Headache and Pain Research

줄넘기에 의해 유발된 원발운동두통: Yun-Ju Choi, Jae-Myung Kim, Seung-Han Lee, Myeong-Kyu Kim; Published online December 31, 2012

Abstract PDF: Primary exertional headache(PEH) is brought on by prolonged physical exercise. Bilateral, severe, throbbing nature is most common feature of the PEH. Valsalva’s phenomenon and dilation of cerebral vasculatures seems to be a patho- mechanism of PEH. Jumping rope could evoke PEH due to this mechanism like swimming or previous known PEH- evoking exercises.

벨마비로 오인된 비호지킨림프종과 그에 동반된 암종수막염: Jae Yong Go, Min Jae Lee, Jae Han Park, Dong Kuck Lee; Published online December 31, 2012

Abstract PDF: Bell’s palsy is the most common disease of facial nerve and defined as an idiopathic unilateral facial nerve paralysis, usually self-limiting. However, several conditions like as brain tumor, Lyme disease and lymphoblastic leukemia also cause facial nerve paralysis. A few reports present that other disease mimicking Bell’s palsy. We report a patient who initially diagnosed Bell’s palsy, but later diagnosed acute facial palsy due to non-Hodgkin’s lymphoma originating from breast.

Tolosa-Hunt 증후군으로 발현한 특발비대두개 경수막염 1례: Chang-Hyeong Kim, Jae-Han Park, Dong-Kuck Lee; Published online December 31, 2012

Abstract PDF: Tolosa-Hunt syndrome is characterized by severe unilateral headaches with ophthalmoplegia caused by granulomatous inflammation in the cavernous sinus. Idiopathic hypertrophic cranial pachymeningitis is a rare disorder, which is caused by chronic progressive inflammation and thickening of dura mater and characterized by headache, multiple cranial nerve palsy, ataxia and seizure. Both diseases have similar pathophysiology in that inflammation, but the case reports that combined with two disease entities are rare. Thus we report a case of idiopathic hypertrophic cranial pachy- meningitis presented with Tolosa-Hunt syndrome.

개연적 편두통과 편두통: 연속 질환 범주로서의 접근: Gyoung Im Suh, Byung-Kun Kim, Min Kyung Chu, Soo-Jin Cho; Published online December 31, 2012

Abstract PDF: A considerable proportion of individuals suffering from headache were classified as probable migraine, which is fulfilling all but one criterion for migraine. In the continuum severity theory, the mild end is thought to be tension type headache which transform into migraine with increasing severity of condition and the gray zone of headache occupies the middle ground of the continuum. Because of dichotomous diagnostic criteria between migraine and tension type headache, the position of probable migraine also could be located at this gray zone.

경추부 경막외혈액봉합술로 치료한 상부경추부 뇌척수액 유출로 인한 자발두개내압 저하: Kyeong-Jin Kim, Meyung-Kug Kim, Bong-Goo Yoo; Published online December 31, 2012

Abstract PDF: Spontaneous intracranial hypotension rarely occurs at upper cervical level. A 55-year-old man was admitted to hospital for orthostatic headache, neck pain, nausea and vomiting for 2 weeks. Brain MRI showed a subdural hematoma in the bilateral fronto-temporo-parietal region and diffuse dural enhancement. Radioisotope cisternography revealed CSF leakage at upper cervical and thoracic vertebral level. The patient was successfully treated with C-arm-guided epidural blood patch at the C3-4 level after the patient had failed first epidural blood patch at thoracic level.

벼락두통을 첫 임상양상으로 보인 급성 후순환 뇌경색증 1례: Bo-Ra Ahn, Hee-Seung Ahn, Kwang Ki Kim, Sang-Wuk Jeong; Published online December 31, 2012

Abstract PDF: Thunderclap headache (TCH) manifests as an acute and severe headache which is maximum in intensity at onset reminding one of a “clap of thunder”. TCH has been reported that can be caused by various etiologies, but ischemic stroke has been reported seldom as a cause of TCH. We report a case of 69-year-old woman presented with TCH as the primary clinical feature of posterior circulation (right posterior cerebral artery and small left superior cerebellar artery territories) cerebral infarct. TCH may be managed as a medical emergency because, in some cases, it can cause serious sequelae. We propose that adequate brain imaging studies should be performed to detect the serious underlying etiologies of TCH such as ischemic stroke and unruptured intracranial aneurysm.

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