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수두증을 동반한 뇌경색 환자의 실어증 치료 증례보고 1례

A Case Report of Treatment for Aphasia in Patients with Cerebral Infarction with Hydrocephalus

대한한방내과학회지 2020년 41권 1호 p.97 ~ 110
최유진 ( Choi Yu-Jin ) - Semyung University College of Korean Medicine Department of Internal Medicine

배영롱 ( Bae Yeong-Rong ) - Semyung University College of Korean Medicine Department of Internal Medicine
신선미 ( Shin Seon-Mi ) - Semyung University College of Korean Medicine Department of Internal Medicine
 ( Kim Ki-Tae ) - Semyung University College of Korean Medicine Department of Internal Medicine
고흥 ( Ko Heung ) - Semyung University College of Korean Medicine Department of Internal Medicine

Abstract


The purpose of this case study was to report the effectiveness of aphasia in patients with cerebral infarction with hydrocephalus. A patient diagnosed with a middle cerebral artery infarction and hydrocephalus was treated with Gami-cheongeumjowi-tang, acupuncture, and moxibustion. The degree of improvement of symptoms was evaluated using the Korean version of the Frenchay Aphasia Screening Test (K-FAST) and the Mini-Mental State Examination-Korea (MMSE-K).
At the time of admission, the K-FAST score was 7 points and the MMSE-K score was 4 points because no words other than ‘Yes' could be spoken. At discharge, the K-FAST score was 22 points and the MMSE-K score was 19 points. A particularly noticeable improvement was found in spoken and written comprehension, reading, and repetition.
The study findings indicate that Korean medicine treatment can be used to treat the symptoms of patients with aphasia. The periventricular region may be distorted by hydrocephalus, resulting in Broca’s aphasia in a cerebral infarction of the middle cerebral artery inferior division.

키워드

Broca’s aphasia; cerebral infarction; Korean medicine treatment; middle cerebral artery infarction; hydrocephalus; Gami-cheongeumjowi-tang
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