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KMID : 0363320110320030435
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Journal of Korean Oriental Internal Medicine
2011 Volume.32 No. 3 p.435 ~ p.443
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A Case Report of Fahr Disease with Tremor
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Kim Tae-Yeon
Shin Woo-Jae
Park Yu-Jin
Shin Seon-Mi
Kim Ki-Tae
Ko Heung
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Abstract
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Fahr disease (FD) is a rare neurological disorder characterized by presence of abnormal and associated cell loss in certain areas of the brain, mostly in basal ganglia, thalamus, cerebellum and subcortical areas. Approximately two-thirds of the patients are symptomatic. The most common neurological manifestations include movement disorders, cognitive impairment, cerebellar signs and speech disorders. We report one case of estimated FD through brain computed tomography (bilateral calcifications of basal ganglia, thalamus, centrum semiovale, subcortical white matter of occipital lobes, cerebellum). At the first time of treatment, he complained of tremors in his upper limbs. We diagnosed the patient as deficiency of qi (氣) and movement of phlegm-heat-wind (痰熱風動) type according to symptoms and treated by herbs and acupuncture of oriental medicine. During treatments, we evaluated how well the oriental medical treatments were working using visual analogue scale (VAS) and amplitude of hands. After the oriental medical treatments about tremor, VAS dropped from 10 to 2 and amplitude of hands from 20 mm to 2 mm, but the ratio of brain calcifications was not changed. This study suggests that oriental medical treatments can be applicable to improve FD.
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KEYWORD
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Fahr disease, calcification, herbs, tremor, oriental medical treatments, visual analogue scale (VAS), amplitude
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