- 망막편두통과 유사한 고혈당성 단안시각증상
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Ji-Hyun Lee, Woo-Joo Choi, Yoo-Kyung Kim, Min-Woo Ku, Yang-Ki Minn, Ki-Han Kwon, Soo-Jin Cho
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Korean J Headache. 2011;12(1):71-73. Published online June 30, 2011
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- Retinal migraine is a rare subtype of migraine characterized by recurrent monocular visual symptoms(MVS). Severe hyperglycemia can cause chorea, seizure, or coma, but its association with retinal migraine has rarely been reported. A 54-year-old migraineur with diabetes mellitus complained of bright light in his left eye. MVS lasted from 2 to 3 minutes, recurred 5 to 50 times a day, and sometimes were followed by severe right-side headaches. Three years ago, he had had recurrent MVS associated with a colorful rainbow in the left eye, after discontinuing oral hypogly- cemic agents by his own volition. Hyperglycemia (613 mg/dl) and elevated glycosilated haemoglobin(10.5%) were detected. Initial and second EEGs, brain MRIs and MR angiography did not reveal any significant abnormalities. MVS decreased with improved glycemic and headache control and finally ceased in 3 weeks. MVS can develop due to hyperglycemia, and may be related to neuronal hyperexcitability or spreading depression.
- 한국인 인구집단에서 교육수준이 긴장형두통의 유병률에 미치는 영향
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Dong-Won Lee, Yang-Ki Minn, Min Kyung Chu, Kyung-Mi Oh, Byung-Kun Kim, Kwang Soo Lee, Soo-Jin Cho
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Korean J Headache. 2011;12(1):57-60. Published online June 30, 2011
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- Objective: Education reflects socioeconomic status and may influence pain modulation or thresholds in primary headache disorders. Tension-type headache(TTH) is the most common type of primary headache and the influence of education on the prevalence of TTH has not been well evaluated. The aims of this study were to evaluate the asso- ciation between education level and the prevalence of TTH and the influence of other contributors. Methods: For this study, a stratified random population sample of Koreans, over the age of 19, was selected and evalua- ted using a 12-item, semi-structured interview designed to identify headache type using ICHD-2 criteria. Education levels were classified into college, high school, and middle school or below. Household income and occupation were evaluated as contributors. Results: Among 1507 participants, 463(30.7%) were diagnosed with TTH; 228 were frequent episodic TTH, 224 were infrequent episodic TTH, and 11 were chronic TTH. College level was associated with a lower prevalence of tension-type headache(25.8% vs 33.8% in high school, 32.9% in middle school or below, p=0.006). Prevalence of frequent episodic TTH was lower in college graduate(p=0.002). After adjusting age, gender, and income, education level is the significant contributor for prevalence of TTH. Conclusions: Among variables of socioeconomic status, education is the important modulator of TTH, especially in women.
- 응급실에 방문한 일차 두통환자의 현황
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Bohm-Nam Kim, Ji-Ee Kim, Min-Kun Park, Kyung-Mo Gu, Ki-Chul Yoo, Ki-Hoon Choi, Yang-Ki Minn, Ki-Han Kwon, Soo-Jin Cho
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Korean J Headache. 2009;10(2):156-159. Published online December 31, 2009
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- Background
Primary headaches such as migraine is tend to be neglected by a physician in the emergency department (ED) due to limited resources and low priority. In this study, the frequency of primary headache patients in the ED is figured and evaluates current management status for primary headache in the ED. Methods: We retrospectively selected 137 non-traumatic headache patients were presented to the ED of Hospital in 2008, based on diagnosis by a physician in the ED at discharge. Among the patients with non-traumatic headache, patients with secondary headaches were excluded. Evaluation of demographic characteristics, previous history, ED management and status of non-traumatic primary headaches patient those who visit out-patient clinic after discharge Emergency Department were included. Results: Out of 137 non-traumatic headache patients, 80 patients(58.4%) were diagnosed of primary headaches: 73.8% were women and the mean age was 40±15.7 years. Forty-two patients(52.5%) had previous history of headache. Fifty- eight patients(72.5%) were prescribed simple analgesics or anti-emetics in the ED and 17(21.2%) visited out-patient clinic after their discharge. Presumed diagnoses at the ED were migraine in 20 patients, tension type headache in 29, cluster headache in 1, trigeminal neuralgia in 2 and unclassified in 28 patients. Conclusion: Primary headaches are common in the patients presenting to the ER with non-traumatic headaches. Hence, in order to get specific diagnosis or to consider preventive therapy, visits to out-patient clinic might be recommended.
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