• 제목/요약/키워드: Facial hemiplegia

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구안와사(口眼喎斜)의 형상의학적 치료 (Treatment of Facial Palsy in Hyangsang Medicine)

  • 강경화;은종원;이용태
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1585-1597
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    • 2004
  • Facial palsy is a common disease in clinic, which can be classified into central and peripheral according to the causes. The central facial palsy is caused by cerebral vascular accident, brain tumor, etc. The peripheral facial palsy comes from cold stimulus on face, regional infection of virus, suppurative tympanitis, inflammation on mastoid process, pathological teeth, trauma like cranial fracture, and so forth, They have distinctive features in diagnosis. While the central facial palsy is followed by hemiplegia and articulation disorder, the peripheral one by the disappearance of wrinkles on the forehead and rising of eyeball on paralyzed side when closing the eyes. Most of the cases in this thesis are peripheral palsy. The social classes and ages of the patients are so various that the treatments must be applied from various standpoints. The statistical data shows that the functional weakness of the whole body is the fundamental condition of the facial palsy. Therefore it is very important to find and the exact pathology and treatment appropriate for Hyungsang of the patients.

편측 안면마비가 잇따라 발병한 양측 안면마비 환자 2례에 대한 임상적 고찰 (Clinical Study of Two Cases of Facial Diplegia with Continued Facial Palsy)

  • 양기영;이병렬;김영일
    • Journal of Acupuncture Research
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    • 제25권5호
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    • pp.205-211
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    • 2008
  • Objectives : This study is designed in order to evaluate oriental medical treatment of facial diplegia with continued facial palsy. Methods : The authors observed patients by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Results & Conclusions : 1. Both facial grade had different scores in Yanagihara's unweighted grading system for 2 cases when the facial palsy occured. 2. Both cases were diagnosed in wind-cold(feng-han) type. 3. The left and right side of face took different amount of time to recover. 4. Facial diplegia was significantly improved.

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기저핵 뇌경색 환자의 편마비 한방치료 1례 (The Effect of Korean Medicine Treatment on Left Basal Ganglia Infarction with Hemiplegia Symptoms: Case Report)

  • 김홍경;김재익;정소연;김정호;김영일
    • 혜화의학회지
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    • 제27권2호
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    • pp.21-29
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    • 2018
  • Objectives : The purpose of this study was to report the effect of Korean medical treatment on left basal ganglia infarction. Methods : We performed acupuncture and administered herbal medicine to one patient to alleviate symptoms of hemiplegia such as motor disorder, facial palsy, and dysarthria. Manual Muscle Test(MMT), Hand Grip Test(HGT), Gait Level(GL), and Dysarthria grade were used to evaluate status of the patient. Results & Conclusions : The results of this research showed that overall symptoms of hemiplegia in the patient were improved. According to the results, the Korean medical treatment is considered to be effective on patients of left basal ganglia infarction to treat symptoms of hemiplegia. Further studies with larger sample sizes are needed to examine this issue.

서산 지역에서의 중풍에 대한 임상적 고찰 (A Clinical Study on Stroke patients(CVA) in Seosan province)

  • 이근동;서종은;한성수
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.715-721
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    • 2000
  • Objective : The purpose of this study is about stroke patients in Seosan. Method : The subjects of this study were 45 patients who were admitted to Hanseo University Oriental Hospital because of stroke. Each patients was diagnosed with Brain CT, sasang constitutional analysis. Results : 1. The rates in CVA was 58% on cerebral infarction, and 42% on cerebral hemorrhage. 2. The sites of cerebral infarction were Basal ganglia, MCA, Internal. External capsule. Thalamus, ect. Sites of cerebral hemorrhage were Thalamus, Basal ganglia, Cerebellum. 3. The ratio of left and right hemiplegia in cerebral infarction was 1:1.6, and in cerebral hemorrhage it was 1:2. 4. The most chief complaints in cerebral infarction, were hemiplegia, dysarthria, facial palsy, headache. In cerebral hemorrhage, their were hemiplegia, dysarthria, headache, dizziness, and facial palsy. 5. Classification of human corporal constitution in cerebral hemorrhage, the most was Taeumin, Soyangin, Soeumin. And in cerebral infarction, the most was Soyangin, Taeumin, Soyumin. 6. The ratio between male and female was 1.25:2 in cerebral hemorrhage, 2.5:5 in cerebral infarction. 7. The most prevalent age groups in cerebral hemorrhage was fifties to sixties. and in cerebral infarction was fifties to sixties. 8. The most common preceding disease in cerebral hemorrhage was HTN, DM. 9. The recurrence rate of cerebral hemorrhage was 16%, and cerebral infarction was 8%. 10. The ratio of recovery in cerebral hemorrhage was 84%, in cerebral infarction 58%. Conclusion : From this study, in cerebral hemorrhage most patients were Taeumin, in their fifties to sixties. And in cerebral infarction most patients were Soyangin, in their sixties to eighties. In both stroke patients, there were more female than male patients.

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뇌혈관 손상환자의 특성 및 장애에 대한 연구 (A study on stroke patient's characteristics and damage)

  • 최영덕
    • 대한물리치료과학회지
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    • 제5권4호
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    • pp.785-794
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    • 1998
  • We have made a survey of 40 patients in the university hospitals and oriental medical centers in Seoul from Sep. 1, 1997 to Mar. 1, 1998. We sampled 25 of them and the result shows that there were 12 MCA damaged patients(48%), 5 SAH(20%), 5 ACA(20%), 2 PCA (8%), 1 PCOA(4%). The number of MCA patients were the most. 1. As the cause of each disease, 4 of the 12 MCA damaged patients(33.35%) have infarction and cerebral hemorrhage, 2 of 5 SAH patients(40%) have cerebral hemorrhage and head injury, 3 ACA damaged patients have cerebral hemorrhage. 11 of 25 brain bloodvessel damaged patients(44%) were hemorrhage patients. 2. Rt. hemiparesis was the main symptom of 6 of 12 MCA damaged patients(50%) and 3 of 5 SAH patients(60%), and the main symptom of 3 of 5 ACA patients(60%) was Lt. hemiparesis. The main symptom of 13 of 25 brain bloodvessel damaged patients(52%) was Lt. hemiparesis 11 of them(44%) Rt. hemiparesis, and 1 of them(8.3%) Quadriplegia. 3. Language was the most well preserved function. 12 MCA damaged patients could understand language. 4. Retraction of shoulder girdle, among VIE flexor synergy, was the most frequent element because 9 of 12 MCA damaged patients had it. Among VIE flexor synergy, 5 SAH patient's most frequent synergy was Elbow flexion because all of them had it. All of 5 ACA damaged patients have shoulder girdle elevation, shoulder joint, hyperextension, abduction, and external rotation among VIE flexor synergy. 5. 7 of 12 MCA damaged patients(58.3%) were stereognosis handicapped patients, 3 of 5 SAH patients(60%) have handicap of position sense, light touch, and temperature, 3 of 5 ACA patients(60%) have position handicap. 13 of brain bloodvessel damaged patients(52%) have light touch handicap. 6. 8 of MCA damaged patients(66.7%) have facial palsy, 4 of SAH damaged patients(80%) have memory and action decline, and 3 of ACA damaged patients(60%) have action decline and facial palsy. The problem of Hemiplegia is very extensive from muscle weakness, atrophy, or deformation to psychical problems. Therefore physical therapists should have sufficient interest in psychological handicap as well as physical handicap as they deal with adult hemiplegia.

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수두-대상포진 바이러스의 재활성에 의해 유발되는 다양한 임상질환 (Diverse clinical manifestations caused by varicella-zoster virus reactivation)

  • 박호선
    • Journal of Yeungnam Medical Science
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    • 제33권1호
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    • pp.1-7
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    • 2016
  • The two distinctive clinical features of varicella-zoster virus (VZV) are varicella (chickenpox) by primary infection and zoster (singles) by the reactivation of latent infection. In addition to the two typical clinical symptoms mentioned above, diverse clinical manifestations have been reported as a result of VZV reactivation, including chronic radicular pain without rash, visual loss, facial palsy, dysphagia, sore throat, odynophagia, otalgia, hearing loss, dizziness, headache, hemiplegia, etc. Most of these symptoms are derived from neuropathy and vasculopathy of affected nerves and arteries. Diagnosis of VZV disease can be difficult if there is no appearance of a skin rash during development of atypical symptoms. In addition to natural infection, vaccination and anti-viral agent treatment have influenced the changes of epidemics and clinical presentations of varicella and zoster. In this article, diverse clinical manifestations caused by VZV reactivation, particular without skin rash, are reviewed.

STURGE-WEBER 증후군의 문헌고찰과 증례보고 (STURGE-WEBER SYNDROME;REPORT OF THREE CASES)

  • Rim, Jae-Suk;Kim, Sung-Moon;Kim, Onn;Ryu, Jae-Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제11권2호
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    • pp.67-73
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    • 1989
  • Sturge-Weber syndrome은 드물게 볼 수 있는 선천성질환으로 일명 encephalotrigeminal angiomatosis, 또는 Sturge-Weber-Dimitri syndrome이라 하며 삼차신경의 분지를 따라 분포하는 안면 혈관종, 안면 혈관종과 같은 부위의 intracerebral calcification, 경련의 특징을 가진다. 이에 저자들은 Sturge-Weber syndrome 3예를 치험하였기에 문헌고찰과 함께 보고하는 바이다.

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수족소력(手足少力).강직(强直).마비(痲痺)를 주소(主訴)로 입원(入院)한 환자(患者) 49명(名)에 대(對)한 임상적(臨床的) 고찰(考察) (A Clinical study of Neurologic Disorders)

  • 이진용;김덕곤
    • 대한한방소아과학회지
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    • 제13권1호
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    • pp.227-238
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    • 1999
  • The author studied 49 cases having neurologic disorders grossly, who admitted to the Oriental Medicine Hospital in Kyunghee university from May 1995 to March 1999. We have got the following results: 1. Age and sex distribution of children: from 4 to 6 was 34.7%, over 7 was 32.7%, 2 to 3 was 28.6%, below 1 was 4.0%, Male to female ratio was 1.33:1. 2. Distribution of chief complain as follows : Hemiplegia 59.2%, Quadriplegia 30.6%, Aphasia 42.9%, Facial palsy 18.4%, Convulsion 16.3%, Aphagia 12.2%. 3. Distribution of diagnosis as follows : Cerebral infarction 32.7%, Cerebral hemorrhage 12.2%, Hypoxic brain damage 10.2%, Brain tumor 6.1%, Guillian-Barre syndrom 6.1%, Moya-Moya disease 4.1% etc. 4. Improvement ratio as follows : Poor 14.3%, Fair 59.2%, Good 26.5%.

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보중익기탕(補中益氣湯) 및 그 가미방(加味方)을 투여한 중풍환자에 대한 임상적 고찰 (A Clinical Study of the Patients in Stroke Treated with Bojungikki-tang and Bojungikki-tang-gamibang)

  • 최인선;민성순;김종환;서상호;박상은;김영균;권정남
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.388-397
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    • 2004
  • Object: This study was designed to investigate the clinical and practical characteristics of stroke patients treated with the age-old herbal medicines, Bojungikki-tang and Bojungikki-tang-gamibang. Methods: The 80 patients studied were all diagnosed with stroke by neurological examination, B-CT and B-MRI scan. They were treated with Bojungikki-tang and Bojungikki-tang-gamibang over 5 days and symptoms were observed. There were inpatients and outpatients at the Oriental Medical hospital of Dong-eui University from January in 2000 to June in 2003. All patients were interviewed and medical charts examined. Result and Conclusion: The results were found: 1.Many were in their sixties. Average age was 64.54. 2.Cerebral infarction was diagnosed in 86.25% of all cases. 3.30% of stroke cases occurred in spring. 4.Average blood pressure was 129/84mmHg on the fifth day of treatment with Bojungikki-tang and Bojungikki-tang-gamibang and 135/86mmHg on the first day. 5.The white color were best in facial color about 85.29%. 6.There were many who returned for treatment within 6 to 10 days. 7.Bojungikki-tang and Bojungikki-tang-gamibang were used Rt. hemiplegia more than for Lt. hemiplegia.

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Churg Strauss 증후군 중풍 환자의 치험 1례 (Case Report on Churg-Strauss Syndrome)

  • 이상규;이정훈;염승용;권영달
    • 동의생리병리학회지
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    • 제18권5호
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    • pp.1527-1532
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    • 2004
  • There are few case reports on the treatment of churg strauss syndrome by oriental medicine. We experienced one case of a female patient, 47 ages, who had symptoms; Rt. hemiplegia, aphasia, M/S dull, Rt. facial palsy. We used acupuncture, physical therapy, herbal medication and taping therapy. After 6 months of Acupuncture therapy, Herbal medication, physical therapy and taping therapy, a remarkable improvement was made for cerebral infarction patient who accompany churg strauss syndrome. The patient could take self-ambulation after treatment and many symptoms have improved. Cerebral infarction patient who accompany churg strauss syndrome is not common ,but in case the treatment by korean traditional medicine, there was improvement in patient's state. We think that it need the further study and clinical practice for Churg Strauss Syndrome.