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Editorial |
Toward Precision Migraine Care: Genetics, Symptoms, and Big-Data-Driven Approaches |
| Soo-Jin Cho |
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DOI: http://doi.org/10.62087/hpr.2025.0017 |
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Review Articles |
A Practical Approach to Headache in Moyamoya Disease |
| Mi-Yeon Eun, Jin-Man Jung, Jay Chol Choi |
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DOI: http://doi.org/10.62087/hpr.2025.0011 |
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Moyamoya disease (MMD) is a progressive steno-occlusive cerebrovascular disorder of the intracranial internal carotid arteries characterized by fragile collateral vessel formation. Although ischemic and hemorrhagic strokes are the most widely recognized manifestations of MMD, headaches are common, often disabling, and remain underacknowledged. Epidemiological studies report headache in 17%–85% of MMD patients, with particularly high rates among pediatric patients. Clinically, headache... |
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Gepants for Migraine: An Update on Long-Term Outcomes and Safety Profiles |
| Soohyun Cho, Kimoon Chang |
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DOI: http://doi.org/10.62087/hpr.2025.0012 |
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Calcitonin gene-related peptide receptor antagonists, also referred to as gepants, represent a transformative advancement in migraine pharmacotherapy, providing both acute and preventive treatment options without the vasoconstrictive limitations of triptans. Since their initial approval in 2019, gepants have gained widespread clinical adoption, necessitating comprehensive evaluation of their long-term safety and efficacy. This review synthesizes current evidence on four calcitonin gene-related... |
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Headache as a Somatic Symptom in Pediatrics: Diagnosis and Integrated Management |
| Hye Eun Kwon |
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DOI: http://doi.org/10.62087/hpr.2025.0016 |
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Somatization—the expression of psychological distress through physical symptoms—presents a frequent and complex challenge in pediatric practice. Headache and dizziness are among its most common manifestations. This review addresses the diagnostic challenge of determining whether these symptoms indicate a primary headache disorder or reflect somatic symptom presentations. The difficulty becomes particularly evident when conditions manifest in severe or persistent forms, such... |
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Interictal Burden of Migraine: A Narrative Review |
| Soo-Kyoung Kim, Todd J. Schwedt |
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DOI: http://doi.org/10.62087/hpr.2025.0018 |
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Migraine is a chronic neurological disorder associated with substantial disability and societal costs. Traditionally, research and clinical care have focused on the ictal phase, characterized by headache and accompanying symptoms. However, growing evidence suggests that a considerable portion of migraine-related disability occurs between attacks, known as the interictal burden (IIB). IIB encompasses a wide spectrum of cognitive, emotional, sensory, and... |
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The Hidden Risks of Medication Underuse in Migraine Progression |
| Heui-Soo Moon, Pil-Wook Chung |
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DOI: http://doi.org/10.62087/hpr.2025.0019 |
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Migraine is a progressive neurological disorder in which inadequate treatment can lead to chronification. For decades, clinical attention has centered on medication overuse headache (MOH) as the primary iatrogenic risk factor for this progression. However, medication underuse (MU) has emerged as a critical yet less established framework for understanding gaps in migraine care. This review reframes MU, which includes ineffective... |
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Original Article |
Trigeminal Autonomic Cephalalgias Following Unilateral Dorsolateral Medullary Infarction: A Case Series and Literature Review |
| Jae-Myung Kim, Hak-Loh Lee, You-Ri Kang, Joon-Tae Kim, Seung-Han Lee |
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DOI: http://doi.org/10.62087/hpr.2025.0013 |
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Purpose: Secondary trigeminal autonomic cephalalgias (TACs) are typically associated with posterior fossa abnormalities, such as tumors and vascular malformations. However, TACs following brainstem infarctions are rarely reported. This study aimed to characterize the clinical and anatomical features of TACs after unilateral dorsolateral medullary infarction.
Methods: We analyzed four patients with dorsolateral medullary infarction who developed secondary TACs, diagnosed using the International... |
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Case Report |
Isolated Dental and Lower-Facial Pain Mimicking Trigeminal Neuropathy: An Indirect Carotid-Cavernous Fistula |
| Byoungchul Choi, Chulho Kim, Sung-Hwan Kim, Jong-Hee Sohn |
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DOI: http://doi.org/10.62087/hpr.2025.0020 |
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Carotid-cavernous fistula (CCF) is a pathological arteriovenous communication in which carotid arterial flow is diverted into the cavernous sinus. Clinical manifestations typically include ocular signs, cranial neuropathies, and headache. Neurologic deficits most commonly reflect involvement of cranial nerves III, IV, V1/V2, and VI within or along the cavernous sinus; in contrast, isolated trigeminal presentations are rare, and V3 involvement is... |
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Correction |
Erratum to “Premonitory Symptoms in Migraine: Implications for Disease Burden and Cognitive Impairment, with Some Promising Answers” |
| Utku Topbaş, Bahar Taşdelen, Nevra Öksüz Gürlen, Aynur Özge |
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DOI: http://doi.org/10.62087/hpr.2024.0031.e1 |
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