The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Drug-Induced Dyskinesia Outpatient Suspected to be Induced by Risperidone Management with Yigan-san with Citri Pericarpium and Pinelliae Rhizoma (modified Yigan-san, Yokukan-san Kachimpihang), Electro-Acupuncture at GB34 (陽陵泉), and Stopping Suspected Medication: A Case Report

Risperidone으로 유발된 것으로 의심된 약물유발성 이상운동증에 대한 의심약물 중단 및 억간산가진피반하와 GB34(陽陵泉) 전침치료를 통한 외래기반 관리 : 증례보고

  • Roh, Min-yeong (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital) ;
  • Jang, Seung-won (Dept. of Acupuncture & Moxibustion Medicine, Dongshin Korean Medicine Hospital) ;
  • Kim, Hyun-ho (Dept. of Acupuncture & Moxibustion Medicine, Dongshin Korean Medicine Hospital) ;
  • Han, Yang-hee (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital) ;
  • Leem, Jungtae (Dept. of Internal Korean Medicine, Dongshin Korean Medicine Hospital)
  • 노민영 (목동동신한방병원 한방내과) ;
  • 장승원 (목동동신한방병원 침구과) ;
  • 김현호 (목동동신한방병원 침구과) ;
  • 한양희 (목동동신한방병원 한방내과) ;
  • 임정태 (목동동신한방병원 한방내과)
  • Received : 2019.11.29
  • Accepted : 2019.12.27
  • Published : 2019.12.30
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Abstract

Objectives: Drug-induced Parkinsonism has similar symptoms to Parkinson's disease, but each has different causes. Drug-induced Parkinsonism accounts for the largest proportion of secondary Parkinsonism We report a outpatient case of drug-induced Parkinsonism after taking Risperidone, an atypical antipsychotic. Method: With discontinuing of antipsychotic drug, modified Yigan-san extract was administered for 12 weeks, and acupuncture and electroacupuncture procedures were performed 20 times. Results: Abnormal Involuntary Movement Scale (AIMS) score decreased from 23 to 3 during 59 days of treatment period without adverse events and worsening of depression. The Patient was highly satisfied. Conclusion: Modified Yigan-san and electroacupuncture (GB34) can be used as an treatment option in patients with drug-induced Parkinsonism.

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References

  1. Nocera J, Horvat M, Ray CT. Effects of Home-Based Exercise on Postural Control and Sensory Organization in Individuals with Parkinson Disease. Parkinsonism Relat Disord 2009;15(10):742-5. https://doi.org/10.1016/j.parkreldis.2009.07.002
  2. Park KW. Parkinson's Disease vs. Parkinsonism. Korean J Clinical Geriatrics 2006;7(3):327-34.
  3. Shim YH, Park JY, Choi WW, Min IK, Park SU, Jung WS, et al. Herbal Medicine Treatment for Drug-Induced Parkinsonism. J Altern Complement Med 2015;21(5):273-80. https://doi.org/10.1089/acm.2014.0124
  4. Lopez-Sendon JL, Mena MA, de Yebenes JG. Drug-induced Parkinsonism in The Elderly. Drugs Aging 2012;29(2):105-18. https://doi.org/10.2165/11598540-000000000-00000
  5. Shin HW, Chung SJ. Drug-induced Parkinsonism. J clin neurology 2012;8(1):15-21. https://doi.org/10.3988/jcn.2012.8.1.15
  6. Kim EJ, Song HJ, Kim HH, Han YH, Leem JT. A Case Report of Drug-Induced Parkinsonism Treated with Jodeung-san and Electro-acupuncture at GB34. J Int Korean Med 2017;38(5):600-9. https://doi.org/10.22246/jikm.2017.38.5.600
  7. Kim YJ, Yang SB, Kim JH, Lee BY, Cho SY, Park SU, et al. Case of Drug-Induced Parkinsonism Treated with Traditional Korean Medicine. J Int Korean Med 2016;37(2):381-8.
  8. Lee SH, Shin HY, Kim JH, Kim YJ, Cho SY, Park JM, et al. A case of Drug-Induced Acute Dyskinesia Treated with Korean Medicine. J Int Korean Med 2017;38(5):853-61. https://doi.org/10.22246/jikm.2017.38.5.853
  9. Hobbs S, Atkins W. The Gale Encyclopedia of Mental Health. 3rd edition. Detroit: Gale; 2012, p. 1-3.
  10. Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D, et al. The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. J Medical Case Report 2013;2(5):38-43.
  11. Lee SH, Shin SW, Kim TH, Kim SM, Do TY, Park SG, at el. Safety, effectiveness, and Economic Evaluation of an Herbal Medicine, Ukgansangajinpibanha Granule, in Children with Autism Spectrum Disorder: A Study Protocol for a Prospective, Multicenter, Randomized, Double-blined, Placebo-controlled, Parallel-group Clinical Trial. Trials 2019;(20):434-44.
  12. Seo YM, Lee JW, Cha HJ, Seo DW, Park SJ, Lee CH. A Clinical Report of Patient with Mandibula Tremor Caused by Spiritual Trauma. J of Oriental Neuropsychiatry 2009;20(3):237-47.
  13. Lim GM, Song GE, Park SJ, Jo SW, Lee JH. A Case Report of 2 Patients with Psychologic Tremor Using Korean Medical Treatments with MCVT (Melonis Calyx Vomiting Therapy). J of Oriental Neuropsychiatry 2019;30(2):107-18. https://doi.org/10.7231/JON.2019.30.2.107
  14. Gwinn KA, Caviness JN. Risperidone-induced Tardive Dyskinesia and Parkinsonism. J Movement Disorder 1997;12(1):119-21. https://doi.org/10.1002/mds.870120123
  15. Chan HY, Chang CJ, Chiang SC, Chen JJ, Chen CH, Sun HJ, et al. A Randomised Controlled Study of Risperidone and Olanzapine for Schizophrenic Patients with Neurolepticinduced Acute Dystonia or Parkinsonism. J Psychopharmacology 2010;24(1):91-8. https://doi.org/10.1177/0269881108096070
  16. Shin HW, Kim MJ, Kim JS, Lee MC, Chung SJ. Levosulpiride-induced Movement Disorders. J Movement Disorder 2009;24(15):2249-53. https://doi.org/10.1002/mds.22805
  17. Cho KH, Kin TH, Jin C, Lee JE, Kwon SW. The Literary Trends of Herbal Prescription Ukgan-san and its Application in Modern Traditional Korean Medicine. J Korean Med 2018;39(3):17-27. https://doi.org/10.13048/jkm.18021
  18. Hyun WC, Lee SR. Studies on the Effect of AntiConvulsion and Analgesic by Ukgansan and Ukgansangami. J of Oriental Neuropsychiatry 1994;5(1):69-79.
  19. Jang JH, Jung KS, Kim JS, Jung IC, Yoo HR, Moon CJ. Potential Application of Yokukansan as a Remedy for Parkinson's Disease. Evidence-Based Complementary and Alternative Medicine. 2018;2018:1875928. https://doi.org/10.1155/2018/1875928
  20. Ito A, Shin N, Tsuchida T, Okubo T, Norimoto H. Antianxiety-Like Effects of Chimpi (Dried Citrus Peels) in the Elevated Open-Platform Test. Molecules 2013;18(8):10014-23. https://doi.org/10.3390/molecules180810014
  21. Kim YJ, Kim BS, Park HJ. Acupuncture at GB34 Modulates Laminin Expression in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) Induced PD Mouse Model. Korean J Acupuncture 2008;25(1):155-64.

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