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

Abstract

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.

A Case Report of a Patient with Multiple Cerebral Infarction Caused by Posterior Cerebral Artery Occlusion Treated with <italic>Yikgeebohyul-tang</italic>

“…후대뇌동맥경색에 대해 기존에 보고된 한의학적 치료로 시야장애 증상에 대해 가미반하백출천마탕 과 침치료를 시행한 예 5 , 시야장애 증상 및 현훈, 반신의 이상감각에 대해 만금탕을 처방한 예 6 , 후 대뇌동맥경색 이후 두통 호소에 대해 가미서경탕 을 처방한 예 7 Ⅲ. 고 찰 후대뇌동맥은 기저동맥에서 2갈래로 나뉘어 형 성된 혈관으로, 분지되는 순으로 P1, P2, P3, P4로 나눌 수 있다.…”