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KMID : 0363320160370050806
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Journal of Korean Oriental Internal Medicine
2016 Volume.37 No. 5 p.806 ~ p.814
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A Case Report of Multiple System Atrophy in a Cerebellar Ataxia Patient Suffering from Gait Disturbance Treated with Korean Medicine
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Woo Seong-Jin
Baek Kyung-Min
Chang Woo-Seok
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Abstract
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Objective: To describe the effect of Korean medicine on gait disturbance in a patient with multiple system atrophy and
cerebellar ataxia.
Methods: We observed a 75-year-old female patient who had multiple system atrophy and cerebellar ataxia. The patient
was treated with Korean medicine, including acupuncture, moxibustion, and herbal medicine (Yukmijihwang-tang-gamibang and Boyanghwano-tang-gamibang) for 38 days. We evaluated the patient with the Korean version of the Berg Balance Scale (K-BBS), the Unified Multiple System Atrophy Rating Scale (UMSARS), and the Numeric Rating Scale-11 (NRS-11).
Results: After treatment, the patient's symptoms were improved. The K-BBS score increased from 9 to 19, while the
UMSARS score decreased from 16 to 12 in Part I, from 15 to 7 in part Ⅱ, and from 4 to 3 in part Ⅳ. The NRS-11 score of
gait disturbance decreased from 10 to 5.
Conclusions: Korean medicine may be an effective treatment for gait disturbance in multiple system atrophy with cerebellar ataxia.
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KEYWORD
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multiple system atrophy with cerebellar ataxia, gait disturbance, Korean medicine
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