- 소아 반복성 두통 환자에서 뇌영상 검사
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Joon-Woo Park, Konhee Lee
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Korean J Headache. 2007;8(2):73-78. Published online December 31, 2007
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 Abstract
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- Background
To assess the utility of neuroimaging study in evaluation of children and adolescents with recurrent head- ache. Methods: We retrospectively reviewed medical records and neuroimages of patients with recurrent headache who visited the pediatric neurologic clinic at Kangnam Sacred Heart Hospital between January 2004 and June 2006. The diagnostic criteria of International Classification of Headache Disorders II were used in the classification of patient. Results: We included 164 children with a mean age of 9.1±2.9 years. There were 136(82.9%) patients with primary headache and 27(17.1%) patients with secondary headache. Of patients with primary headache, there were 41(30.2%) patients with migraine without aura, 21(15.4%) patients were migraine with aura, 43(31.6%) patients were episodic tension-type headache, and 31(22.8%) patients were chronic daily headache. Of the 136 patients with primary headache, 110(81.9%) were normal and 26(19.1%) showed benign abnormal findings. Abnormal findings included 14 cases of sphenoidal sinusitis, 4 cases of arachnoid cyst, 3 cases of leukomalacia, 2 cases of venous angioma, 2 cases of pineal cyst, and 1 case of sinus polyp. All the benign cases required no surgical treatment. Of the 28 patients with secondary headache, 23(82%) were showed benign abnormal finding. Benign abnormal findings included 16 cases of sphenoidal sinusitis, 2 cases of arachnoid cyst, and 1 case of hydrocephalus. There were 4 cases of sinister finding. 1 case of intracranial hemorrhage, 1 case of AV malformation, 1 case of craniopharyngioma, 1 case of Rathke's pouch cyst and all the cases required surgical treatment. Of 164 patients with recurrent headache, 49(29.8%) patients showed abnormal findings in neuroimaging study and 4(2.43%) cases were sinister. Duration of headache was found to have statistically significant association with neuroimaging finding with sinister disease. Conclusion: About 30% of pediatric patients with recurrent headache have abnormal findings, which included 2.4% sinister findings.
- 기저형편두통
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Konhee Lee
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Korean J Headache. 2007;8(1):28-31. Published online June 30, 2007
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- Migraine is a common problem in children and adolescents. Basilar-type migraine is rare, but it causes significant pain and disability from its unusual aura symptoms. It occurs most commonly in teenage girls, and causes them to give up school work. The diagnostic criteria was modified according to 2nd international classification of headache disorders (ICHD) which has been recently revised, and molecular biological tests were developed which resulted in growing attention to basilar type migraine and hemiplegic migraine these days. This article is for diagnostic criteria, aura symptoms, treatment of basilar-type migraine, which improve to understand headache in children and adolescents.
- 소아 편두통에 동반된 이상한 나라의 앨리스 증후군 1예
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Konhee Lee, Tae-Jung Sung, Seon-Hee Shin, Sung-Koo Kim, Hae-Sun Yoon
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Korean J Headache. 2004;5(2):139-142. Published online December 31, 2004
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- Alice in wonderland syndrome(AIWS) refers to distortions of body image, usually in the setting of migraine with aura. A 11-year-old girl was visited to our out-patient clinic because of severe headache and dizziness. She had experienced headache since 10 months ago, but since one month ago, her head- ache was more aggravated 2 to 4 times weekly. Severe bitemporal headaches were throbbing and lasted for about 5 hours, aggravated at usual physical activities. Associate symptoms were abdominal pain, dizziness. Visual auras were frequently occurred 2 to 3 times weekly, which were fortification spectra with scotomas, blurring of vision etc. Neurologic and psychologic examination, and MRI were normal. But 2 or 3 times weekly she complained bizarre perceptual distortions: micropsia, macropsia, metamor- phopsia, distorted distance of objects, polyopsia, auditory hallucination etc. We diagnosed her as AIWS with migraine in childhood and treated with intermittent naproxen and pro- phylactic amitriptyline. She was markedly improved 2 weeks later. Korean Journal of Headache 5(2):139-142, 2004
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