A Case Series of Post-stroke Vision Disorders Using Korean Medical Treatment

정, 민호; 김, 재학; 김, 세원; 조, 기호; 문, 상관; 정, 우상; 권, 승원

doi:10.22246/jikm.2018.39.2.217

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…한의계에서는 2012년경부터 뇌졸중 후 시야 장애 에 대한 한의치료를 통해 유의미한 개선을 보인 사 례를 지속적으로 보고하고 있다 [3][4][5][6][7] . 초기에는 환자의 주관적인 보고에 의한 증상 개선이나 검사자와 환자 의 주관이 개입될 수 있는 대면 검사(Confrontation test)에서 개선을 보였다고 언급한 것과 달리, 2019 년부터는 험프리 시야 검사계(Humphrey visual field analyzer)를 이용해 치료 전후 시야 장애 개선도를 객관적으로 평가하는 논문도 보고되어온 바 있다 6,7 뇌졸중으로 인한 동측반맹의 경우 후두엽(45.…”

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Post-stroke Visual Impairment Treated with Korean Medical Treatment: A Case Series

Lee¹,

Kang²,

Kim³

et al. 2021

J Int Korean Med

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Objective: This study investigated two cases of Korean medical treatment for visual field impairment after stroke: Case 1, a 56-year-old male with a posterior cerebral artery infarction and right homonymous hemianopsia, and Case 2, a 46-year-old male with an intracerebral hemorrhage in the left parietal lobe and right homonymous hemianopsia.Methods: Case 1 was treated with acupuncture, electroacupuncture, and herbal medicine (<i>Mangeum-tang</i>) for two months, and Case 2 was treated with acupuncture, electroacupuncture, and herbal medicine (<i>Oryeong-san</i>) for 40 days.Results: Following treatment, for Case 1, the Humphrey visual field test showed improvement. The visual field indexes (VFIs) for the left and right eyes improved from 44% to 55% and 49% to 64% respectively, and the mean deviations (MDs) for the left and right eyes improved from -21.11 dB to -19.91 dB and -17.45 dB to -13.89 dB, respectively. The mean visual sensitivities (MVSs) of the left and right eyes also improved from 8.67 dB to 11.33 dB and 1.67 dB to 9.67 dB, respectively, with no side effects. For Case 2, the VFI for the left eye improved from 36% to 64% and that for the right eye remained unchanged. The MDs for the left and right eyes also improved from -22.02 dB to -14.47dB and -22.11 dB to -21.34 dB, respectively, with no side effects.Conclusions: This study suggests that Korean medical treatment may improve visual impairment after stroke, but further research is needed.

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