- 증례 : 비행에 의해 유발되는 두통
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Young-Do Kim, In-Uk Song, Jeong-Wook Park, Joong-Seok Kim, Jae-Young An, Yeong-In Kim, Kwang-Soo Lee
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Korean J Headache. 2006;7(2):100-102. Published online December 31, 2006
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- A 46-year old man was admitted to neurology department because of severe headache associated only with airplane travel. When the plane started descending, a severe jabbing pain suddenly developed in the occipital area. The pain remained severe for 15 to 20 minutes until the plane landed. After the plane had landed, the pain alleviated spon- taneously and recovered completely after about 45 minutes. The brain computer tomography revealed chronic bilateral maxillary and right frontal sinusitis.
- 한국에서 편두통 예방 치료를 위한 평가 - 편두통에 의한 장애인식 캠페인 -
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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@
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Korean J Headache. 2005;6(2):121-128. Published online December 31, 2005
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- 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
- 해면정맥동 이상이 선행하고 조직검사에서 확진된 톨로자헌트 증후군 1예
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Seon-Young Ryu, Sang-Bong Lee, Yeong-In Kim, Kwang-Soo Lee, Jeong-wook Park, Hye-Kyung Lee
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Korean J Headache. 2004;5(2):153-157. Published online December 31, 2004
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- Tolosa-Hunt syndrome(THS) is a painful ophthalmoplegia caused by an idiopathic granulomatous in- flammation of the superior orbital fissure or cavernous sinus of unknown etiology. A 72-year-old woman developed right-sided ophthalmoplegia with the pupillary dilatation and ptosis, and hypesthesia in the territory of the ophthalmic division of the right trigerminal nerve in May 2003. The MRI showed enlar- gement of right cavernous sinus by an enhancing soft tissue mass extending to the sellar region. Prior to this presentation, in August 2002, MRI done at another institusion already revealed the same soft tissue mass in the right cavernous sinus. The patient underwent a transsphenoidal biopsy which revealed chronic granulomatous inflammation with necrosis. The patient was treated with steroids, followed by the resolution of the neurologic symptoms. We report this case of biopsy-proven THS in which radiologic abnormality preceded clinical presentation by at least 10 months. Korean Journal of Headache 5(2):153-157, 2004
- 다른 임상 증상 없이 두통으로 내원한 발진열 1례
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Joong-Seok Kim, Jee-Yeon Lee, Yeong-In Kim, Si-Ryung Han
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Korean J Headache. 2001;2(1):61-73. Published online June 30, 2001
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- Neurologic symptoms associated with murine typhus is relatively rare, almost accompanies with ma- culopapular rash, often fever, chilling and myalgia. We report a case of murine typhus, diagnosed by complement fixation test, exhibited initially only intractable headache without other cardinal features. This case suggest that neurologic manifestations such as isolated intractable headache and encephalopathy in murine typhus should be included in the differential diagnosis in epidemic areas. Korean Journal of Headache 2(1):61-73, 2001
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