This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Monday, 18 August 2014

Acupuncture helps recovery of abducens palsy-induced diplopia

A patient with diabetes mellitus had abducens palsy-induced diplopia for one and half months and recovered completely from the condition after only 4 sessions of acupuncture treatment, according to a case report published in the journal Global Advances in Health and Medicine.

Abducens nerve palsy, also called sixth nerve palsy is a condition associated with the dysfunction of the cranial (VI) nerve, which innervates the lateral rectus muscle, responsible for turning eyeball outward from nose. Any condition that causes damage of blood vessels close to abducens nerve in the brain, such as stroke, diabetic neuropathy etc, may cause abducens nerve palsy. When abducens palsy occurs, a person’s eye begins to point inward toward the nose, often resulting in double vision. Although a double vision is not a serious problem it can significantly impact the person’s quality of life, making simple everyday tasks, such as reading, walking and driving, difficult to manage. Normally abducens palsy, in many patients resolves itself on its own once the underlying condition is treated. However, if the underlying cause is chronic e.g. diabetes, its manifestation may last much longer.

Recently Dr. Do and colleagues in the United States reported a case study of acupuncture treatment of abducens palsy. A 58-year-old male patient with diabetes mellitus had a left diplopia and was diagnosed as “isolated left sixth cranial nerve palsy”, and was treated with an eye patch and temporary prism. One and half months after onset of diplopia the patient felt double vision getting worse and a stabling clusters of pain behind both eyes. Then he was treated with acupuncture at the following acupoints, LI4, LV3, Taiyang, SP6, ST36, GB32, and GB20 for 30 mins each time for 4 times within 11 weeks. After last acupuncture treatment the patient stopped using prism and believed his sight had returned to normal.

The authors suggest that acupuncture helps reduce recovery rate due to abducens palsy.

Reference:
Do A et al., acupuncture treatment of diplopia associated with abducens palsy:
a case report. Glob Adv Health Med. Jul 2014; 3(4): 32–34.   http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4104568/

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