우측 반맹을 호소하는 환자 치험 1례 = Case Study of Right-side Homonymous Hemianopia in a Stroke Patient Treated by Traditional Korean Medical Treatment

다국어 초록 (Multilingual Abstract)

Objective: This study presents a case of a 56-year-old Korean male with right-side hemianopia due to stroke. Homonymous hemianopia represents a visual field defect related to loss of vision in all or part of the left or right visual field in both eyes; treatment options for this condition are limited.Method: The patient was treated with acupuncture, moxibustion, herbal medicine (Yangguksanhwa-tang), and electroacupuncture around the eyes. We executed a confrontation visual field exam (the Donders test) to evaluate any visual field defectsResults: The visual field area showed improvement after the management of traditional Korean medical treatments.Conclusion: Based on this case, traditional Korean medical treatments may be effective in treating hemianopia due to stroke.

참고문헌 (Reference)

1 최애련, "凉膈散火湯으로 好轉된 少陽人外轉神經痲痺 斜視患者치험 1례" 사상체질의학회 20 (20): 176-183, 2008

2 최동준, "급성기 중풍 환자에 대한 양격산화탕의 임상적 효능" 대한한의학회 25 (25): 111-116, 2004

3 Sand KM, "Visual impairment in stroke patients - a review" 196 : 52-56, 2013

4 Rowe F, "Visual impairment following stroke: do stroke patients require vision assessment?" 38 (38): 188-193, 2009

5 McCarty CA, "Vision impairment predicts 5 year mortality" 85 : 322-326, 2001

6 Sand KM, "Thomassen L, Naess H, Rodahl E, Hoff JM. Diagnosis and rehabilitation of visual field defects in stroke patients: a retrospective audit" 2 : 17-23, 2012

7 Çelebisoy M, "Recovery of visual-field defects after occipital lobe infarction: a perimetric study" 82 : 695-, 2011

8 Gray CS, "Recovery of visual fields in acute stroke: homonymous hemianopia associated with adverse prognosis" 18 (18): 419-421, 1989

9 Warren M, "Pilot study on activities of daily living limitations in adults with hemianopsia" 63 : 626-633, 2009

10 Pollock A, "Interventions for visual field defects in patients with stroke." 43 : e37-e38, 2012

11 Zhang X, "Homonymous hemianopias. Clinicalanatomic correlations in 904 cases" 66 (66): 906-910, 2006

12 Jones GC, "Effects of depressive symptoms on health behavior practices among older adults with vision loss" 54 : 164-172, 2009

13 Pambakian ALM, "Can visual function be restored in patients with homonymous hemianopia?" 81 (81): 324-328, 1997