| 뇌실-복강 단락술 후 증상 호전 없었던 Normal Pressure Hydrocephalus 환자의 치험 1례 |
| 정현정, 윤경선, 권건록, 한창호, 정승현, 신길조, 이원철 |
| 동국대학교 부속 한방병원 내과 |
| One Case Study of a Patient with NPH Who Showed No Improvement after Ventriculo-peritoneal Shunt |
| Hyun-jung Jung, Kyoung-sun Yoon, gun-rok Kwon, Chang-ho Han, Seung-hyun Jung, Gil-jo Sin, Won-chul Lee |
| Dept. of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University |
| Correspondence |
Hyun-jung Jung ,Tel: 054-770-1342, Fax: 054-770-1500, Email: qutelady@naver.com
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Received: August 26, 2005, Accepted: September 20, 2005, Published online: December 30, 2005. |
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| ABSTRACT |
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The basic mechanism of normal pressure hydrocephalus(NPH) is found in an impediment to CSF absorption. In about half of the cases, the etiology remains obscure. NPH is more frequently found in elderly people. The main symptoms are gait disturbances, urinary incontinence and various degree of cognitive changes. The current treatment is ventriculo-peritoneal shunting, ideally using an adjustable valve. In about half of surgical operations, results are poor. Hyeongbangjihwang-tang(荊防地黃湯) is used to treat Soyangin(少陽人) weakness(虛弱) and edema(浮腫). It is an important Gang-Yin(降陰) medicine. A Soyangin patient diagnosed with NPH, who had undergone surgery for ventriculo-peritoneal shunting, was treated with Hyeongbangjihwang-tang. Significant improvement of clinical symptoms was seen, so it is here reported. |
| Key words:
Normal pressure hydrocephalus(NPH), weakness(虛弱), edema(浮腫) Soyangin(少陽人) Hyeongbangjihwang-tang (荊防地黃湯) |
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