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KMID : 0363320200410010097
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 1 p.97 ~ p.110
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A Case Report of Treatment for Aphasia in Patients with Cerebral Infarction with Hydrocephalus
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Choi Yu-Jin
Bae Yeong-Rong
Shin Seon-Mi
Kim Ki-Tae
Ko Heung
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Abstract
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The purpose of this case study was to report the effectiveness of aphasia in patients with cerebral infarction with hydrocephalus. A patient diagnosed with a middle cerebral artery infarction and hydrocephalus was treated with Gami-cheongeumjowi-tang, acupuncture, and moxibustion. The degree of improvement of symptoms was evaluated using the Korean version of the Frenchay Aphasia Screening Test (K-FAST) and the Mini-Mental State Examination-Korea (MMSE-K).
At the time of admission, the K-FAST score was 7 points and the MMSE-K score was 4 points because no words other than ‘Yes' could be spoken. At discharge, the K-FAST score was 22 points and the MMSE-K score was 19 points. A particularly noticeable improvement was found in spoken and written comprehension, reading, and repetition.
The study findings indicate that Korean medicine treatment can be used to treat the symptoms of patients with aphasia. The periventricular region may be distorted by hydrocephalus, resulting in Broca’s aphasia in a cerebral infarction of the middle cerebral artery inferior division.
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KEYWORD
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Broca’s aphasia, cerebral infarction, Korean medicine treatment, middle cerebral artery infarction, hydrocephalus, Gami-cheongeumjowi-tang
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