Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
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Case Reports about Brainstem Infarction -Dejerine′s syndrome and Wallenburg′s syndrome-

뇌간 경색에 대한 고찰 -Dejerine′s syndrome 1례 및 Wallenburg′s syndrome 1례-

  • Cho Gwon Il (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Han Myoung Ah (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Lee Ji Yeon (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Choi Jin Young (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Kim Dong Woung (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Jung Dae Young (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Kim Kwan Sik (Department of Internal Medicine, Wonkwang University Oriental Medicine Hospital)
  • 조권일 (원광대학교 전주한방병원 내과) ;
  • 한명아 (원광대학교 전주한방병원 내과) ;
  • 이지연 (원광대학교 전주한방병원 내과) ;
  • 최진영 (원광대학교 전주한방병원 내과) ;
  • 김동웅 (원광대학교 전주한방병원 내과) ;
  • 정대영 (원광대학교 전주한방병원 내과) ;
  • 김관식 (원광대학교 전주한방병원 내과)
  • Published : 2002.12.01
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Abstract

Blood circulation of brain is divided into two major categories; anterior one from carotid artery and posterior one from vertebrobasilar artery. In stroke patients, it is important to diagnose which is involved, because there is many difference in the aspects of clinical menifestations and prognosis, especially in the acute stage. In some cases of vertebrobasilar infarction, such as Wallenberg's syndrome, charicteristic cranial nerve signs, eye movement disorders and cerebellar signs are appeared. And in Dejerine's syndrome, only pure motor or sensory defecits can be appeared without any brainstem signs. So It shoud be differenciated by Brain MRI from those of the cerebral hemisphere lesions. And in the cases that nausea, vomitting and dysphagia are the first menifestations, it is frequently misdiagnosed as internal medical disease, causing appropriate treatment delayed. In this case report, we are to describe the clinical menifestations and progresses of two cases of brainstem infarctions, review previously published case reports about them and compare them to our cases. The first is Dejerine's syndrome i.e. medial medullary infarction, the second is Wallenberg's syndrome i.e. lateral medullary infarction. Simultaneously we are to investigate the oriental medical approach in the bran stem infarctions.

Keywords

References

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