- Delayed Spinal Subdural Hemorrhage after Spontaneous Intracranial Hypotension
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Dong-Won Shin, Ji-Sun Kim, Kyung Bok Lee, Hakjae Roh, Moo-Young Ahn
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Published online December 31, 2015
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- 자발두개내압저하에 의한 지연성 척수 경막하 출혈
- 성인 뇌수막염에서 C-단백의 유용성
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Shin-Hye Baek, Sung-Hyun Lee, Healim Lee, Jeawon Shin, Jin-Hwi Kang, Hyung-Suk Lee, Ji-Sun Kim, Dong-Ick Shin, Sang-Soo Lee
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Korean J Headache. 2011;12(2):97-100. Published online December 31, 2011
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- Objective: C-reactive protein(CRP), an acute phase serum globulin, is produced by hepatocytes in response to various nonspecific stimuli such as microbial infection, tissue necrosis, or neoplasm. The aim of this study was to clarify to what extent bacterial meningitis could be distinguished from aseptic or other infectious meningitis through CRP levels in adults. Methods: A total of 113 adult cases(aged 15-98 years), includingpatients with bacterial meningitis(n=14), aseptic meningitis(n=84), and tuberculous(Tb) meningitis(n=15), were retrospectively analyzed based on data from the initial examination. Results: Nine out of 14 patients with bacterial meningitis showed blood CRP levels ≥10mg/dl, whereas CRP levels <10mg/dl were observed in all patients with aseptic or Tb meningitis. Using a CRP level of ≥10mg/dl as a positive discriminatory factor for bacterial meningitis resulted in positive and negative predictive values of 0.91 and 1.0, respectively. To better discriminate bacterial from nonbacterial meningitis, we analyzed changes in CRP and cerebrospinal fluid(CSF) levels using one-way analysis of variance(ANOVA) and concluded that blood CRP is statically significant indicator which is differentiates bacterial meningitis from other meningitis or encephalitis at admission. Conclusion: This study suggests that serum CRP analysis, which is both simple and inexpensive, is helpful to differentiate bacterial meningitis from other aseptic or subacute meningitis.
- 합병증을 동반한 편두통 1례
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Ye-Sung Kim, Ji-Sun Kim, Sung-Hae Jung, Jae-Moon Kim
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Korean J Headache. 2003;4(2):109-112. Published online December 31, 2003
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- A 30-year old woman was admitted to the psychiatric department because of severe headache, right hemiparesis, aphasia, epileptic seizure, and fluctuating confusion. Headache lasts for couple of weeks and slowly regressed. Right hemiparesis, aphasia and fluctuating confusion was continued in spite of anti- migrainous medications. MRI and brain SPECT revealed suspicious focal ischemic lesion in right deep parietal lobe. There might be a profound overlap between the confusional migraine, basilar artry mi- graine, hemiplegic migraine, and migraine-related cerebral ischemia. Korean Journal of Headache 4(2):109-112, 2003
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