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KMID : 0363320200410050777
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 5 p.777 ~ p.786
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A Case Report of a Patient with Wernicke’s Encephalopathy Complaining of Quadriplegia, Ataxia, and Impaired Cognition Improved by Korean Medicine Treatment
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Shim Sang-Song
Lee Hyun-Seung
Ahn Jae-Yoon
Chae Han-Nah
Yun Jong-Min
Moon Byung-Soon
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Abstract
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Background: This study is a report on a case of a Wernicke’s encephalopathy with quadriplegia, ataxia, and impaired cognition, whose condition was improved by Korean medicine treatment.
Case report: A 51-year-old man diagnosed with Wernicke’s encephalopathy was treated with acupuncture, Banhabakchulchunma-tang mixed with Ondam-tang-gami (半夏白朮天麻湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Berg Balance Scale (BBS), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), Modified Barthel Index (MBI), and a numeric rating scale (NRS). After 22 days of treatment, his clinical symptoms showed improvement. The motor function improved (MMT Rt. side Gr. 4+G/4+G, Lt. side Gr. 4G/4+G → Rt. side Gr. 5-N/4+G, Lt. side Gr. 5-N/4+G), Ataxia was relieved (BBS 3→33), cognition improved (K-MMSE 15→27), ADL scores showed improvement (FIM 58→90, MBI 40→75), and the NRS score decreased for headache (3→0).
Conclusion: Korean medicine treatment could be effective in the treatment of patients with Wernicke’s encephalopathy.
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KEYWORD
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Wernicke’s encephalopathy, quadriplegia, ataxia, impaired cognition, Korean medicine treatment
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