gait(직렬로 선 보행)
환자 자세 양 팔을 옆으로 벌리고 서서 한쪽 발가락 끝 바로 앞에 다른 쪽 발뒤꿈치를 붙인다.
검사방법 검사자는 환자에게 검사실을 가로질러 걷게 하는데, 매 걸음마다 한쪽 발가락 끝 바로 앞에 다른 쪽 발뒤꿈치를 붙여가면서 걷게 한다.
정상반응 흔들림이나 균형의 소실없이
보행장애를 호소하는 Rt.BG, PVWM infarction 女患 1例
Objective : This study to investigate one patient who has lt. side weakness and gaitdisturbance. This symptom is caused by cerebral infarction in rt.BG, PVWM. Also, this study is to discuss and try new approach to effective treatment for this patient, especially herbal medical and acupuncture.
Methods : Some He
gaitdisturbance, Lt. facial palsy & ptosis, mild dysarthria
Results : The treatment of acupuncture and herbal medicine could improve the chief complain of patient
Conclusions : The effectiveness of oriental medical treatment for cerebral infarction patient with ptosis is established
Key words : Cerebral infarction, ptosis, oriental medicine
中風이란 단어를 글자 그대도 풀어
치료된 증례가 많지 않기 때문에 이 증례가 앞으로의 연구에 갖는 의의가 크다고 할 수 있다. 이에 외상 후 저산소성 허혈성 뇌손상 남환의 한방 치료 증례를 다음과 같이 보고하는 바이다.
II. 증례
1. 환자 : 유o o M/59
2. C/C
1) Quadriweakness
2) Gaitdisturbance
3) Dyspnea (T/C)
4) Dysphagia (PEG)
5) Athetosis
Abnormal gaitGait abnormality
A deviation from normal gait that typically results from dysfunction of the nervous and/or musculoskeletal systems.
Abnormal gaitgait abnormalities are defined as unusual and uncontrollable problems with walking
disturbances
occurs upon declining blood levels of alcohol
can be alleviated by reintroduction of alcohol or cross-tolerant agent
Dependence on other sedative-hypnotics increases the severity
Exposure to substance causes counter-regulatory mechanism
When the substance is removed
residual counter-regulatory mechanisms withdrawal symptoms
Ethanol interacts with GABA, glutamate (NMDA)
MCA occlusion
Motor & Sensory disturbance (contralateral)
Upper > Lower
Agnosia, Aphasia
Gaze preference toward the affected hemisphere
Post. Circulation occlusion
Loss of consciousness, nausea, vomiting
Impaired vision & thought process
Vertebrobasialr a. insufficiency
Extra-axial collections of blood secondary to trauma
Brain tumor and abscess
Metabolic abnormalities
Hypoglycemi