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KMID : 1123920050190010279
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Korean Journal of Oriental Physiology and Pathology
2005 Volume.19 No. 1 p.279 ~ p.283
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Case of Delayed Encephalopathy after Acute Carbon Monoxide Intoxication
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Kim Dong-Jo
Kyung Hyuk-Su
Nam Chang-Gyu
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Abstract
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After initial recovery from acute carbon monoxide(CO) intoxication, some patients occasionally undergo severe neuropsychiatric deterioration, which is called postanomic delayed encephalopathy(sequelae). This is the clinical study about one patient, a 53-year-old woman, diagnosed with delayed encephalopathy after acute CO intoxication. The patient’s symptoms were mental dysfunction including memory impairment and disorientation, aphasia, atrophy and weakness throughtout the body. She had completely recovered after an anomic episode, but the neurological symptoms that developed were preceded by an interval of apparent nomality.(the ’lucid interval’). She was characterized as suffering deficiency syndrome of the heart(心虛) and was prescribed for her an Ansinschungnoi-tang(安神淸腦湯), and thereafter her symptoms improved remarkably. For the evaluation of clinical improvement, we use the Modified Barthel Index(MBI).
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KEYWORD
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Carbon monoxide, Delayed encephalopathy, Delayed sequelae, Ansimchungnoi-tang
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