The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Diplopia and Limitation of Eye Movement in Oculomotor Nerve Palsy Treated with Korean Medicine

복시 및 안구운동장애를 호소하는 동안신경마비 환자 치험 1례

  • Son, Jeong-hwa (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Jung, Min-ho (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Kim, Jae-hak (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Cho, Ki-ho (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Jung, Woo-sang (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Kwon, Seung-won (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University) ;
  • Mun, Sang-kwan (Dept. of Cardiology and Neurology, Graduate School, Kyung-Hee University)
  • 손정화 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 정민호 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 김재학 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조기호 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 정우상 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 권승원 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 문상관 (경희대학교 대학원 한방순환신경내과학교실)
  • Received : 2017.03.24
  • Accepted : 2017.05.24
  • Published : 2017.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 70-year-old Korean female with diplopia and left ptosis due to oculomotor nerve palsy presented to the hospital. The patient was treated with electroacupuncture, sweet bee venom pharmacopuncture, and moxibustion. She also received acupuncture and herbal medicines Siryeng-tang and Boikyangwi-tang. The change in length (mm) from the medial canthus to the lateral iris was measured to evaluate limitation of eye movement, and Numeric Rating Scale (NRS) for diplopia. Limitation of eye movement and diplopia was used to determine diplopia. The limitation of eye movement and diplopia were improved after the administration of the Korean medicines. Korean medicine may be effective in treating limitation of eye movement and diplopia due to oculomotor nerve palsy.

Keywords

References

  1. Tiffin PA, MacEwen CJ, Craig EA, Clayton G. Aquired palsy of the oculomotor, trochlear and abducens nerve. Eye 1996;10:377-84. https://doi.org/10.1038/eye.1996.77
  2. Schiefer U, Wilhelm H, Hart W. Clinical Neuro -Ophthalmology - A practical Guide. New York: Springer Berlin Heidelberg; 2007.
  3. Park KY, Lee SH, Byeon WG, Shin DI, Shim MS, Lee SS, et al. A Case of Germinoma Presenting with Pupil-involving Isolated Oculomotor Nerve Palsy. The Journal of Korea Neurological Association 2001;19(4):423-6.
  4. Kim JY, Ahn M. Side Effects of Intravenous Methylprednisolone Pulse Therapy in Eye Diseases. Journal of The Korean Ophthalmological Society 2008;49(1):14-8. https://doi.org/10.3341/jkos.2008.49.1.14
  5. Capo H, Warren F, Kupersmith MJ. Evolution of oculomotor nerve palsies. J Clin Neuroophthalmol 1992;12(1):21-5.
  6. Golnik KC, Miller NR. Late recovery of function after oculomotor nerve palsy. Am J Opthalmol 1991;111(5):566-70. https://doi.org/10.1016/S0002-9394(14)73699-2
  7. Chao YF. Zhu bing yuan hou lun. Seoul: Daesungmunhwasa; 1992, p. 206.
  8. Chae BY. Korean Oriental Opthalmology & Otolaryngology. Seoul: Jipmundang; 1994, p. 68-9, 117-8, 140-4, 167, 181-2.
  9. Jun HJ, Hwang U, Kim JI, Lee HM, Nam SS, Kim YS. Case Report of Oculomotor palsy patient treated with Electroacupuncture. Journal of Korean acupuncture & moxibustion medicine society 2002; 19(4):200-7.
  10. Lee CH, Lee CH, Park MK, Jung WH, Choi BS, Hong KE, et al. A Idiopathic Oculomotor Nerve Palsy Patient Treated by Acupuncture Complex Therapy. Journal of Korean acupuncture & moxibustion medicine society 2010;27(4):233-8.
  11. Chung SH, Cho CK, Ji YS, Kim HJ, Kim YI. A Case Report of Oculomotor Nerve Palsy Patient Treated by Traditional Korean Medicine. Korean J Institution of oriental medicine 2015; 23(2):45-52.
  12. Hwang HS, Du HG. The Effect of Siryeongtang and Gamisiryeongtang on Urination, Antiinflammation, Antipyresis, and Analgesia. The Journal of Korean Oriental Internal Medicine 1986;3(1):49-66.

Cited by

  1. 시상, 중뇌, 소뇌경색으로 인한 안검하수, 안구운동장애를 호소하는 환자의 한방 치험 1례 vol.39, pp.2, 2017, https://doi.org/10.22246/jikm.2018.39.2.201
  2. A Systematic Review of Acupuncture for Oculomotor Nerve Palsy vol.36, pp.2, 2017, https://doi.org/10.13045/jar.2019.00101
  3. 특발성 동안신경마비의 안검하수와 안구운동장애 치험 1례 vol.40, pp.3, 2017, https://doi.org/10.22246/jikm.2019.40.3.499
  4. 정중곁 중뇌경색으로 인한 편측 안검하수에 대한 치험 1례 vol.40, pp.5, 2019, https://doi.org/10.22246/jikm.2019.40.5.888
  5. 매선요법을 병행한 특발성 동안신경마비 한방치험 1례 vol.33, pp.3, 2017, https://doi.org/10.6114/jkood.2020.33.3.138