;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.45 no.2
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    • pp.208-218
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    • 2024
  • We report a case of generalized dystonia that developed from oromandibular dystonia and improved following Korean medicine treatment. The patient was hospitalized for 18 days and treated with herbal medicine, mainly Hyeongbangsabaek-san and Soyangbowi-tang, acupuncture, electroacupuncture, pharmacopuncture, cupping, and moxibustion. To evaluate the clinical effects of the treatment, we used the Unified Dystonia Rating Scale (UDRS) and Global Dystonia Severity Rating Scale (GDS) and checked dyskinesia occurrence in a diary recorded by the patient's guardian. After 18 days of hospitalization, the UDRS for the trunk, upper extremities, and lower face improved by more than 50%, and the GDS for the whole region, except the larynx and lower face, also improved. In addition, the maximum duration of dystonia decreased from 6 hours to 3 hours, and the pain and numbness associated with dystonia disappeared. This case suggests that Korean medicine treatment is effective in treating generalized dystonia.

Establishment and Perspective of the Korean ALS Registry (한국 근위축성측삭경화증 등록체계의 구축과 향후 전망)

  • Sohn, Eun-Hee;Kim, Byung-Jo;Kim, Jong-Kuk;Bae, Jong-Seok;Baek, Won-Ki;Suh, Bum-Chun;Sung, Jung-Joon;Ahn, Suk-Won;Cho, Joong-Yang;Hong, Yoon-Ho;The Korean ALS/MND Research Group, The Korean ALS/MND Research Group
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.71-79
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    • 2011
  • Geographical differences in the incidence of amyotrophic lateral sclerosis (ALS) have been reported, and there are still many unresolved problems. The incidence as well as epidemiologic data of ALS is not known in Korea. Web-based multicenter registry of ALS, the Korean ALS registry, was established at January, 2011. The aim of "the Korean ALS registry" is the following: (1) to establish a database for the prospective collection of epidemiological information; (2) to assess the incidence and prevalence; (3) to find the temporal and geographic trends in the disease; (4) to define the full clinical spectrum of the disease; (5) to develop treatment guideline based on the database.

Myeloma-associated Amyloidosis Presenting as Orthostatic Intolerance (기립불능증으로 발현한 다발골수종과 연관된 아밀로이드증)

  • Jeong, Heejeong;Nam, Wonsik;Son, Seungnam;Kim, Soo-Kyung;Kang, Heeyoung;Choi, Nack-Cheon;Kwon, Oh-Young;Lim, ByeongHoon;Park, Ki-Jong
    • Annals of Clinical Neurophysiology
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    • v.17 no.1
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    • pp.24-27
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    • 2015
  • Amyloidosis is a systemic disorder associated with clonal plasma cell dyscrasia. Nephrotic syndrome, congestive heart failure, autonomic and peripheral neuropathy is often associated features in amyloidosis. Early diagnosis is most important because of different prognosis by stage. The diagnosis can be delayed since symptoms of amyloidosis may vary or nonspecific. We describe a patient of myeloma-associated amyloidosis, who showed orthostatic intolerance as the first symptom of the disease.

Primary Aldosteronism Presenting as Hypokalemia and Rhabdomyolysis (저칼륨혈증과 횡문근융해증으로 발현한 원발성 알도스테론증 1예)

  • Park, Kee Hong;Kim, Soo-Kyung;Cho, Eun Bin;Jeong, Heejeong;Choi, Nack-Cheon;Kwon, Oh-Young;Lim, Byeong Hoon;Hahm, Jong Ryeal;Park, Ki-Jong
    • Annals of Clinical Neurophysiology
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    • v.18 no.1
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    • pp.21-24
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    • 2016
  • Primary aldosteronism is one of the most common cause of secondary hypertension and can be accompanied with hypokalemia. Rhabdomyolysis with hypokalemia in primary aldosteronism has been rarely reported. We describe a patient of primary aldosteronism who presented with limb-girdle type weakness.

A Case Report of Korean Medical Treatment on a Left Pontine Hemorrhage with a Cavernous Malformation (해면상 혈관 기형에 병발한 뇌교 출혈로 인한 좌측 내사시 환자 치험 1례)

  • Yim, Tae-Bin;Jeon, Gyu-Ri;Lee, Hye-Jin;Lee, Kyeong-Hwa;Cho, Seung-Yeon;Park, Jung-Mi;Ko, Chang-Nam;Park, Seong-Uk
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.929-939
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    • 2022
  • This case report determines the effects of Korean medicine treatment on a pontine hemorrhage with a cavernous malformation. In this study, Korean medicine treatments, such as herbal medicine, acupuncture, electro-acupuncture, and moxibustion, were administered for 30 days. During the hospitalization period, evaluations were performed using the Scott and Kraft Scale, eye movement, 9-gaze photography, the House-Brackmann grading system, and Yanagihara's unweighted grading system on days 1, 12, and 30. The Scott and Kraft Scale increased from -4 to -2, while eye movement increased from 43.1% to 72.3%. The House-Brackmann grading system improved from 4 to 2, and Yanagihara's unweighted grading system increased from 13 to 31. We also discovered that the movement of the left eye was improved by 9-gaze photography. Our findings suggest that Korean medicine treatment has potential effects on esotropia and facial palsy caused by a pontine hemorrhage with a cavernous malformation.

Chronic recurrent trigeminal neuritis of the maxillary branch confirmed by magnetic resonance imaging

  • Hong, Soon-Ho;Kim, Yong-Duk;Na, Sang-Jun;Lee, Kee Ook;Park, Yun Kyung;Yoon, Bora
    • Annals of Clinical Neurophysiology
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    • v.19 no.2
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    • pp.145-147
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    • 2017
  • Trigeminal neuralgia (TN) is generally characterized by lancinating, unilateral, paroxysmal pain occurring in the distribution of the fifth cranial nerve. TN is diagnosed clinically based on the typical patient history, negative findings in a neurologic examination, and the response to medication. Idiopathic TN is the most common type, but TN can result from vascular malformation, compression, trauma, neoplasm, multiple sclerosis, or inflammation. We report a TN case diagnosed as recurrent trigeminal neuritis of the maxillary branch confirmed by magnetic resonance imaging.