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KMID : 0608519970030010215
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Korean Journal of Oriental Medicine
1997 Volume.3 No. 1 p.215 ~ p.228
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Two Cases of Dystonia and Chorea in Basal Ganglia
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김기열/Kim, Gi-Yeol
김종대/정지천/Kim, Jong-Dae/Jeong, Ji-Cheon
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Abstract
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Extrapyramidal movement disorfers are divided descriptively into hypokinesias(such asparkinsonism), characterized by poverty and slowness of morement ; hyperkinesias(such aschorea, athetosis, dystonia, ballism, etc.), manifested by abnormal inveluntary movement.
Chorea refers to widespread arrythythmic movements of a forcible, rapid, jerky, restfess type. Choreic movements are noted for their irregularity and variability. They are generally continuous, may be simple or quite elaborate, and affect any part of the body. Dystonia refers to abnormally increased muscular tone that causes flxed abnormal postures. Some patients with dysonia also have shifting postures, resulting from irregular, forceful twisting movement that affect trunk and produce bigarre, grotesque movements and positions of the body.
The most frequent and familiar type of focal dysenia is spasmodic tsrticollis. IT consists of an involuntary turning of the head to one side - intermittent at first, then gradually worsening to the point of being more or loss continuous. The combination of blepharospasm and oromandibular dystonia is sometimes refered to as Meige´s syndrome.
We report two patients with dysttonia and chorea in cerebral infarction at basal ganglia. We have experienced good improvement by the oriental medicine and acupuncture treatment. The acupuncture points of Ll 4, ST36, TE 3, GB 34, GB 41,,LR 3, GB 39 were used. The therapies of herb-medicine were treated by Zibu-Ganshe?(????),Huoxue-Xifeng-Tongluo(??????).
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