Headache and Pain Research

만성매일두통의 정의와 분류: Min-Kyung Chu, Ph.D.; Korean J Headache. 2007;8(1):1-5. Published online June 30, 2007

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Abstract PDF: Chronic daily headache(CDH) refers to a category of headache disorders that are characterized by headaches occurring on more than 15 days per months. This category subdivided into primary and secondary CDH disorders. Common primary CDH disorders included transformed migraine, chronic migraine, new daily persistent headache, medication overuse headache and hemicrania continua. According to ICHD-II criteria, most CDH has more than one diagnosis. Chronic migraine in ICHD-II is restrictive and only small portion of CDH patients were diagnosed as chronic migraine. Silberstein and Lipton proposed transformed migraine for frequent association of migraine and migrainous features in CDH. In 2005, revised diagnostic criteria for broader concept of chronic migraine was ented in appendix of ICHD-II. According to new criteria, more than 80% of CDH patients were classified as having chronic migraine.

만성매일두통의 치료: Jae-Myun Chung; Korean J Headache. 2007;8(1):6-11. Published online June 30, 2007

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Abstract PDF: hronic daily headache characteristically develops headaches more than 15 days per month. This is not a disease entity but a syndrome which encompasses various primary and secondary headaches, and usually associated with medication overuse. Chronic daily headache is common as 3～5% of general population suffer, and causes profound disability which makes patients' quality of life miserable. Proper strategy of prevention and treatment of chronic daily headache is important because it makes prophylactic management useful and blocks perpetuation of headache. This review summarizes recent advances in management of chronic daily headache with a focus on the treatment of medication- overuse headache.

위험한 두통: 경고징후와 진단적 검사: Jeong Wook Park; Korean J Headache. 2007;8(1):12-15. Published online June 30, 2007

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Abstract PDF: Headache is a very common patient complaint but secondary causes for headache are unusual. But appropriate selection of patients with headache for neuroimaging and other various studies to look for secondary causes is very important. Most patients with intracranial pathology have clinical features that would raise a "red flag". Red flags act as screening tools to help in identifying those patients presenting with headache who would benefit from prompt diagnostic work up for serious intracranial pathology, and may increase the yield. This paper was written with the aim to determine the clinical features that identify those patients who should undergo further evaluation of serious intracranial pathology and provide useful tool for doctor in making diagnostic decisions in the management of patients of headache.

두통 환자에서 뇌영상의 진단적 가치: Byung Kun Kim; Korean J Headache. 2007;8(1):16-19. Published online June 30, 2007

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Abstract PDF: A complete headache history with neurological examinations will usually suffice to diagnose the majority of headaches without the need for diagnostic brain imaging. Headache is generally classified into the primary headaches, which are considered to have no other causative disorder, and the secondary headaches, which have organic causes. Neuroimaging testing, computed tomography(CT) scan, and magnetic resonance imaging(MRI) are useful for differential diagnosis and can perform to rule out vascular malformation, brain tumor, and other pathologies. There are cases of the secondary headaches resembling the primary headache and patients complaint of pain by complex of them. This article reviews general indications and studies available for brain imaging in patients with headache and normal neurological examination.

벼락두통: Jin Young Ahn; Korean J Headache. 2007;8(1):20-23. Published online June 30, 2007

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Abstract PDF: Thunderclap headache(TCH) is a hyperacute, severe headache that is so named because of its sudden onset. It often heralds a serious intracranial vascular event such as subarachnoid hemorrhage, cerebral venous sinus thrombosis or pituitary apoplexy. However, it may also occur spontaneously or in the setting of cerebral vasoconstriction. The term primary TCH is often used to refer to a benign, idiopathic, and potentially recurrent headache of sudden and severe intensity with a lack of underlying pathology. This topic will review each of the entities considered in patients with TCH, offer pathophysiologic considerations, and discuss the diagnostic evaluation of TCH.

긴장형두통, 군발두통 및 기타 일차두통의 치료: Sun Uk Kwon.; Korean J Headache. 2007;8(1):24-27. Published online June 30, 2007

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Abstract PDF: The tension type headache is the most common headache disorder with wide variation in severity and frequency. Analgesics are comfortable and effective management for episodic tension type headache, but long term and frequent use of analgesics increases the risk of chronic daily headache and medication overuse headache. Psychological and physiotherapy may improve the outcome of severe episodic or chronic tension type headache. Behavioral modification, such as regular exercise and diet, also improve it. Psychological and emotional support and nonpharamacological mana- gement may save the dose and frequency of analgesics for the management of tension type headache. Trigeminal autonomic cephalalgia, including cluster headache, is a headache syndrome which is characterized by exclusive unilateral recurrent severe headache with autonomic dysfunction. The most important one is the exact diagnosis of this unique headache syndrome. Primary exertional headache and primary headache associated with sexual activity is not so rare headache syndrome. Proper diagnosis and exclusion of similar headache syndrome caused by serious problems, such as subarachnoid hemorrhage, is the most important in the management.

기저형편두통: Konhee Lee; Korean J Headache. 2007;8(1):28-31. Published online June 30, 2007

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Abstract PDF: Migraine is a common problem in children and adolescents. Basilar-type migraine is rare, but it causes significant pain and disability from its unusual aura symptoms. It occurs most commonly in teenage girls, and causes them to give up school work. The diagnostic criteria was modified according to 2nd international classification of headache disorders (ICHD) which has been recently revised, and molecular biological tests were developed which resulted in growing attention to basilar type migraine and hemiplegic migraine these days. This article is for diagnostic criteria, aura symptoms, treatment of basilar-type migraine, which improve to understand headache in children and adolescents.

여성에서의 편두통: Heui-Soo Moon; Korean J Headache. 2007;8(1):32-37. Published online June 30, 2007

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Abstract PDF: Women have headaches more commonly than men. The prevalence of migraine is 18% of women and 6% of men. This gender ratio increases from menarche, peaks at middle age, and then declines. Estrogen levels are a key factor in the increased prevalence of migraine in women. Evidence includes the following: migraine prevalence increases at menarche; estrogen withdrawal during menstruation is a common migraine trigger; estrogen administration in oral contraceptives and hormone replacement therapy can trigger migraines; migraines typically decrease during the second and third trimesters of pregnancy when estrogen levels are high; migraines are common immediately post-partum with the precipitous drop in estrogen levels; and migraines generally improve with physiologic menopause. The biological basis, however, is not completely understood. This report will review some important headache issues for women including menstrual migraine, menopause and migraine, oral contraceptive use in migraineurs, and headaches during pregnancy and the postpartum.

두통 및 경부통과 관련된 근막통증후군의 주사 치료: Yong Wook Kim; Korean J Headache. 2007;8(1):38-44. Published online June 30, 2007

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Abstract PDF: In this chapter, we will discuss the diagnosis and treatment method of myofascial pain syndrome(MPS) associated with head and neck pain. There are some kinds of tools for treatment of MPS such as muscle relaxation, injection, stretching and spray etc. Patients with chronic tension type headache can be considered to have chronic MPS in frontalis, temporalis, sternocleidomastoid muscle, trapezius and splenius muscles and have sometimes occipital neuralgia. So physician need approach and do a physical examination about all the muscles involved in head and neck pain. Injection methods frequently have used for treatment of MPS. Physical examination, preparation, injection with palpation and post-injection manipulation(relaxation and stretching) must be applied in all MPS

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