• The Korean Journal of Pain
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• v.19 no.2
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• pp.244-248
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• 2006

Radiofrequency lesioning is a valuable tool for third occipital headache. Relative to most neural targets, a radiofrequency lesion is very small. Reliable pre-operative diagnosis of the nociceptive source is critical, as inappropriately placed lesions will not modulate pain. Knowledge of the anatomical courses of nerves and extremely precise electrode placement are required for accurate lesioning. This report describes our experience with RF lesioning in the treatment of chronic pain in two patients who suffered from third occipital headaches. In one patient, satisfactory improvement of the pain was observed after 10 months of follow up.

• Journal of Korean Neurosurgical Society
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• v.41 no.6
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• pp.411-413
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• 2007

We report on a diabetic 52-year-old man who complained ocular floating sensation, headache and dizziness, in whom a left parieto-occipital dural ateriovenous fistulas [DAVFs], fed by bilateral superficial temporal arteries and occipital artery, drained into the cortical vein of the left parieto-occipital convexity. Because the patient's chief complaint was ocular symptom for diabetic retinopathy, we initially didn't consider an DAVFs until brain magnetic resonance imaging [MRI] was done. Diffusion-weighted brain MRI revealed acute cerebral infarction and microhemorrhage in the lesion. Transarterial embolization with mixture of glue and lipiodol obliterated the DAVFs completely. Although the DAVFs fed by multi-arteries, the fistulous portion has been disappeared after embolization via an only left occipital artery Endovascular embolization of the fistula led to symptomatic improvement, except ocular discomfort.

• Journal of Acupuncture Research
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• v.15 no.2
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• pp.455-478
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• 1998

The result as following one was founded that investigate cause and acupuncture point for symptoms of headache; 1. Headache in distinction from doo-pung(頭風.) was defined that it' period is short and treatment is easy. 2. The cause of headache was classified according to the interior and exterior cause of the body. 3. Total number of used acupuncture point was one hundred and six, and in order of using time acupuncture point was appeared as LI4(15), LU7(12), GB20(12), BL2(11), GV20(9), TE23(9), SI3(7), GV24(7), GV23(7) 4. The meridian distribution of acupuncture point is appeared as Bladder Meridian(21points), Gallbladder Meridian(18points), Governer vesseI(14points), Triple Energizer meridian(12points), Large Intestine Meridian(9points), Small Intestine Meridian(7points), Stomach Meridian(7points) 5. According to headache position, the distribution of acupuncture point $Yangmy\check{o}ng\;Ky\check{o}ng$ and Governer vessel was used to frontal headache, Soyang $Ky\check{o}ng$ to migraine, Taeyang $Ky\check{o}ng$ and Governer vessel to occipital headache. 6. LI4(合谷) and LU7(列缺) was used to general headache as basic acupuncture point.

• Journal of Haehwa Medicine
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• v.11 no.1
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• pp.111-135
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• 2002

The result as following one was founded that investigate cause and acupuncture point for symptoms of headache, 1. Headache in distinction from doo-pung(頭風) was defined that it' period is short and treatment is easy. 2. The cause of headache was classified according to the interior and exterior cause of the body. 3. Total number of used acupuncture point was one hundred and six, and in order of using time acupuncture point was appeared as LI4(15), LU7(12), GB20(12), BL2(11), GV20(9), TE23(9), SI3(7), GV24(7), GV23(7) 4. The meridian distribution of acupuncture point is appeared as Bladder Meridian(21points), Gallbladder Meridian(18points), Governer vessel(14points), Triple Energizer meridian(12points), Large Intestine Meridian(9points), Small Intestine Meridian(7points), Stomach Meridian(7points) 5. According to headache position, the distribution of acupuncture point was appeared that $Yangmy\breve{o}ng$ $Ky\breve{o}ng$ and Governer vessel was used to frontal headache, Soyang $Ky\breve{o}ng$ to migraine, Taeyang $Ky\breve{o}ng$ and Governer vessel to occipital headache. 6. LI4(合谷) and LU7(列缺) was used to general headache as basic acupuncture point.

• The Korean Journal of Pain
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• v.22 no.1
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• pp.88-91
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• 2009

Skull base osteomyelitis is a rare but life-threatening complication of inflammation of the ear. The authors present a case of skull base osteomyelitis of unknown etiology in a non-diabetic patient who presented with unilateral posterior neck and occipital headache mimicking cervicogenic headache.

• The Journal of Korean Physical Therapy
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• v.15 no.1
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• pp.196-209
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• 2003

The aim of study was compared with the possible role of cranial artery in headache pathogenesis each 2 group (group I : ultrasound therapy alone, group II : myofascial release therapy alone)- divided each 5 tension- type headache patients. Each group were applied ultrasound therapy for 5 minuets and myofascial release therapy for 15 minuets in occipital portion. The study carried out to determine the effects of ultrasound and myofascial release on the cranial arteries velocity from November 11, 2001 to March 29, 2002 the objects were 10 patients who having the tension-type headache at H-hospital. Transcranial doppler ultrasonograpy(TCD) is new non-invasive applicable method to evaluate flow velocities of intrans cranial and extracranial cerebral arteries. TCD was peformed with standard method to measure the Mean Flow Velocity(MFV) of the middle and posterior cerebral arteries, the vertebral arteries.

• Journal of Korean Neurosurgical Society
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• v.41 no.1
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• pp.39-42
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• 2007

Primary intracranial melanoma is uncommon. These tumors most commonly occur at the temporal lobe, cerebellum and cerebellopontine angle. We report a case of intracranial malignant melanoma of the occipital lobe in a 60-year-old man who presented with headache and visual disturbance. The mass showed hyperintensity on T1-weighted images and hypointensity on T2-weighted magnetic resonance images. He underwent gross total removal of tumor and received radiotherapy. Follow-up imaging studios showed neither recurrence nor any signs of residual disease for 4 months.

• The Korean Journal of Pain
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• v.18 no.1
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• pp.82-84
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• 2005

Suboccipital pain can be caused by problems relating to muscles, tendons, ligaments, joints, discs and nerves of the upper cervical structures. History taking, symptomatological evaluations and physical examinations, and even radiological studies are often unavailable when making an exact diagnosis for the treatment of cervicogenic headaches. Therefore, diagnostic blockades have recently become essential for the diagnosis and treatment of nonspecific cervicogenic headaches. A third occipital neurotomy was successfully performed after diagnostic blocks were administered to a patient who had suffered from suboccipital neuralgic pain and referred pain to the temporal and retroocular areas.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.3
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• pp.1564-1570
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• 2018

The International Headache Society (IHS) has validated cervicogenic headache (CGH) as a secondary headache type that is hypothesized to originate due to nociception in the cervical area. CGH is a common form of headache and accounts for 15% to 20% of all chronic and recurrent headaches. CGH is commonly treated with manual and exercise therapy. To date, no studies have isolated only one manual intervention in an attempt to determine its effectiveness. In this case study we present a 28-year-old patient with right upper cervical (UC) and occipital pain who responded well to a single manual intervention technique. This technique was applied in isolation for the first three visits and two therapeutic exercises prescribed on the fourth and fifth visit. In total, manual and exercise intervention occurred over 8 visits at which point in time the patient was discharged with no UC motion impairments, an NPRS rating of 0, a NDI and HDI demonstrating a 100% improvement and a 37% improvement in FOTO score. The traction based manual intervention and two therapeutic exercises prescribed for this patient were successful in relieving UC pain and CGH. At six months follow up, the patient was still symptom free.

• Journal of Oriental Neuropsychiatry
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• v.33 no.2
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• pp.215-225
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• 2022

Objectives: The purpose of this study was to report the effect of Korean medicine (KM) treatment on a patient diagnosed with cluster headache. Methods: The patient included in this study was diagnosed with cluster headache who received KM therapy (herbal medicine, acupuncture, moxibustion, cupping, and chu-na treatment). The main symptom of the patient was pain in the left occipital region and orbital region. It was diagnosed as a pattern of liver depression and spleen deficiency by oriental medicine. During the hospitalization period, treatment effect was evaluated by NRS. HIT-6. BDI, and STAI were additionally performed to assess depression and anxiety. Results: After 24 days of treatment, the intensity of headache decreased from NRS7 to NRS3. During follow-up at two weeks, there was no pain. Normal daily activities were possible. Conclusions: Korean medical approach might be useful for pain relief and restoration of daily living ability for patients with cluster headache.