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KMID : 0363320200410020159
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 2 p.159 ~ p.165
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A Case Report of Thalamic and Hypothalamic Infarction with Hypersomnolence and Memory Impairment
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Han Seung-Hee
Nam Hyun-Seo
Jung In-Chae
Kim Mi-Kyung
Han In-Sik
Sun Seung-Ho
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Abstract
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Introduction: We report a rare case in which the symptoms of hypersomnia were caused by cerebral infarction that occurred in the hypothalamus and hypothalamus.
Case Presentation: The patient underwent Korean medicine treatments using Gami-seonghyangjeonggi-san, acupuncture, electroacupuncture, and physical therapy for 37 days. We evaluated the degree of improvement in hypersomnolence based on the amount of sleeping time and the degree of memory impairment with the patient’s suggestive conditions as observed by the patient’s guardian, and one-sided facial palsy using the Yanagihara Scale. As treatment was applied, sleeping time was decreased from 22 to 9 hours a day. Memory impairment did not show clear improvements as the patient could not recognize others when they visited during the period in which the patient underwent treatment. One-sided facial palsy showed no improvements and there were no changes in the Yanagihara Scale results.
Conclusion: This case showed that Korean medicine treatment could be effective to relieve some of the symptoms of thalamus and hypothalamus infarction. Further research is needed to confirm the effectiveness of Korean medicine treatment.
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KEYWORD
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thalamus, hypothalamus, hypersomnolence, memory impairment, acupuncture, traditional Korean medicine
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