• Clinical and Experimental Pediatrics
• /
• v.53 no.4
• /
• pp.554-559
• /
• 2010

Purpose : The purpose of this study was to evaluate whether the therapeutic effects of topiramate differ according to the types of migraine. Methods : We recruited 38 children and adolescents with migraine who had been treated with topiramate. The effect of topiramate was evaluated on the basis of the change in the frequency of migraine attacks after treatment. Results : Among patients having migraine with aura, 85.7% showed complete recovery, 1 (7.1%) showed partial recovery, and 1 did not show any recovery. Among patients having migraine without aura, 47.1% showed complete recovery, 29.4 % showed partial recovery, and 23.5% showed no recovery. Among patients suspected with migraine, 1 (20%) showed complete recovery, 1 (20%) showed partial recovery, and 3 (60%) showed no recovery. Conclusion : Our results indicated that topiramate exhibited excellent therapeutic effects for migraine accompanied with aura, and it was effective in migraine without aura. However, the effect of topiramate in patients suspected with migraine was uncertain.

• 가정의 벗
• /
• v.36 no.12 s.424
• /
• pp.10-11
• /
• 2003

편두통은 머릿 속에 딱다구리가 들어와 있는 것처럼 생활을 불편하게 하는 병입니다. 특히, 20대 여성에게 많이 나타나는 편두통은 뚜렷한 원인도 없고 완치도 쉽지 않습니다. 두통이 심하면 혹시 '뇌에 종양이 생긴 게 아닐까' 두려워하는 사람도 있는데 대부분 스트레스로 인한 긴장성 두통이나 편두통입니다. 그러나 무작정 진통제로 해결하려는 것은 무모한 일이며 진통제를 남용하면 병이 만성화돼 치료가 더욱 어려울 수 있습니다.

• Clinical and Experimental Pediatrics
• /
• v.49 no.1
• /
• pp.71-75
• /
• 2006

Purpose : Because migraine in children has different characteristics from that in adults, it is inappropriate to apply migraine criteria for adults to children. Recently, the International Headache Society(IHS) revised criteria regarding children's characteristics. Therefore, we reviewed the characteristics of childhood migraines without auras based on the revised criteria and compared the data with the findings of childhood migraine by the previous criteria. Methods : Among 102 children who visited the outpatient clinic of Kangbuk Samsung Hospital for the chief complaint of headache, we analyzed the clinical findings of 34 patients, who were diagnosed as migraine without aura, and probable migraine based on the revised criteria. Results : Migraines without aura were diagnosed in 27 patients(26.5 percent) and probable migraines were observed in seven patients(6.8 percent). The usual duration of headache attacks over 2 hours was observed in 12 patients(44.4 percent). On the contrary, 15 patients(55.6 percent) usually experienced headaches for one to two hours. According to the location of headaches, there were temporal areas in 14 cases, frontal areas in nine cases, occipital areas in two cases and diffuse areas in two cases. The striking point in probable migraines is that the length of headache was below one hour in five patients. Nine patients were diagnosed as migraine without aura, when the first edition criteria was applied to same patients. Conclusion : We found that the prevalence of migraine without aura increased by the revision of IHS criteria. We hope that migraines in children will be diagnosed correctly by the new IHS criteria.

• Journal of Convergence for Information Technology
• /
• v.9 no.9
• /
• pp.87-93
• /
• 2019

This study was to identify the effects of using aroma essential oils on self-esteem and Sleep, quality of life related to pediatric with migraines. A randomized controlled experimental design was used. There were 22 participants in the experimental group, and 20 in the control group. The applied four times a day the essential oils in the skin around nose questionnaire for Migraine-Specific Quality of Life in Korean (MSQoL) was composed of 25 questions regarding 5 regions having migraines. Data were analyzed using SPSS/WIN 21.0 program. Self-Esteem(p<.001) and Sleep(p<.001) the results showed significant difference. For the quality of life related to migraines, the results showed significant difference (p<.001). Using aromatherapy by put in for essential oils turned out to be an effective self intervention that can be utilized in the easing of self-esteem sleep, causing improvement in the quality of life related to Migraines.

• 건강소식
• /
• v.33 no.12
• /
• pp.30-31
• /
• 2009

최근 극심한 불황으로 두통이나 편두통이 발생하여 병원을 찾는 사람이 2006년에 비해서 2008년에는 19.5%가 증가하였다고 한다. 편두통은 생활의 불안정과 미래에 대한 불안감에 의해 스트레스가 극대화되고, 운동부족과 좋지 않은 자세 습관으로 근육과 혈관이 수축됨으로 인해 호르몬의 변화가 생기면서 유발된다. 증상에 대한 회복을 위해서는 마음가짐을 편안히 하고 규칙적인 식사와 꾸준한 운동이 필수라고 할 수 있다.

• Journal of Oriental Neuropsychiatry
• /
• v.10 no.2
• /
• pp.157-168
• /
• 1999

• Journal of the Korean Child Neurology Society
• /
• v.26 no.4
• /
• pp.288-291
• /
• 2018

Hemiplegic migraine (HM) is a rare subtype of migraine with aura and is accompanied by a fully reversible motor aura. HM can occur in two forms: familial or sporadic. Currently, three genes are related to familial HM. Typically, HM occurs in the first or second decade of life and involves gradually progressing aura symptoms in succession, accompanied by headaches. The aura includes visual, sensory, motor, aphasic and often basilar-type symptoms. Motor aura (weakness) is related to the regions where the sensory aura is involved, and it usually starts at the hand before spreading to the arm and face. Aphasia is a common form of speech aura, but does not typically present as a difficulty in understanding. In this case report, the sensory-motor aura started at the right face and then gradually progressed to the right leg without any symptoms in the ipsilateral upper extremity. To the best of my knowledge, there has been no previous case report for the presentation of a hemiplegic migraine, as in this case report. As there is a possibility of misdiagnosis of Bell's palsy at the early stage of this case, this case report suggests that a physician should consider the rare possibility of stroke or HM when a patient presents with unilateral facial palsy.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.33 no.1
• /
• pp.1-6
• /
• 2017

Botulinum toxin (BoNT) injections have been used not only in the field of cosmetic surgery such as forehead and eye wrinkle treatment but also in the treatment of chronic migraine, dystonia, spasticity, temporomandibular disorders (TMD). BoNT injections are the only approved therapies to date for prophylactic treatment of chronic migraine patients. Unlike the previously known paralysis of motor neurons, the mechanism of action for migraine is to block the release of non-cholinergic neurotransmitters such as substance P, CGRP, and glutamate, which are associated with peripheral sensitization and neurogenic inflammation in the sensory nerve, it is hypothesized that the signal is blocked. This review focuses on the analgesic effects of BoNT and suggests the direction for the development of injection methods for chronic migraine patients.

• Journal of Digital Convergence
• /
• v.18 no.8
• /
• pp.505-509
• /
• 2020

A migraine was a headache disorder characterized by recurrent moderate to severe headaches. The diagnosis was based on clinical signs and symptoms. Medication, physical therapy, nerve block, and nerve stimulation could be applied for treatment. This report described a case of severe migraine without aura that lasted several weeks periodically in a 59-year-old woman. Periodic headache had lasted for more than 14 years, and although she took medicines and nerve blocks, severe pain (VAS 7) was persisted. We recommended her to use the thermo-spinal massage device (CGM MB-1401, CERAGEM Inc., Cheonan, South Korea) continuously three times a week applying in semi-automatic mode around the neck for 40 minutes. There was no change in the pain scale in the automatic mode for the first 4 weeks. Subsequently, the semi-automatic mode of the cervical area was treated for 2 weeks to relieve the pain scale, and it was confirmed that the relieved state maintained for 2 months. This case highlighted the importance in considering thermo-spinal massage devices for managing migraine without aura.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.35 no.4
• /
• pp.199-205
• /
• 2019

Management of migraine, one of common primary headache disorders, involves the diverse strategies non-pharmacological treatment, such as headache diary, lifestyle modification, regular exercise and relaxation, cognitive behavioral therapy and neurostimulation, and pharmacological treatment. Among the treatments, this review described a pharmacologic treatment of migraine, classified into acute and preventive treatment based on the severity and the frequency of headache. It introduced the way to optimize pharmacological treatment and updated the latest treatment for migraine.