• 제목/요약/키워드: Clinical neurology

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보행장애를 호소하는 말기 다계통 위축증 환자 한의 치험 1례 (A Case of Korean Medical Treatment on Advanced-Stage Multiple System Atrophy with Gait Disturbance)

  • 황예채;이혜진;최정우;전규리;박성욱;박정미;고창남;조승연
    • 대한중풍순환신경학회지
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    • 제22권1호
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    • pp.31-44
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    • 2021
  • The purpose of this case report is to describe the effectiveness of Korean medicine in the treatment of gait disturbance in advanced stage multiple system atrophy-cerebellar type (MSA-C). This inpatient was treated with herbal medicine, acupuncture, pharmaco-acupuncture, moxibustion, cupping, and chuna therapy. The gait disturbance was assessed by Unified Multiple System Atrophy Rating Scale(UMSARS), Tinnetti test, and 16m walking spatial features. After treatment, UMSARS Part I score was enhanced, decreasing from 29 to 24, Part II score from 34 to 18. Tinetti test score increased from 7 to 20. Gait stride length increased and width decreased. This study suggests that Korean medical treatment could be an effective treatment for delaying the progress of gait disturbance in advanced-stage MSA-C patients.

개두술 후 발생한 안검부종에 대한 치험 1례 (A Case Study of Eyelid Edema Post Craniotomy)

  • 김서영;최정우;임태빈;이혜진;조승연;박성욱;박정미;고창남
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.939-948
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    • 2021
  • Objectives: This study considered the effectiveness of Korean medicine for the treatment of eyelid edema post craniotomy. Methods: The patient was diagnosed with Taeumin-one of the four constitution types in Korean medicine-and treated with herbal medicines: Cheongsimyeunja-tang, Chungpyesagan-tang, and Hwangryunhaedok-tang pharmacoacupuncture treatment. The severity of eyelid edema was assessed using Kara and Gokalan's scale, daily imaging of the patient's eyelids, and the ratio of the length of the left eye to that of the right. Results: Following treatment, the Kara and Gokalan score decreased from 3 to 0. The changes in the ratios were 29% and 50%, respectively. The visual field defect due to edema in the left eye was also repaired. Conclusion: This study suggests that Korean medical treatment could be an effective option for treating eyelid edema following craniotomy.

중성어혈약침으로 호전된 흉통을 호소하는 파킨슨 환자 치험 1례 (A Case Report of Parkinson's Patient Complaining of Chest Pain Treated with Jungsongouhyul Pharmacopuncture)

  • 전규리;임태빈;황예채;최정우;조승연;박정미;고창남;박성욱
    • 대한중풍순환신경학회지
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    • 제22권1호
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    • pp.57-70
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    • 2021
  • This case study is to report the effectiveness of Korean medicine in the treatment of musculoskeletal chest pain in Parkinson's patient. The Parkinson's patient with chest pain was treated with Jungsongouhyul Pharmacopuncture for 15 days. The severity of chest pain was assessed using Face Pain Scale-Revised, Short Form McGill Pain Questionnaire(SF-MPQ) and King's Parkinson's Disease Pain Scale(KPPS). Additionally, duration of the pain and standing state was evaluated. After treatment, chest pain was removed. SF-MPQ score was decreased from 6 to 0, and KPPS score 21 to 0. As a result this case showed the effect of Jungsongouhyul Pharmacopuncture on musculoskeletal chest pain in Parkinson's disease.

한방 치료로 지속성 딸꾹질이 호전된 비소세포폐암 환자 치험 1례 (A Case of Persistent Hiccups of Non-Small Cell Lung Cancer Patient Treated with Korean Medicine)

  • 황예채;이혜진;허혜민;전규리;조승연;박성욱;박정미;고창남
    • 대한중풍순환신경학회지
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    • 제23권1호
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    • pp.1-12
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    • 2022
  • Persistent hiccups persist for more than 48 hours. Those can often occur in cancer patients after chemotherapy or high dose of corticosteroids. A 52-year-old male patient undergoing Non-small cell lung cancer(NSCLC), recently suffered presistent hiccups and dyspnea. He was treated with herbal medicine for 56days and acupuncture for 9days. No side effects were observed during treatment. The severity of hiccups was measured in every hospital visit and psychometric symptoms were evaluated periodically through the Edmonton Symptom Assessment System(ESAS). The severity of hiccups and psychometric symptoms were alleviated and the effect persisted during the treatment. The patient took no other nervous system drugs in the end of the treatment. In conclusion, Korean medicine like Hyeongbangjihwang-tang and Jeongcheonhwadamgangki-tang can be effective for patients with persistent hiccups and dyspnea who cannot use alternative drugs or treatment because of other complications.

한방치료로 운동 기능장애와 실성증이 호전된 파킨슨증후군 환자 치험 1례 (A Case Report of Korean Medical Treatment on Parkinsonism Patient Complaining of Motor Disorder and Aphonia)

  • 허혜민;이경화;황예채;전규리;조승연;박성욱;박정미;고창남
    • 대한중풍순환신경학회지
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    • 제23권1호
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    • pp.13-24
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    • 2022
  • ■Objectives This case study is to report the effectiveness of Korean medicine in Parkinsonism patient's treatment. ■Methods We used the acupuncture, electro-acupuncture, moxibustion, cupping therapy, herbal medicine, especially Palmulgunja-tang to the Parkinsonism patient with motor disorder such as Postural Instability and Gait Difficulty(PIGD) and aphonia. Unified Parkinson's Disease Rating Scale(UPDRS), analysis of gait pattern, voice dB and self-evaluation of speed and volume were used to assess the change of symptoms. ■Results ‌After treatment, the UPDRS score decreased in overall category and the walking pattern has improved. In addition, the improvement was observed in voice volume and in self assessment of the patient. ■Conclusion This case suggests the effect of Korean medical treatment on motor disorder and aphonia in Parkinsonism.

혈전색전증으로 인한 좌상지의 통증 및 냉감을 호소하는 환자 치험 1례 (A Case of a Patient with Pain & Cold sensation in the Left Upper Segment due to Thrombotic Occlusion of Lt. Brachial Artery)

  • 양정윤;박민정;이미림;문상관;정우상;권승원;조기호
    • 대한중풍순환신경학회지
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    • 제18권1호
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    • pp.23-29
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    • 2017
  • A case of a 47-year-old male patient with Lt.hand pain & cold sensation due to Thrombotic occlusion of Lt. brachial a. is presented. He was treated with acupuncture, electroacupuncture and herbal medicine - 桂枝茯苓丸(Gyejibongnyeong-hwan, Keishibukuryo-gan). We used NRS of pain and Digital Infrared Thermal Image(DITI) to evaluate the progress. After 11days of treatment, there were notable improvement in pain scale, DITI. Korean medical treatment may be effective in treating thrombotic occlusion.

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사지말단의 냉감을 호소하는 수족냉증 환자 치험 1례 (A Case Report of Coldness of Both Extremity Patient Using Conservative Korean Medical Treatment)

  • 김경묵;정민호;손정화;정우상;문상관;권승원;조기호
    • 대한중풍순환신경학회지
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    • 제18권1호
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    • pp.37-45
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    • 2017
  • A case of a 66-year-old Korean male with coldness of both extremity that ruled out another mechanical and endocrinologic problem is presented. He was treated with acupuncture, electroacupuncture and herbal medicine - 十全大補湯(Sipjundaebo-tang, Juzentaihoto) and 柴胡桂枝乾薑湯(Sihogyejigungang-tang, Saikokeishikankyouto). We used SF-MPQ grading scale to assess severity of patient's symptom and DITI to measure patient's temperature. After Korean medical treatment, there was improvement in subjective symptom of patient and gap of lower extremity temperature. Korean medical treatment may be effective in treating coldness patients.

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소음인(少陰人) 망양병(亡陽病)으로 진단한 만성 다한증 증례 1례 (A Case Report of Chronic Hyperhidrosis Diagnosed as Soeumin Mangyang Syndrome)

  • 김하리;정혜선;신희연;김정화;양승보;조승연;박성욱;고창남;박정미
    • 대한중풍순환신경학회지
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    • 제19권1호
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    • pp.31-40
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    • 2018
  • ■ Objectives The purpose of this case study is to report the effectiveness of Korean medicine in the treatment of chronic hyperhidrosis. ■ Methods The patient was diagnosed as a Soeumin Mang-yang Syndrome, and treated with Korean medical treatment such as Sungyangikgibuja-tang and acupuncture treatment. The severity of symptom was assessed using Numerical Rating Scale (NRS) and follow-up of Hyperhidrosis Quality of Life Index (HidroQOL) ■ Results After treatment, the severity of hyperhidrosis was decreased from NRS 10 to NRS 2, HidroQOL score was also decreased from 32 to 19. ■ Conclusion Korean medical treatment for hyperhidrosis was effective in decreasing the NRS and HidroQOL score. The results suggest that Korean medical combined treatment including Sungyangikgibuja-tang and acupuncture treatment can be a effective option for treating hyperhidrosis.

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중풍 환자의 입원 후 허실변증별 심박변이도 변화 특성에 대한 고찰 (Analysis the Characteristic of Heart Rate Variability Changes between Deficiency Pattern and Excess Pattern in Stroke Patients Admitted to the Hospital)

  • 이현중;이보윤;양승보;이형민;조승연;권승원;정우상;박성욱;고창남;박정미
    • Korean Journal of Acupuncture
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    • 제33권4호
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    • pp.176-182
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    • 2016
  • Objectives : This study was designed to analyze the characteristic of heart rate variability(HRV) changes between Deficiency Pattern and Excess Pattern in Stroke Patients admitted to the hospital. Methods : We measured heart rate variability of stroke patients who were admitted to the Department of Korean Internal medicine, Stroke and Neurological Disorders Center from February 1, 2015 to May 30, 2016. We recruited a total of 28 stroke patients and heart rate variability tests were performed on the first day of admission, 2weeks after admission, and 4 weeks after admission. Results : VLF and LF/HF ratio significantly increased over time in Deficiency Pattern group compared with those in the Excess Pattern group. Conclusions : This results suggest that the parasympathetic function of Deficiency Pattern group is lower than that of the Excess Pattern group, resulting in imbalance of the autonomic nervous system.

소아형 Nemaline 근병증 1예 (A Case of Childhood-onset Form of Nemaline Myopathy)

  • 김현경;김성민;김남희;홍윤호;성정준;최기영;박성호;이광우;박경석
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.98-101
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    • 2006
  • Nemaline myopathy is one of the congenital myopathy, which is characterized by histological findings of nemaline bodies (rods) and type 1 fiber hypotrophy and predominance. It can be classified into three forms according to the age of onset and clinical features: congenital form, childhood-onset form, and adult-onset form. We report an 18-year-old patient with generalized muscle weakness and dysmorphic features who was diagnosed as typical childhood-onset nemaline myopathy.

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