- 망막편두통과 유사한 고혈당성 단안시각증상
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Ji-Hyun Lee, Woo-Joo Choi, Yoo-Kyung Kim, Min-Woo Ku, Yang-Ki Minn, Ki-Han Kwon, Soo-Jin Cho
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Korean J Headache. 2011;12(1):71-73. Published online June 30, 2011
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- Retinal migraine is a rare subtype of migraine characterized by recurrent monocular visual symptoms(MVS). Severe hyperglycemia can cause chorea, seizure, or coma, but its association with retinal migraine has rarely been reported. A 54-year-old migraineur with diabetes mellitus complained of bright light in his left eye. MVS lasted from 2 to 3 minutes, recurred 5 to 50 times a day, and sometimes were followed by severe right-side headaches. Three years ago, he had had recurrent MVS associated with a colorful rainbow in the left eye, after discontinuing oral hypogly- cemic agents by his own volition. Hyperglycemia (613 mg/dl) and elevated glycosilated haemoglobin(10.5%) were detected. Initial and second EEGs, brain MRIs and MR angiography did not reveal any significant abnormalities. MVS decreased with improved glycemic and headache control and finally ceased in 3 weeks. MVS can develop due to hyperglycemia, and may be related to neuronal hyperexcitability or spreading depression.
- 급성 가쪽연수경색증으로 인한 만성 군발유사두통
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Meyung-Kug Kim, Ji-Hyun Lee, Bong-Goo Yoo
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Korean J Headache. 2010;11(2):104-107. Published online December 31, 2010
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Abstract
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- Cluster-like headache has been described as a secondary to several intracranial pathology. More than half of patients with lateral medullary infarction develop headache, but headache associated with autonomic symptom is very rare. We report the case of a 61-year-old man with chronic cluster-like headache associated with acute lateral medullary infarction. Damage of lateral medulla leads to imbalance of the autonomic system. Activated trigemino-autonomic system might be contributing factors of this headache.
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KHS
