- A Pediatric Case of Chronic Ice Cream Headache
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Beom Kyu Park, Hye Joon Son, Yea Seul Han, Kon-Hee Lee
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Published online December 31, 2020
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- 소아 만성 아이스크림두통 1례
- A Case of Gradenigo Syndrome with Anisocoria
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Jae Young Shin, Joon Young Kim, Ji Hyun Kim, Ah Young Jung, Ka Young Yi, Dong Gyu Choi, Su-Kyoung Park, Kon-Hee Lee
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Published online December 31, 2013
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- 동공부등이 동반된 그라데니고 증후군 1례
- Clinical Characteristics and Diagnoses for Pediatric Headache in the Emergency Department
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Eun Young Hong, Ka Young Choi, Sung Koo Kim, Ah Young Jung, Kon-Hee Lee
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Published online June 30, 2013
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- Clinical Characteristics and Diagnoses for Pediatric Headache in the Emergency Department
- 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.
- 소아 단기지속두통
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Joon Woo Baek, Young Suk Shim, Sung Koo Kim, Kon-Hee Lee
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Korean J Headache. 2011;12(1):61-67. Published online June 30, 2011
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- Objective: In children primary recurrent headaches mainly consist of migraine and tension-type headache. Durations of them are 1 to 72 hours, 30 minutes to 7 days respectively. Short-lasting headache(SLH), which durations of headache are less than 30 minutes, could also be rarely found in children. This study aims to assess clinical characteristics, treatment and prognosis of pediatric SLH. Methods: Between October 2006 and July 2009, there were 480 recurrent headache patients in pediatric headache clinic at Kangnam Sacred Heart Hospital of Hallym University. Among them, the number of patients with SLH was 27(5.6%) and they were evaluated with headache questionnaires, imaging studies and viral tests etc. After treatment, follow-up survey was conducted via telephone interview about headaches and the effect on timing of treatment was compared in pediatric SLH. Results: The majority of SLH patients(81.5%) were school age children. Their mean age was 9.3±3.3 years old. Head- ache duration was less than 3 minutes in 85.2%. In 81.5% of patients the frequency of headaches was less than 10 times per week, and most patients(85.2%) had moderate or severe pain. Most patients(85.2%) were treated for 48±55 days(2-36 months). After treatment, headaches almost disappeared or reduced mildly. In addition the early treatment was more effective than late treatment for controlling headaches of pediatric SLH. Conclusion: SLH could also occur in children, although they were not diagnosed correctly as adults by ICHD-2 criteria. Most of their age was more than 6 years old, the pain lasted less than 3 minutes. Although the intensity of the pain was more than moderate degree it had good responses for the treatment. We need a better understanding and further study of pediatric SLH.
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