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电针对化疗后动眼神经麻痹的疗效:一例报告。

Electroacupuncture for oculomotor nerve palsy after chemotherapy: A case report.

机构信息

Tianshui and Wulin Street Community Health Service Center of Gongshu District, Hangzhou, China.

Department of Traditional Chinese Medicine, Zhejiang Cancer Hospital, Hangzhou, China.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38547. doi: 10.1097/MD.0000000000038547.

DOI:10.1097/MD.0000000000038547
PMID:38875429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11175888/
Abstract

INTRODUCTION

Oculomotor nerve palsy (ONP) is often discovered in the ophthalmology department, manifested as ptosis with the same side, eyeball in the fixed external booth, or accompanied by limited inward, upward, and downward movements. The present case report described the effect of electroacupuncture (EA) on a breast cancer patient with ONP after chemotherapy.

PATIENT CONCERNS

A 56-year-old breast cancer patient presented with severe ptosis and fixed right eye exotropia. Besides, it is challenging to perform the movement inward, upward, and downward, and with obvious diplopia.

DIAGNOSES

The breast cancer patient was diagnosed with ONP, chemotherapy history.

INTERVENTIONS

The patient was introduced to acupuncture department to receiving EA treatment.

OUTCOMES

After 12 times of EA treatments, the symptom of ptosis was significantly improved, and the right upper eyelid can lift autonomously as same as the left eye. Besides, the patient's right lateral eye could move freely, and the symptoms of double vision disappeared.

CONCLUSION

The case suggests that EA may be an effective alternative treatment for ONP.

摘要

简介

动眼神经麻痹(ONP)常于眼科发现,表现为同侧上睑下垂,眼球固定于外展位,或伴有内收、上转、下转运动受限。本病例报告描述了电针对化疗后 ONP 乳腺癌患者的疗效。

患者关注

一位 56 岁的乳腺癌患者出现严重的上睑下垂和固定的右眼外斜视。此外,向内、向上和向下运动困难,并伴有明显的复视。

诊断

乳腺癌患者被诊断为动眼神经麻痹,有化疗史。

干预措施

患者被介绍到针灸科接受电针治疗。

结果

经过 12 次电针治疗后,上睑下垂症状明显改善,右眼上睑可自主抬起,与左眼相同。此外,患者的右眼外侧可自由运动,复视症状消失。

结论

该病例提示电针可能是治疗动眼神经麻痹的一种有效替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9754/11175888/290227e4ee8d/medi-103-e38547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9754/11175888/355ced846ddc/medi-103-e38547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9754/11175888/290227e4ee8d/medi-103-e38547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9754/11175888/355ced846ddc/medi-103-e38547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9754/11175888/290227e4ee8d/medi-103-e38547-g002.jpg

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