- Tolosa-Hunt 증후군으로 발현한 특발비대두개 경수막염 1례
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Chang-Hyeong Kim, Jae-Han Park, Dong-Kuck Lee
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Published online December 31, 2012
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 Abstract
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- Tolosa-Hunt syndrome is characterized by severe unilateral headaches with ophthalmoplegia caused by granulomatous inflammation in the cavernous sinus. Idiopathic hypertrophic cranial pachymeningitis is a rare disorder, which is caused by chronic progressive inflammation and thickening of dura mater and characterized by headache, multiple cranial nerve palsy, ataxia and seizure. Both diseases have similar pathophysiology in that inflammation, but the case reports that combined with two disease entities are rare. Thus we report a case of idiopathic hypertrophic cranial pachy- meningitis presented with Tolosa-Hunt syndrome.
- 비기질적 수면장애를 동반한 편두통 환자의 수면 특징
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Chang Hyo Yoon, Jin Kuk Do, Dong-Kuck Lee
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Korean J Headache. 2009;10(2):150-155. Published online December 31, 2009
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Abstract
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- Background
There is a clear association between headache and sleep disturbances. However, the mechanism and causes are complex and poorly understood. The aim of this study is to investigate the clinical characteristics of sleep disturbance between migraineurs with insomnia and non-organic insomniacs. Methods: We enrolled 20 migraineurs with insomnia and 22 controls(non-organic insomniacs). Two groups underwent the battery of four sleep tests, such as the Pittsburgh Sleep Quality Index(PSQI), the Stanford Sleepiness Scale(SSS), the Epworth Sleepiness Scale(ESS), and the Insomnia Severity Index(ISI). The Beck Depression Inventory(BDI) and State Trait Anxiety Inventory(STAI) were also performed for evaluating associated comorbid conditions such as depression and anxiety tendency. Results: In the comparison, Migraineurs with insomnia group and control group were statistically differed in the scores of the battery of sleep tests. In the PSQI, the average score of migraineurs with insomnia was 9.95 as compared with 16.55 in control group(p<0.05). Furthermore, the SSS was 2.75 vs. 3.50(p<0.05) and ISI was 12.05 vs. 22.68(p< 0.05). The ESS provided exceptional adverse average scores such as 6.80 vs. 5.41 but the difference was not statistically significant(p>0.05). In the logistic regression, the PSQI was the only significant prospective factor(odds ratio=2.15, p<0.05). The difference of the BDI and STAI was not statistically significant(p>0.05). Conclusions: In this study, migraineurs with insomnia have less sleep complaints than non-organic insomniacs. Depre- ssion and anxiety tendency does not affect on the result.
- 약물과용두통의 임상적 및 심리적 특성
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Young-Rok Do, Jin-Kuk Do, Dong-Kuck Lee
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Korean J Headache. 2005;6(2):129-136. Published online December 31, 2005
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Abstract
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- Background
Medication-overuse headache (MOH) has been defined newly by the Classification Committee of the International Headache Society in 2003. We hypothesized that MOH has different clinical and psychologic features from any other chronic headaches and control group. The authors investigated the clinical and psychologic features of MOH sufferers diagnosed by newly defined criteria.
Methods
Using our MOH protocol and Minnesota Multiphasic Personality Inventory (MMPI), we investigated the clinical and psychologic features of 25 patients with MOH, 23 patients with chronic headaches, and 21 control subjects.
Results
The mean age of MOH patients was 50 years and female was predominantly affected. The locations, characteristics, severity, and common accompanying symptoms of MOH were various. All patients took analgesics. The mean frequency of medication was 21 days per month and duration of medication was about 8.5 years. MOH patients and chronic headache patients had higher MMPI profiles than control group in F (Infrequency), Hs (Hypochondriasis), D (Depression), Hy (Hysteria), Pd (Psychopathic Deviate), Pa (Paranoia), Pt (Psychasthenia), Sc (Schizophrenia) scales. But there was no significant difference of MMPI profiles between MOH patients and another chronic headache patients.
Conclusions
The clinical features of MOH in this study were similar to previous studies. The psychologic features of MOH were not different from those of chronic headache. MOH sufferers may be recommended individual psychologic supports as chronic headache sufferers. Korean Journal of Headache 6(2):129-136, 2005
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