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A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia

밀러-피셔 증후군 환자의 안근 마비 치험 1례

  • Kim, Seo-Hee (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University) ;
  • Lee, Ju-Hyun (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University) ;
  • Kang, Eun-Jeong (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Park, Ji-Won (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean medicine, Wonkwang University) ;
  • Hong, Seok-Hoon (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University)
  • 김서희 (원광대학교 한의과대학 안이비인후피부과학교실) ;
  • 이주현 (원광대학교 한의과대학 안이비인후피부과학교실) ;
  • 강은정 (동신대학교 한의과대학 안이비인후피부과학교실) ;
  • 박지원 (원광대학교 한의과대학 침구학교실) ;
  • 홍석훈 (원광대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2020.03.30
  • Accepted : 2020.05.13
  • Published : 2020.05.25

Abstract

Objectives : The aim of this study is to report the effect of Korean Medicine Treatment for patient with ophthalmoplegia in Miller-Fisher Syndrome. Methods : A patient with ophthalmoplegia treated with herbal medicine, cupping therapy and acupuncture(including pharmacopuncture, electroacupuncture). We used photographs of eye movement to evaluate the changes in symptoms, Scott and Kraft score of left eye, visual field test for measuring peripheral visual field, subjective symptom, and VAS for headache, subjective symptom. Results : After treatment, Scott and Kraft score increase from -4 to -2. Visual field of left side improved from 45° to 80°. Also, other symptoms such as diploma, dizziness, headache, gait disturbance was also improved. There are no adverse effects and no relapse of ophthalmoplegia after 20 days of discharge. Conclusions : This case report suggests that Korean Medicine Treatment can be effective for patient with ophthalmoplegia in Miller-Fisher Syndrome.

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