The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Post-stroke Visual Impairment Treated with Korean Medical Treatment: A Case Series

한의 복합 치료를 통해 개선된 뇌졸중 후 시야 장애 환자 2례 증례보고

  • Lee, Young-ung (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kang, Geonhui (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwangho (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Cheol-hyun (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kang, Sunny (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sangkwan (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center)
  • 이영웅 (원광대학교 광주한방병원 한방내과) ;
  • 강건희 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 광주한방병원 한방내과) ;
  • 김철현 (원광대학교 광주한방병원 한방내과) ;
  • 강선이 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 광주한방병원 한방내과)
  • Received : 2021.09.17
  • Accepted : 2021.10.25
  • Published : 2021.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study investigated two cases of Korean medical treatment for visual field impairment after stroke: Case 1, a 56-year-old male with a posterior cerebral artery infarction and right homonymous hemianopsia, and Case 2, a 46-year-old male with an intracerebral hemorrhage in the left parietal lobe and right homonymous hemianopsia. Methods: Case 1 was treated with acupuncture, electroacupuncture, and herbal medicine (Mangeum-tang) for two months, and Case 2 was treated with acupuncture, electroacupuncture, and herbal medicine (Oryeong-san) for 40 days. Results: Following treatment, for Case 1, the Humphrey visual field test showed improvement. The visual field indexes (VFIs) for the left and right eyes improved from 44% to 55% and 49% to 64% respectively, and the mean deviations (MDs) for the left and right eyes improved from -21.11 dB to -19.91 dB and -17.45 dB to -13.89 dB, respectively. The mean visual sensitivities (MVSs) of the left and right eyes also improved from 8.67 dB to 11.33 dB and 1.67 dB to 9.67 dB, respectively, with no side effects. For Case 2, the VFI for the left eye improved from 36% to 64% and that for the right eye remained unchanged. The MDs for the left and right eyes also improved from -22.02 dB to -14.47dB and -22.11 dB to -21.34 dB, respectively, with no side effects. Conclusions: This study suggests that Korean medical treatment may improve visual impairment after stroke, but further research is needed.

Keywords

Acknowledgement

이 논문은 2021학년도 원광대학교의 교비지원에 의해 수행됨.

References

  1. Sand KM, Midelfart A, Thomassen L, Melms A, Wilhelm H, Hoff JM. Visual impairment in stroke patients - a review. Acta Neurol Scand 2013;127(Suppl. 196):52-6. https://doi.org/10.1111/ane.12050
  2. Celebisoy M, Celebisoy N, Bayam E, Kose T. Recovery of visual-field defects after occipital lobe infarction: a perimetric study. J Neurol Neurosurg Psychiatry 2011;82(6):695-702. https://doi.org/10.1136/jnnp.2010.214387
  3. Jin C, Im JW, Seo YR, Park JY, Lee JE, Kim YS, et al. A case report of a cerebral infraction patient with homonymous hemianopsia treated by traditional Korean Medicine. J Int Korean Med 2012;fal:287-91.
  4. Ey YL, Son JH, Park MJ, Cho JH, Moon SK, Jung WS. Case Study of Right-side Homonymous Hemianopia in a Stroke Patient Treated by Traditional Korean Medical Treatment. J Int Korean Med 2016;37(2):237-42.
  5. Jung MH, Kim JH, Kim SW, Cho KH, Moon SK, Jung WS, et al. A Case Series of Post-stroke Vision Disorders Using Korean Medical Treatment. J Int Korean Med 2018;39(2):217-23. https://doi.org/10.22246/jikm.2018.39.2.217
  6. Chu HM, Kim CH, Lee YU, Kim KH, Moon YJ, Shin HR, et al. A Case Report of a Homonymous Hemianopsia in a Stroke Patient Treated with Traditional Korean Medical Treatment. J Int Korean Med 2019;40(5):797-803. https://doi.org/10.22246/jikm.2019.40.5.797
  7. Choi JW, Kim SY, Kim HR, Shin HY, Yang SB, Cho SY, et al. A case study of bilateral superior altitudinal hemianopia in a stroke patient treated with Korean Medicine. The Journal of the Society of Stroke on Korean Medicine 2019;20(1):43-52.
  8. Pollock A, Hazelton C, Rowe FJ, Jonuscheit S, Kernohan A, Angilley J, et al. Interventions for visual field defects in people with stroke. Cochrane Database of Systematic Reviews 2019;5:CD008388.
  9. Grunda T, Marsalek P, Sykorova P. Homonymous hemianopia and related visual defects: Restoration of vision after a stroke. Acta Neurobiol Exp 2013;73(2):237-49.
  10. Wong SH, Plant GT. How to interpret visual fields. Pract Neurol 2015;15:374-81. https://doi.org/10.1136/practneurol-2015-001155
  11. Yaqub M. Visual fields interpretation in glaucoma: a focus on static automated perimetry. Community Eye Health J 2012;25(79-80):1-8.
  12. Valente C, D'Alessandro E, Iester M. Classification and Statistical Trend Analysis in Detecting Glaucomatous Visual Field Progression. Journal of Ophthalmology 2019;2019:1-5. https://doi.org/10.1155/2019/1583260
  13. Zhang X, Kedar S, Lynn MJ, Newman NJ, Biousse V. Homonymous hemianopias: clinical anatomic correlations in 904 cases. Neurology 2006;66(6):906-10. https://doi.org/10.1212/01.wnl.0000203913.12088.93
  14. Glisson CC. Visual Loss Due to Optic Chiasm and Retrochiasmal Visual Pathway Lesions. Continuum 2014;20(4):907-21. https://doi.org/10.1212/01.CON.0000453312.37143.d2
  15. Liu Z, Guan L, Wang Y, Xie C, Lin X, Zheng G. History and Mechanism for Treatment of Intracerebral Hemorrhage with Scalp Acupuncture. Evidence-Based Complementary and Alternative Medicine 2012;2012:1-9.
  16. Chang QY, Lin YW, Hsieh CL. Acupuncture and neuroregeneration in ischemic stroke. Neural Regeneration Research 2018;13(4):573-83. https://doi.org/10.4103/1673-5374.230272
  17. Byun SB, Yun JM, Moon BS. Complex Regional Pain Syndrome on Post-Stroke Patients with Korean Medicine: A Case Series of Three Patients. J Int Korean Med 2014;35(4):573-84.
  18. Jang IS, Kwon SW, Kim KW. Orungsan(Goreisan) Application in Neurosurgical Field: Review of the Studies Reported in the 20th Annual Meeting of Kampo Medicine Association of the Japan Neurosurgical Society. The Korean Journal of Joongpoong 2011;12(1):1-7.