- Mechanical Thrombectomy in Cerebral Venous Thrombosis Caused by Spontaneous Intracranial Hypotension: A Case Report with Novel Pathological Findings of Fibrin/Platelet-predominant Thrombus
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Min Kyoung Kang, Eun Young Kim, Hye-Rim Shin
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Headache Pain Res. 2024;25(2):122-127. Published online October 2, 2024
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DOI: https://doi.org/10.62087/hpr.2024.0016
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- This case report presents pathological findings in a rare case of cerebral venous thrombosis (CVT) caused by spontaneous intracranial hypotension (SIH) that was treated successfully with mechanical thrombectomy. The etiologies and prognosis of CVT vary, and CVT resulting from SIH is particularly uncommon and challenging to diagnose and manage. In this case, magnetic resonance imaging revealed signs consistent with both SIH and CVT, which contributed to the patient’s worsening weakness. The patient was treated with a combination of endovascular thrombectomy and epidural blood patch, followed by anticoagulation therapy, and recovered without any complications. A pathological analysis of the retrieved thrombus using hematoxylin and eosin staining showed a high proportion of fibrin and platelets, which could shed light on the mechanism of CVT induced by SIH under conditions of low blood flow due to venous engorgement.
- 두통과 체중감소를 동반한 소아 다카야스동맥염 1례
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Saet Byul Woo, Ji Hyun Kim, Eun Young Kim, Ah Young Jung, Jung Won Lee, Sung Koo Kim, Kon-Hee Lee
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Korean J Headache. 2012;13(1):34-37. Published online June 30, 2012
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- Takayasu’s arteritis (TA) is a chronic large-vessel vasculitis of unknown etiology primarily affecting young women of Asian descent. The early manifestations are often followed by vascular bruits, hemiparesis, retinopathy due to localized ischemia of involved vessels. Depending on the degree, various neurologic manifestations also can be observed. Amongst them, headache is the most common neurologic presentation in TA patients. Since the clinical manifestations in pediatric patients are less specific than in adults, diagnosis of TA is challenging without typical localized ischemic symptoms. In this report, we discuss a case of an 8-year-old girl diagnosed as TA, who initially presented no typical vascular symptom and only with vague symptoms: headache, weight loss, febrile sense.
- 소아 복부편두통의 임상적 특징과 편두통 이행에 관여하는 위험인자
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Eun Young Kim, Ji Hyun Kim, Saet Byul Woo, Jee Hyun Lee, Ah Young Jung, Sung Koo Kim, Kon-Hee Lee
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Korean J Headache. 2012;13(1):13-18. Published online June 30, 2012
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- Objective: Abdominal migraine (AM) is an idiopathic recurrent disorder occurring primarily in children. There are a few studies, even though AM frequently interferes with normal activity and is recognized as migraine prodrome. We therefore analyzed the clinical characteristics of AM and its risk factors for developing migraine later.
Methods
Among 923 children visited with recurrent abdominal pain, we studied 84 fulfilled the International Classification of Headache Disorder for the diagnosis of AM from January 2006 to December 2010. Through chart review and telephone interview, we evaluated and followed up the patients. We divided the patients into two groups by whether the migraine occurred later, and then compared them to find its risk factors.
Results
The mean age of 84 AM was 7.1±3.0 years and 60 (71.4%) were girls. The duration of abdominal pain was 4.3 ±12.7 hours and their severity was all above moderate. Sites of abdominal pain were periumbilical or diffuse at 71 (84.5%). The associated symptoms were anorexia (n=35, 15.5%), nausea (n=58, 69.0%), vomiting (n=26, 31%), and minute headache (n=64, 76.2%). Twenty seven (32.1%) with AM were occurred with migraine 1.7±0.8 years later from onset of AM. Between the migraine and the non-migraine group, there were no statistically differences in age, gender, characteristics of abdominal pain, and associated symptoms. But AM patients significantly developed migraine later at their association with headache (p=0.003) or necessity of drug therapy (p=0.034).
Conclusion
A third of AM developed migraine later and its risk factors were association with headache or necessity of drug therapy.
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