- 한국에서 편두통 예방 치료를 위한 평가 - 편두통에 의한 장애인식 캠페인 -
-
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@
-
Korean J Headache. 2005;6(2):121-128. Published online December 31, 2005
-
-
-
 Abstract
 PDF
- 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
- 편두통의 진단
-
Sun Uck Kwon
-
Korean J Headache. 2003;4(1):22-29. Published online June 30, 2003
-
-
-
Abstract
PDF
- Migraine is characterized by severe unilateral throbbing headache, aura, nausea and vomiting. Inter- national Headache Society has made clear diagnostic criteria for migraine and other headache disorders based on these clinical characteristics. However, differentiation and diagnosis of migraine is not clear when we encounter the patients with chronic recurrent headaches. A lot of patients with migraine have tension-type headache concomitantly. Migraine without aura and episodic tension-type headache share the nature of headache and associated symptoms. Episodic headaches including tension-type headache and migraine have tendency to transform to chronic daily headache. The transformed migraine and chronic tension-type headache have little difference in clinical features. The responsiveness to sumatriptan, which has been developed for migraine specific drug, can not differentiate migraine headache from tension type headache. Given the abundant similarities between clinical features and treatment response, new concepts and hypothesis have been raised such as migraine and tension type headache be considered opposite ends of a clinical spectrum of headache activity, and these headaches as sharing common pathophysiology (convergence hypothesis). Convergence hypothesis for primary headache can also explain the clinical manifestations of sinus headache and temporomandibular headache as well as migraine and tension type headache. Korean Journal of Headache 4(1):22-29, 2003
- Triptan계 약물들 : 급성기 편두통의 치료
-
Sun Uck Kwon
-
Korean J Headache. 2002;3(1):69-75. Published online June 30, 2002
-
-
-
PDF
- 수면성 두통 증후군의 임상 양상과 병태생리적 기전
-
Jeong Ho Ha, Sun Uck Kwon, Te Gyu Lee
-
Korean J Headache. 2000;1(1):86-91. Published online June 30, 2000
-
-
-
Abstract
- Hypnic headache syndrome is a rare headache disorder characterized by recurrent nocturnal attack at a consistent time that awaken the patients from sleep frequently. The pathophysiology is not well known, but a “perturbation of chronologic rhythm” and 'REM related phenomenon' have been suggested. We herein describe two patients with nocturnal headache compatible with a hypnic headache syndrome and the polysomnographic findings and discuss about the clinical features and the pathophysiology. Korean Journal of Headache 1(1):86-91, 2000
- 편두통의 병태생리: 혈관성 이론
-
Sun Uck Kwon
-
Korean J Headache. 2000;1(1):1-5. Published online June 30, 2000
-
-
-
Abstract
PDF
- The vascular theory, the most classical theory for the pathophysiology of the migraine, has been raised during recent a few centuries. The key-point of vascular theory is that the aura symptoms are secondary to cerebral vasoconstriction-induced ischemia and the headache secondary to reactive hyperemia. The recent studies showed, however, that the pattern of regional cerebral blood flow(rCBF) is incompatible with spasm of major cerebral arteries. Although rCBF is entirely normal during attacks of migraine without aura, we have some evidences of dilatation of the ipsilateral middle cerebral artery during migraine attacks and normalization after treatment with sumatriptan. The vascular changes still remains as an important role in the pathophysiology of migraine. Korean Journal of Headache 1(1):1-5, 2000
|
KHS
