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KMID : 0895820060160030177
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Journal of Oriental Rehabilitation Medicine
2006 Volume.16 No. 3 p.177 ~ p.190
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A Case Report of The "Top of Basilar" Syndrome ; with Vertebral Artery Occlusion
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Kim Se-Jin
Sul Jae-Uk
An Hye-Lim
Shin Mi-Suk
Kim Seon-Jong
Choi Jin-Bong
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Abstract
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Objectives: The aim of the present study is to report a 38-year-old patient with ’top of basilar(TOB)’ syndrome who shows paralysis of limbs, diplopia, facial numbness, neck weakness by vertebral artery occlusion.
Methods: We treated the patient by acupuncture, herbal medication, physical therapy, rehabilitative therapy such as eye exercise. We used evaluation scale including Visual Analog Scale(VAS), National Institutes of Health Stroke Scale(NIHSS), Modified Barthel Index(MBI), Manual Muscle Testing(MMT).
Results and Conclusions: Analysis of this one patient indicated that oriental medical rehabilitative therapy is useful to treat the TOB syndrome. The symptoms were improved rapidly. After treatment, the patient was able to walk and diplopia was improved. MBI score changed from 20 to 95, for NIHSS from 13 to 2. VAS and MMT were also numerically improved.
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KEYWORD
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Top of basilar(TOB) syndrome, Vertebral artery occlusion, MBI, NIHSS.
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