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KMID : 0363320220430061264
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Journal of Korean Oriental Internal Medicine
2022 Volume.43 No. 6 p.1264 ~ p.1273
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A Case Report of Oculomotor Palsy Associated with Stent-Assisted Coil Embolization of Cerebral Aneurysm
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Kim Min-Hwa
Heo Gi-Yoon
Kang Hee-Kyung
Nam I-Rang
Kim Maria
Lee In
Kwon Jung-Nam
Kim So-Yeon
Yun Young-Ju
Choi June-Yong
Han Chang-Woo
Park So-Jung
Hong Jin-Woo
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Abstract
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Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [ß³?ÛÜõôߤܨ۰] and Uwhangchungsim-won [éÚüÜôèãýêª]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.
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KEYWORD
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posterior communicating artery aneurysms, PcomAA, oculomotor nerve palsy, ONP, Samlyeongbaegchul-san-byeonbang, ß³?ÛÜõôߤܨ۰, Uwhangchungsim-won, éÚüÜôèãýêª
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