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KMID : 1146520170180010067
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Journal of the Society of Stroke on Korean Medicine
2017 Volume.18 No. 1 p.67 ~ p.76
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A Case of Monocular Abducens Nerve Palsy in a Patient with Pontine Infarction
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Lee Hyung-Min
Kim Jeong-Hwa
Yang Seung-Bo
Shin Hee-Yeon
Cho Seung-Yeon
Park Jung-Mi
Ko Chang-Nam
Park Sung-Wook
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Abstract
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Objective: This is a case report about monocular abducens nerve palsy in a patient with pontine infarction.
Method: At the time of onset, the patient had eye movement impairment in right eye and diplopia. Brain MRI image showed that there was an infarction in the right pons where the nucleus of abducens nerve is located. There was no obvious improvement in the eye movement before he received Korean medicine treatment. He recieved Korean medicine including acupuncture, electroacupuncture, pharmacoacupuncture and herb medicines for fifty three days.
Result: After treatment, the movement of right eye was improved to a normal range. The difference in distance from 'center of the pupil' to 'external canthus of the eye' at maximum abducent in both eye changed 0.9cm to 0.1cm at the discharge. In addition, Diplopia was improved at the discharge.
Conclusion: This case report demonstrated that the Korean medicine treatment is effective to diplopia and eye movement impairment from abducens nerve palsy caused by pontine infarction.
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KEYWORD
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abducens nerve palsy, pontine infarction, acupuncture, electroacupuncture, pharmacoacupunture, Korean medicine
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