• Journal of Acupuncture Research
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• v.22 no.5
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• pp.183-193
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• 2005

Objectives : The purpose of this case is to report the improvement after the acupuncture therapy and herbal medicine about two patients with senile oro-facial dyskinesia. Methods : We treated the patient with acupuncture therapy and herbal medicine by evaluating facial, lips, jaw and tongue expression of AIMS(Abnormal Involuntary Movement Scale) and clinical symptom progress. Results : We have recently experienced two cases of senile oro-facial dyskinesia. Two patients were improved significantly through the acupuncture therapy and herbal medicine, so we report it for the better treatment. Conclusion : Oro-facial dyskinesia is stereotyped movements, consisting of smacking and pursing of the lips, lateral deviation and protrusion of the tongue, and occasionally lateral deviation and protrusion of the jaw. Spontaneous oro-facial dyskinesias occur in the elderly and had been said to result from edentulousness. Oriental medical treatment for oro-facial dyskinesia resulted in satisfactory results by diminishing the symptoms progressively during the admission periods. More research of oro-facial dyskinesia is needed.

• Journal of Sasang Constitutional Medicine
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• v.27 no.3
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• pp.366-377
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• 2015

Objectives This study was designed to report diagnosis and treatment by Sasang Constitutional Medicine to the patients with Oro-facial Dyskinesia. Methods These two patients were diagnosed as Soyangin and Taeeumin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS). Result Oro-facial Dyskinesia was almost disappeared in each patients. the one patient was cured with Chongshimyeonja-tang and Yuldahanso-tang, and the other was cured with Hyeungbangjihwang-tang. Conclusion We can treat Oro-facial Dyskinesia whose cause is mostly idiopathic with the diagnosis and treatment of Sasang Constitutional Medicine.

• Journal of Sasang Constitutional Medicine
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• v.32 no.4
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• pp.107-117
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• 2020

Objectives This study was conducted to find out how effective the combined treatments of Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy (FCST) are for oro-facial dyskinesia. Methods A patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis and treated by Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy. The progress was evaluated with the global assessment scale (GAS) and balance sheets test. Results Oro-facial dyskinesia was almost disappeared with Yanggyeoksanhwa-tang, acupunctiure, pharmacopuncture and functional cerebrospinal therapy. Conclusions We report a case of oro-facial dyskinesia that improved with Sasang constitutional medicine, acupunctiure, pharmacopuncture and functional cerebrospinal therapy.

• The Journal of Internal Korean Medicine
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• v.38 no.5
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• pp.564-575
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• 2017

Objectives: This clinical report describes one patient with the clinical characteristics of burning mouth syndrome accompanied by oro-facial dyskinesia. Methods: The patient with burning mouth syndrome and jaw tremor was treated using the following Korean medicine treatments: the herbal medicines Yukgunja-tang-gami (六君子湯加味) and Sibak-tang-gami (柴朴湯加味) and acupuncture for 16 days, together with 10 Se-sim (Uncaria Ramulus et Uncus) pharmacopuncture procedures. Patient symptoms were evaluated daily using a Visual Analog Scale questionnaire and twice using the STAI (State-Trait Anxiety Inventory) questionnaire. Results: After the treatments, the oro-facial dyskinesia and burning sensation on the tongue were improved by 62.5%. The mental state of anxiety, regarded as the reason for these complaints, was also improved, based on the State-Trait Anxiety Inventory results (67/61 versus 57/52). We found that the improvement was better when combining Se-sim (Uncaria Ramulus et Uncus) pharmacopuncture with the conventional herbal medicine and acupuncture used in Korean medicine. Conclusion: Korean medicine treatments may be valuable for patients with burning mouth syndrome and oro-facial dyskinesia.

• Journal of Oriental Neuropsychiatry
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• v.20 no.3
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• pp.237-247
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• 2009

Objectives : Tremor is increasing recently especially among senior citizens. In this case, the patient who had mandibular tremor caused by trauma, was not improved by western medicine. We tried to apply Oriental medical treatment. Methods : We treated the patient with acupuncture therapy and herbal medication and measured the frequency of the tremor, Jaw expression of Abnormal Involuntary Movement Scale(AIMS) and Visual analog scale. Results: After treatment symptom of mandibular tremor was decreased significantly and other symptoms such as insomnia disappeared. Conclusions : During the admission days symptoms are decreased in contentment. This result suggests that Oriental medical treatment has good effect on tremor.

• Clinical and Experimental Pediatrics
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• v.59 no.sup1
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• pp.133-138
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• 2016

Anti-N-methyl D-aspartate receptor (anti-NMDAR) encephalitis, recently recognized as a form of paraneoplastic encephalitis, is characterized by a prodromal phase of unspecific illness with fever that resembles a viral disease. The prodromal phase is followed by seizures, disturbed consciousness, psychiatric features, prominent abnormal movements, and autonomic imbalance. Here, we report a case of anti-NMDAR encephalitis with initial symptoms of epilepsia partialis continua in the absence of tumor. Briefly, a 3-year-old girl was admitted to the hospital due to right-sided, complex partial seizures without preceding febrile illness. The seizures evolved into epilepsia partialis continua and were accompanied by epileptiform discharges from the left frontal area. Three weeks after admission, the patient's seizures were reduced with antiepileptic drugs; however, she developed sleep disturbances, cognitive decline, noticeable oro-lingual-facial dyskinesia, and choreoathetoid movements. Anti-NMDAR encephalitis was confirmed by positive detection of NMDAR antibodies in the patient's serum and cerebrospinal fluid, and her condition slowly improved with immunoglobulin, methylprednisolone, and rituximab. At present, the patient is no longer taking multiple antiepileptic or antihypertensive drugs. Moreover, the patient showed gradual improvement of motor and cognitive function. This case serves as an example that a diagnosis of anti-NMDAR encephalitis should be considered when children with uncontrolled seizures develop dyskinesias without evidence of malignant tumor. In these cases, aggressive immunotherapies are needed to improve the outcome of anti-NMDAR encephalitis.