- 감마나이프 방사선 수술로 치료된 증상성 삼차신경통
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Sang-Jun Lee, Young-Chul Choi, Soo-Joo Lee, Gun-Se Oh, Moon-Sun Park, Youngchai Ko
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Korean J Headache. 2011;12(2):101-104. Published online December 31, 2011
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- A 62-year-old woman complained of facial pain. She was diagnosed with trigeminal neuralgia(TN) and had persistent symptoms despite adequate medication. After two years, she was admitted with acute stroke and magnetic resonance image revealed an enhanced solid mass in the left cerebellopontine angle(CPA). The CPA tumor was suggested as possible cause of intractable TN and the pain was relieved after Gamma-knife radiosurgery. We suggest that the comprehensive evaluation of etiology in patients with intractable TN should be recommended. And Gamma-knife radiosurgery can be an alternative treatment option.
- 유발점주사 효과
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Gun-Sei Oh, Sang-Jun Lee
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Korean J Headache. 2010;11(1):1-6. Published online June 30, 2010
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- Trigger points are defined as discrete, focal, hyperirritable spots located in a taut band of skeletal muscle and their ligamentous junctions remote from the site of the pain. They are prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of trigger points is an important part of musculoskeletal rehabilitation of regional axial and limb pain syndrome. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and formation of trigger points. Patients may have regional, persistent pain resulting in a limited range of motion in the affected muscles. Pain from myofascial trigger points can be identified by careful history taking and skillful physical examination, and they are quickly responsive to physical and medical management in the absence of serious perpetuating factors. Skeletal muscle makes up nearly half of body weight. Each of the approximately 500 skeletal muscles is subject to acute and chronic strain. Each muscle can develop myofascial trigger points and has its own characteristic pattern of referred pain. Palpation of a hypersensitive bundle or nodule of muscle fiber is harder than normal consistency and elicit pain directly over the affected area and/or cause referred pain and local twitch response. Trigger point injection has been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.
- 비전형적인 임상 양상을 보인 지주막하 출혈에 의한 벼락두통 환자 1례
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Seo-Young Choi, Sun-Hee Kim, Seoung-Rae Jo, Sang-Jun Lee
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Korean J Headache. 2008;9(1):44-48. Published online June 30, 2008
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- Subarachnoid hemorrhage (SAH) w hich usually presented with the thunderclap headache is the disease that has significant m ortality. Therefore, the diagnosis of SAH deserves special emphasis. A 69-year-old female visited at the emergency room due to the headache. In the brain CT only ischemic change w as revealed. H owever, dark signals in the sulci on the temporo-parietal lobe w ere shown in the GRE of brain M RI. A dissecting aneurysm of the posterior cerebral artery w as detected on the digital subtraction angiography. If the patient presented w ith the thunderclap headache, a further evaluation should be proceeded in view of the fact that the dark signals of GRE can be an acute subarachnoid hemorrhage.
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KHS
