DOI QR코드

DOI QR Code

A Clinical Study on the Case of Ophthalmoplegic Migraine Treated with Electroacupuncture

전침을 활용한 안검하수와 안구운동마비를 동반한 편두통환자의 치험 1례

  • Lyu, Yun-Sun (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • No, Dong-Jin (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Park, Jang-Ho (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Lee, Go-Eun (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Park, In-Sook (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Kang, Hyoung-Won (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Lyu, Yeoung-Su (Dept. of Oriental Neuropsychiatry Medicine, College of Oriental Medicine, Won-Kwang University)
  • 유윤선 (원광대학교 한의과대학 신경정신과교실) ;
  • 노동진 (원광대학교 한의과대학 신경정신과교실) ;
  • 박장호 (원광대학교 한의과대학 신경정신과교실) ;
  • 이고은 (원광대학교 한의과대학 신경정신과교실) ;
  • 박인숙 (원광대학교 한의과대학 신경정신과교실) ;
  • 강형원 (원광대학교 한의과대학 신경정신과교실) ;
  • 류영수 (원광대학교 한의과대학 신경정신과교실)
  • Received : 2011.10.20
  • Accepted : 2011.11.30
  • Published : 2011.12.30

Abstract

Objectives : The purpose of this case was to investigate the effectiveness of electroacupuncture for ophthamoplegic migraine. Methods : We provided electroacupuncture therapy and prescribed oriental medicine, Joganiknoe-tang daily. We measured patient's pain by VAS(Visual Analogue Scale) and eye movement with a ruler every five days. Results & Conclusions : Any patient who has a headache with paresis of the extraocular muscle should be considered for ophthalmoplegic migraine. To diagnose ophthalmoplegic migraine, family history, past medical history, associated symptoms and signs, neurologic examinations and neuroimaging tests are needed. The symptoms of patient improved gradually within 26days from the first day of admission, and we can see her complete recovery.

Keywords

References

  1. 전국 한의과대학 신경정신과 교과서편찬위원회. 한의신경정신과학. 서울:집문당. 2010:282.
  2. 최정훈, 이주연, 김윤정. 눈근육마비편두통 3예. 대한안과학회지. 2010;51(2):307-11.
  3. 전국 한의과대학 신경정신과 교과서편찬위원회. 한의신경정신과학. 서울:집문당. 2010:274.
  4. 대한침구학회 교재편찬위원회. 침구학 하. 서울:집문당. 2008:403-6.
  5. 전국한의과대학 침구.경혈학교실. 침구학<하>. 서울:집문당. 2007:1447.
  6. 이형석. 신경병증성 통증모델에 있어서 전침의 자극 조건에 따른 진통효과. 경희대학교대학원. 동서의학과. 2002.
  7. William E.M. Pryse-Phillips, David W. Dodick, John G. Edmeads, Marek J. Gawel, Robert F. Nelson, R. Allan Purdy, Gordon Robinson, Denise Stirling, Irene Worthington, BScPhm. Guidelines for the nonpharmacologic management of migraine in clinical practice. CMAJ 1998;159:47-54.
  8. 이시섭, 김동원, 안교필, 엄효진, 남 영. 편두통 환자의 뇌혈류에 대한 침치료의 효과. 대한침구학회지. 2001;18(6):135-40.
  9. Jia CS, Ma XS, Shi J, Wang YM, Li YF, Yuan J, Li M, Zheng LX, Zhang XJ, Wang SJ, Gao JY, Li XF, Huo YL. Electroacupuncture at Qiuxu(GB 40) for treatment of migraine-a clinical multicentral random controlled study. J Tradit Chin Med. 2009;29(1):43-9. https://doi.org/10.1016/S0254-6272(09)60030-3
  10. Jia CS, Shi J, Ma XS, Zhang XJ, Wang YM, Yuan J, Li YF, Li M, Zheng LX, Gao JY. Study on the therapeutic effect of electroacupuncture on migraine and influencing factors. Zhongguo Zhen Jiu. 2007;27(8):557-61.
  11. Zhou LY, Ji XJ, Zhao M, Jiang L, Zhang XM, Xu H. Progress of treatment on oculomotor paralysis with electroacupuncture. Zhongguo Zhen Jiu. 2011;31(3):286-8.
  12. HJ McMillan, DL Keene, P Jacob, P Humphreys. Ophthalmoplegic Migraine: Inflammatory Neuropathy with Secondary Migraine? Can. J. Neurol. Sci. 2007;34:349-55. https://doi.org/10.1017/S0317167100006818
  13. Lal V. Ophthalmoplegic migraine : Past, present and future. Neurol India. 2010;58:15-9. https://doi.org/10.4103/0028-3886.60388
  14. Hansen SL, Borelli-Moller L, Strange P, et al. Ophthalmoplegic migraine : diagnostic criteria, incidence of hospitalization, and possible etiology. Acta Neurol Scand. 1990;81:54-60.
  15. Lance JW, Zagami AS. Ophthalmoplegic migraine: a recurrent demyelinating neuropathy? Cephalalgia. 2001;21:84-9. https://doi.org/10.1046/j.1468-2982.2001.00160.x
  16. 김종인, 황치원. 편두통의 원인과 처방에 대한 문헌적 고찰. 대전대학교 한의학연구원논문집. 2000;8(2):171-89.
  17. 김단희. 태음인 편두통 환자. 체형사상학회지. 2007;12:60-1.
  18. 이상준. 소양인 편두통 환자. 체형사상학회지. 2009;26:80-3.
  19. 장기숙. 소음인 편두통 환자. 체형사상학회지. 2010;28:53-4.
  20. Headache ClassiIfication Sub-Committee of the International Headache society. The International Classification of Headache Disorders, 2nd edtion. Cephalalgia. 2004;24:1-160.
  21. 김경식. 침구치료요감. 서울:의성당. 2008: 45-6.
  22. Straube A, Bandmann O, Buttner U, Schmidt H. Contrast enhanced lesion of the III nerve on MR of a patient with ophthalmoplegic migraine as evidence for a Tolosa-Hunt syndrome. Headache. 1993;33:446-8. https://doi.org/10.1111/j.1526-4610.1993.hed3308446.x
  23. 김태유, 최낙천, 권오영, 윤혜정, 곽준혁, 전성철, 임병훈, 김태유, 최낙천. 뇌자기공명영상에서 동안신경 기시부에 조영증강 소견을 보인 안근마비성 편두통 1예. 대한신경과학회지. 1999;17(1):168-72.
  24. 조홍상, 서지영, 유은경, 채규영. 영아기에 시작된 안구마비성 편두통 1례. 대한소아신경학회지. 2003;11(2):372-6.
  25. Thomas J. Carlow. Oculomotor Ophthalmoplegic Migraine: Is It Really Migraine? J Neuro-Ophthalmol. 2002;22:215-21. https://doi.org/10.1097/00041327-200209000-00006