- 경추성두통의 해부와 중재적 시술
-
Dong Eon Moon
-
Korean J Headache. 2008;9(1):21-26. Published online June 30, 2008
-
-
-
 Abstract
 PDF
- Cervicogenic headache is pain perceived in the head but referred from a primary source in the cervical spine. The physiologic basis for this pain is convergence betw een trigeminal afferents and afferents from the upper three cervical spinal nerves. The possible sources of cervicogenic headache lie in the structures innervated by the C 1 to C 3 spinal nerves, and include the upper cervical synovial joints, the upper cervical muscles, the C2-3 disc, the vertebral and internal carotid arteries, and the dura m ater of the upper spinal cord and posterior cranial fossa. Anaesthetic blocks m ay be necessary to confirm the diagnosis of cervicogenic headache, showing that the source pain is in the neck. Differential diagnosis is sometim es a challenge because cervicogenic headache can be m istaken for other form s of unilateral headache, especially unilateral m igraine w ithout aura. R adiofrequency current is simply a tool used to create discrete thermal lesions in neural pathways in order to interrupt transmission. In pain medicine, radiofrequency lesions have been used to interrupt nociceptive pathways at various sites. W ith the development alternatives such as neuromodulation and intrathecal opioid infusion technologies. This article introduces the technique of anesthetic blockade and radiofrequency lesioning as an interventional treatment m odality of cervical pain.
- 신경병증성 통증의 진단과 치료
-
Dong Eon Moon
-
Korean J Headache. 2001;2(2):99-109. Published online December 31, 2001
-
-
-
Abstract
PDF
- Neuropathic pains refer to a heterogenous group of pain conditions characterised by lesion or dys- function of the normal sensory pathways. Clinical characteristics include: Delayed onset of pain after nervous system lesion, pain in area of sensory loss, spontaneous and different evoked types of pains. The mechanisms underlying neuropathic pain are not yet clear, apoptosis seems to induce neuronal sensi- tization and loss of inhibitory systems, and these irreversible processes might be in common to nervous system damage by brain trauma or ischemia as well as neuropathic pain. The cellular pathobiology including apoptosis suggests future strategies against neuropathic pain that emphasize preventive aspects. Along these lines, a mechanism-based classification and treatments have recently been proposed, which is an attractive approach because it provides a frame for a rationally based therapy of neuropathic pains. There is currently no consensus concerning the optimal therapeutic strategy for neuropathic pain, despite an increasing number of clinical trials demonstrating successful pain relief with several drugs. An analysis of the various neuropathic symptoms, aimed at selecting treatments targeted at mechanisms, may ultimately help the choice of different pharmacologic agents. Korean Journal of Headache 2(2):99-109, 2001
- 만성통증
-
Dong Eon Moon
-
Korean J Headache. 2001;2(2):81-87. Published online December 31, 2001
-
-
-
Abstract
PDF
- Chronic pain, persists beyond the expected course of an acute disease process and is usually defined as pain lasting greater than 3 to 6 months, is probably the most common condition for which patients seek medical care. This type of pain causes much suffering and disability and is frequently mistreated or undertreated. Patients with chronic pain should undergo a careful assessment before therapy. Patients with chronic pain commonly experience depression, sleep disturbance, fatigue, and decreased overall physical and mental functioning. Therefore therapy is provided with the aim of decreasing pain and su- ffering while improving physical and mental functioning with a multidisciplinary approach. Korean Journal of Headache 2(2):81-87, 2001
|
KHS
