항암면역치료 후 발생한 외전신경마비 한방 치험 1례
A Case Report of Abducens Nerve Palsy after Cancer Immunotherapy Treated with Korean Medicine
한방안이비인후피부과학회지 2022년 35권 3호 p.114 ~ p.122
김재호(Kim Jae-Ho) - Kyung Hee University Hospital at Gangdong Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine
고혜연(Ko Hye-Yeon) - Kyung Hee University Hospital at Gangdong Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine
김민희(Kim Min-Hee) - Kyung Hee University Hospital at Gangdong Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine
Abstract
Objective : The purpose of this study is to report the effect of Korean medicine treatments of abducens nerve palsy after cancer immunotherapy.
Methods : A 63-year-old male patient who was suffering hepatocellular carcinoma had left eye abduction restri ction, diplopia, and decreased visual acuity after taking 5th cancer immunotherapy(atezolizumab + bevacizumab).
Western medicine was administered for 3 weeks, but there was no response. The patient was treated with herbal medicine, acupuncture, electroacupuncture, moxibustion and bee venom pharmacoacupuncture for 4 weeks.
Result : The patient’s eye abduction restriction and diplopia were resolved. Visual acuity was improved from NRS(Numerical Rating Scale) 8 to NRS 2. The patient continued immunotherapy and there was no worsening of symptoms. No adverse events were observed.
Conclusions : This study shows that Korean medicine treatments were effective on abducens nerve palsy after cancer immunotherapy.
키워드
Abducens nerve palsy, Cancer immunotherapy, Korean medicine
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유효성결과(Recomendation)
Korean medicine treatments were effective on abducens nerve palsy after cancer immunotherapy.