A Case Report of The "Top of Basilar" Syndrome; with Vertebral Artery Occlusion

김세진; Misook Shin; Jin-Bong Choi; 설재욱; 안혜림; 김선종

Journal of Korean Medicine Rehabilitation

Abbr : JORM
2006, 16(3), pp.177-190
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Korean Medicine

김세진 ¹, Misook Shin ², Jin-Bong Choi ³, 설재욱 ⁴, 안혜림 ⁵, 김선종 ⁶

¹동신대학교
²부산대학교
³동신대학교
⁴동신대학교
⁵동신대학교
⁶동신대학교

ABSTRACT

Objectives : The aim of the present study is to report a 38-year-old patient with 'top of basilar(TOB)' syndrome who shows paralysis of limbs, diplopia, facial numbness, neck weakness by vertebral artery occlusion. Methods : We treated the patient by acupuncture, herbal medication, physical therapy, rehabilitative therapy such as eye exercise. We used evaluation scale including Visual Analog Scale(VAS), National Institutes of Health Stroke Scale(NIHSS), Modified Barthel Index(MBI), Manual Muscle Testing(MMT). Results and Conclusions : Analysis of this one patient indicated that oriental medical rehabilitative therapy is useful to treat the TOB syndrome. The symptoms were improved rapidly. After treatment, the patient was able to walk and diplopia was improved. MBI score changed from 20 to 95, for NIHSS from 13 to 2. VAS and MMT were also numerically improved.
KEYWORDS

Top of basilar(TOB) syndrome, Vertebral artery occlusion, MBI, NIHSS.
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