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KMID : 0363320190400020254
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Journal of Korean Oriental Internal Medicine
2019 Volume.40 No. 2 p.254 ~ p.261
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A Case Report of an Internuclear Ophthalmoplegia Patient caused by Pontine Infarction Treated by Korean Medicine Treatment Including Yukmijihwang-tang
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Kim Du-Ri
Lee Hyun-Seung
Ahn Jae-Yoon
Moon Byung-Soon
Yun Jong-Min
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Abstract
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Internuclear Ophthalmoplegia (INO) is characterized by lesion side eye's adduction limitation in lateral horizontal gaze and nystagmus in the abducting eye due to lesions in the Medial Longitudinal Fasciculus (MLF). Brainstem infarction is one of the causes of INO, but related issues have seldom been reported in the Korean medical literature. The present case was a pontine infarction patient with INO who complained of diplopia and eye movement disorder. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion for 30 days. Her changes in clinical symptoms were measured with a Numeric Rating Scale (NRS) and a length of External Ocular Movement (EOM), in which the patient's right eyeball moved to the left from the midline in the left gaze. After treatment, her clinical symptoms were improved. Diplopia decreased from NRS 10 to NRS 2, and eye movement disorder was improved such that EOM increased from 1mm to 5 mm. Therefore, integrative Korean medicine treatment may be effective in the treatment of INO patients caused by pontine infarction.
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KEYWORD
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diplopia, ocular motility disorders, internuclear ophthalmoplegia, pontine infarction, Yukmijihwang-tang-gami (Liuwei-Dihuang-tang), case report
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