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KMID : 0363320060270020533
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Journal of Korean Oriental Internal Medicine
2006 Volume.27 No. 2 p.533 ~ p.537
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A Clinical Case Report of Gaze Palsy due to Thalamic Infarction
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Kim Sung-Jin
Jeong Jong-Ann
Jeong Soo-Mi
Roh Young-Man
Jeon Hong-Ryul
An Joung-Jo
Jeon Sang-Yun
Kim Hee-Chul
Hong Seok
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Abstract
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The purpose of this study is to present a case of gaze palsy due to thalamic infarction improved by acupuncture and herb medicine. Monocular gaze palsies which result from a supranuclear cerebral lesion are rare clinical manifestations. The pre-frontal cortico-oculomotor pathways travel across the thalamus and mesodienphalic junction terminating directly in oculomotor complexes. The acute disinhibition of these neurons by a posterior thalamic lesion results in a sustained but transient discharge of the medial rectus and tonic activation. Results of this study suggest a role for conservative therapy with herb medicine and acupuncture to treat gaze palsy due to thalamic infarction. Further research into oriental medical treatment for such disorders will be forthcoming.
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KEYWORD
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gaze palsy, thalamic infarction
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