- Economic Burden and Cost of Migraine
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Min Suck Kim, Jin Kuk Do, Youngrok Do
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Published online December 31, 2018
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- 자발두개내저압에서 낮은 뇌척수액압의 예측인자로서의 경수막 조영증강
- Other Trigeminal Autonomic Cephalalgias
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Jin Kuk Do
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Published online December 31, 2013
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- 다른 삼차자율신경두통
- 긴장형두통과 편두통에서 수면의 양상
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Woo Ho Han, Jin Kuk Do, Dong Kuck Lee
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Korean J Headache. 2010;11(2):95-100. Published online December 31, 2010
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- Background
There is a clear association between headache and sleep disturbance. However, the mechanism and causes are complex and poorly understood. The aim of this study is to compare the sleep quality in tension-type headache and migraine patients. Methods: We enrolled 49 tension-type headache (TTH) and 27 migraine patients. Two groups underwent the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale, Beck Depression Inventory, and State trait anxiety inventory. We analyzed these sleep[C3] and other psychiatric parameters according to headache type and headache features. Results: Global PSQI scores [10.82±5.10 for TTH vs. 10.52±4.31 for migraine, p-value=0.79], BDI[C4] [18.86±8.55 for TTH vs. 21.19±9.48 for migraine, p-value=0.28] and STAI[C5] [state; 51.04±10.32 for TTH vs. 52.48±11.92 for migraine, p-value=0.58, trait; 53.92±10.32 for TTH vs. 55.33±12.09 for migraine, p-value=0.59] showed no significant difference between two groups.Chronic migraine (CM) sufferers revealed shorter sleep duration [2.40±0.74 hours for CM vs. 1.42 ±1.08 hours for episodic migraine (EM), p-value=0.01]and higher STAI score comparing from EM (state; 57.87±11.71 for CM and 45.75±8.52 for EM, trait; 59.87±12.08 for CM and 49.67±9.83 for EM). Conclusions: In our study, there were no significant difference in sleep related parameters including PAQI, ESS and STAI between tension-type headache and migraine patients group. CM patients reported higher ESS and STAI scores comparing to EM patients.
- 긴장형두통과 군발두통의 치료
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Jin Kuk Do
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Korean J Headache. 2010;11(1):50-54. Published online June 30, 2010
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- Tension-type headache(TTH) is the most common and cluster headache(CH) is relatively uncommon of primary headache disorder. CH is the most unique and painful of the primary headache disorders. However TTH is featureless syndrome. Physicians often experience difficulty for managing TTH and CH. TTH is the most costly and common form of headache and what many people consider a normal headache, in contrast to migraine. Many TTH patients self treat acute attacks and seek advice when attacks become frequent or chronic. CH is characterized by recurrent monomorphic headache attacks associated with cranial autonomic symptoms. Despite its clear clinical presentation, many CH patients are misdiagnosed or mismanaged. Other primary headache syndromes can sometimes be managed nonmedicinally, but in regard to CH, medication, sometimes even polypharmacy, is indicated. Because most patients who have CH have episodic CH, medications are only used while a patient is in cycle and are stopped during remission periods.
- 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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- 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.
- 군발두통과 기타 원발두통의 진단과 치료 - 증례 중심 접근 -
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Jin Kuk Do
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Korean J Headache. 2009;10(2):137-140. Published online December 31, 2009
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- Cluster headache is the most unique and painful of the primary headache disorders. The trigeminal-autonomic cepha- lalgias(TACs) are a group of primary headache syndromes which are characterized unilateral recurrent severe headache with cranial autonomic symptoms. The individual attack involves activation of the trigeminal-autonomic reflex. The TACs include cluster headache, paroxysmal hemicranias and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing(SUNCT). They can be differentiated by attack duration and frequency. Cluster headache has the longest attack duration and relatively low attack frequency. These headache syndromes should be differentiated because of different management. Headache associated with sexual activity can occur with primary exertional headache and migrainous headache. We should consider comorbid conditions for specific management of other primary headaches.
- 삼차자율신경두통의 진단과 치료
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Jin Kuk Do
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Korean J Headache. 2009;10(1):47-58. Published online June 30, 2009
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- The trigeminal autonomic cephalalgias (TACs) are a group of primary headache syndromes which are characterized unilateral recurrent severe headache with autonomic dysfunction. The individual attack involves activation of the trigeminal-autonomic reflex. The TACs include cluster headache, paroxysmal hemicranias and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT). Cluster headache is the most common of this headache syndrome, while others(paroxysmal hemicranias, and SUNCT) are rarer. Cluster headache has the longest attack duration and relatively low attack frequency. Paroxysmal hemicranias have intermediate duration and frequency. SUNCT have the shortest attack duration and the highest frequency. These headache syndromes typically are marked by very severe pain and if not treated correctly can produce lifelong disability. This review gives an overview for TACs, recent pathophysiological findings and recognized treatments.
- 눈대상포진 후 나타난 SUNCT Syndrome
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Kyung Jib Kim, Jin Kuk Do, Dong Kuck Lee
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Korean J Headache. 2008;9(1):40-43. Published online June 30, 2008
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- The SUNCT refers to short-lasting unilateral neuralgiform headache with conjunctival injection and tearing. It is characterized by brief attacks of severe unilateral pain in the orbitotemporal region, associated w ith ipsilateral cranial autonomic disturbances. The syndrome is often m isdiagnosed as trigeminal neuralgia or cluster headache. A 60-year-old man had a right herpes zoster ophthalmicus. Four days later, he had first attack of pain deep in and around the right eye and temple w ith lacrimation. The pain w as sharp and throbbing, very intense and localized to the right orbital region. Reddening and w atering of the right eye consistently accompanied the pain. The headaches occurred sporadically throughout whole day, w ith an average of 20?30 individual paroxysms during 5-30 seconds. Attacks did not occur during sleep. Neurological and ophthalm ologic examinations were unremarkable. Except verapamil, therapeutic trials of gabapentin, oxycodone, indomethacin
- 급성 범부비동염에 동반된 뇌농양 1예
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Hyo Min Lee, Jin Kuk Do, Dong Kuck Lee
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Korean J Headache. 2008;9(1):37-39. Published online June 30, 2008
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- Intracranial abscesses are uncommon, serious, life-threatening infections. The abscesses can originate from infection of contiguous structures (eg, otitis m edia, dental infection, m astoiditis and sinusitis). D irect extension m ay occur through necrotic areas of osteomyelitis in the posterior w all of the frontal sinus, as w ell as through the sphenoid and ethmoid sinuses. But our patient had no direct extension on brain image
- 한국에서 편두통 예방 치료를 위한 평가 - 편두통에 의한 장애인식 캠페인 -
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Min-Kyung Chu, Sun Uck Kwon, Manho Kim, Byung-Kun Kim, Byung-Joo Kim, Yeong-In Kim, Yong-Jae Kim, Won-Joo Kim, Jae-Moon Kim, Hyun Sook Kim, Jin Kuk Do, Ki-Jong Park@
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Korean J Headache. 2005;6(2):121-128. Published online December 31, 2005
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- Background
Migraine is a common, disabling illness and imposes great burden on society. Migraine- related disability is often poorly communicated between patients and physicians. The prevalence, disability and medical service utilization behavior of migraine has not been evaluated sufficiently in Korea. The goal of this study is to determine the proportion of migraine among patients presented with headache in neurology clinic and to assess the level of headache related disability of patients.
Methods
This survey recruited patients who consulted to neurologists with a chief complaint of headache in 17 hospitals in Korea. Patients answered a self-administered questionnaire. The investigators independently responded another questionnaire about their patients' headache and assessed headache related disabilities after diagnostic interview. Patients suffering from headache ≥15 days per month were excluded.
Results
Among 570 patients (female 433 (76.0%), mean age 47.8±15.6) who responded adequately the questionnaire, 376 patients had migraine. Fifty-eight percent of the migraine patients were newly diagnosed as having migraine through this survey. However, 74.9% of migraineurs have taken pain-relieving drugs when headache developed; 12.3% of the migraineurs overused the medications. One hundred forty one (37.5%) migraineurs reported that they miss family, social and leisure activities because of headache. Thirty percents of migraineurs were on prophylactic medications and 14.4% of them have visited emergency room due to severe headache. The neurologists would recommend prophylactic medication in 64.3% of patients who were not on prophylaxis.
Conclusions
This study showed that migraine is the most common headache syndrome in the neu- rology clinics of Korea. Significant portion of the migraine patients have migraine-related disability. A majority of migraineurs exposed pain-relieving drugs without exact diagnosis and some of them overused them. Korean Journal of Headache 6(2):121-128, 2005
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