基底核病變에 依한 不隨意運動 患者 2例에 對한 臨床報告 = Two Cases of Dystonia and Chorea in Basal Ganglia

다국어 초록 (Multilingual Abstract)

Extrapyramidal movement disorders are divided descriptively into hypokinesias (such as parkinsonism), characterized by poverty and slowness of movement ; hyperkinesias (such as chorea, athetosis, dystonia, ballism, etc.), manifested by abnormal involuntary movement.
Chorea refers to widespread arrythythmic movements of a forcible, rapid, jerky, restless type. Choreic movements are noted for their irregularity and variability. They are generally continuous, may be simple or quite elaborate, and affect any part of the body. Dystonia refers to abnormally increased muscular tone that causes fixed abnormal postures. Some patients with dystonia also have shifting postures, resulting from irregular, forceful twisting movement that affect trunk and produce bizarre, grotesque movements and positions of the body.
The most frequent and familiar type of focal dystonia is spasmodic torticollis. It consists of an involuntary turning of the head to one side - intermittent at first, then gradually worsening to the point of being more or loss continuous. The combination of blepharospasm and oromandibular dystonia is sometimes referred to as Meige's syndrome.
We report two patients with dystonia and chorea in cerebral infarction at basal ganglia. We have experienced good improvement by the oriental medicine and acupuncture trearment. The acupuncture points of LI 4, ST 36, TE 3, GB 34, GB 41, LR 3, GB 39 were used. The therapies of herb-medicine were treated by Zibu-Ganshen, Huoxue-Xifeng-Tongluo.