- 소아청소년에서 편두통과 간질
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Young-il Rho
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Korean J Headache. 2011;12(1):42-48. Published online June 30, 2011
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 Abstract
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- Migraine and epilepsy are two of the most common disorders observed in child neurology. Migraines are certainly more commonly seen in children than epilepsy. Epilepsy is a relatively less common condition in children and adoles- cents with a prevalence of about 0.5%, which is approximately 20 times less common than migraine. Peri-ictal heada- ches are very common and migralepsy is very rare because the threshold required for seizure onset and propagation is higher than that of migraine onset. Both entities that share many clinical features, arise from the cerebral cortex modulated by subcortical connections. Although sharing similar clinical features, there are distinguishing historic aspects that may help define one condition from the other. However, the clinical distinction between migraine and epilepsy can be difficult and diagnosis problematic. Anticonvulsants that are designed for epilepsy are typically also efficacious in the prevention of migraine and when used can often reduced the frequency of events and improve quality of life. Therefore, it is important for the practi- tioner to ask about headaches in epileptic patients and to consider about epileptic events in headache patients.
- 소아청소년 두통의 치료
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Young-il Rho
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Korean J Headache. 2010;11(1):55-61. Published online June 30, 2010
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Abstract
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- Headache is among the most common problems leading parents to seek medical attention for their children and adoles- cents and become increasing more frequent during adolescence. The majority of children and adolescents headache patients who are brought to a physician for evaluation will prove to have migraine. Although headaches in children and adolescents are generally benign, neuroimaging studies are frequently performed in clinical practice for the fear of missing a serious underlying disease. A thorough history, physical and comprehensive neurologic examination, and appropriate diagnostic testing will usually enable the clinician to distinguish a benign primary headache from a more serious disease with a secondary headache. To effectively treat sick episodic headache, the physician initially needs to identify potential triggers and outline an acute treatment strategy. The initial goal is to eliminate headache pain in two to four hours. The headache may last only one to two hours in children under the age of 12 years. In this case, a more moderate approach toward treatment can be taken. Not only were children shown to have significant disability due to migraine and recurrent headache, but also that successful acute and preventive treatment would resolve this disability. In dealing with headaches in children and adolescent, physician must consider both physical and psychological factors in determining the correct diagnosis. Here, I would like to mention about management of migraine, tension type headache in children and adolescents and comorbidity disorders in pediatric headache.
- 소아 편두통과 소아기 주기성 증후군
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Young-il Rho
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Korean J Headache. 2009;10(2):130-136. Published online December 31, 2009
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Abstract
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- In the revised IHS criteria published in 2004, the childhood periodic syndromes are considered as conditions that are commonly precursors of migraine. These include cyclical vomiting syndrome, abdominal migraine, and benign paro- xysmal vertigo of childhood. Cyclical vomiting syndrome is a disorder characterized by repeated episodes of nausea and vomiting that last for hours to days, separated by symptom-free periods of variable length. The protracted vomiting may lead to severe volume depletion and the need for intravenous therapy. Symptoms often begin in young children and typically stop spontaneously at puberty, although some adolescents are affected. Abdominal migraine affects up to 4 percent of school age children. It is characterized by recurrent episodes of abdominal pain, typically midline or poorly localized, dull and moderate to severe in intensity. Abdominal pain is associated with at least two additional features that may include anorexia, nausea, vomiting, and pallor. Benign paroxysmal vertigo of childhood is the most frequent cause of dizziness in children. Episodes are usually brief, lasting only a few minutes, but may cluster, with recurrence of attacks several times within a few hours. Affected patients may suddenly appear frightened or unable to walk and will hold on for support. Children may experience decreased alertness or loss of strength and usually accompanied by features common in migraine, including nausea, pallor, phonophobia, and photophobia. The disorder resolves spontaneously after several episodic attacks. However, typical migraine may develop in later life in some patients.
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KHS
