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Painful cranial neuropathies and facial pain
도진국 대한구강악안면외과학회 2014 대한구강악안면외과학회 학술대회 논문집 Vol.1 No.1
분류:ICHD-3 Beta(2013) 1 편두통 2 긴장형두통 3 삼차자율신경두통 4 기타 원발두통 5 머리와 목의 외상 및 손상에 기인한 두통 6 두개 또는 경부의 혈관질환에 기인한 두통 7 비혈관성 두개내질환에 기인한 두통 8 물질 또는 물질금단에 기인한 두통 9 감염에 기인한 두통 10 항상성질환에 기인한 두통 11 두개골, 목, 눈, 귀, 코, 부비동, 치아, 입 또는 기타 얼굴 및 경부 구조물의 질환에 기인한 두통 또는 얼굴통증 12 정신과질환에 기인한 두통 13 통증성 머리신경병증과 안면통 14 기타 두통질환
도진국(Jin Kuk Do) 대한생물치료정신의학회 2004 생물치료정신의학 Vol.10 No.2
두통환자의 임상적 평가는 이상에서 간단히 살펴본 것처럼 여러 가지 면에서 접근 할 수 있다. 임상에서는 일차두통이 이차두통보다는 흔한 것이 사실이다. 하지만 법의학적인 문제에서나 환자를 위해서나 이차두통을 배제하기 위한 노력을 게을리 하지 말아야 한다. 두통환자를 대하면서 섬세한 문진과 검사를 통한 접근이야말로 해결의 열쇠라는 것을 잊지 말아야 할 것이다. Headache is one of the most common reasons for neurologic consultation. We should always distinguish primary from secondary headaches. In the absence of secondary headache, the clinician proceeds to diagnosing a primary headache disorder. The clinician must remain vigilant concerning secondary and alert to the "red flags". Headache management starts with diagnosis and this begins with a good history and physical examination. This clinical process provides clear information for the clinician and sets patients at ease in the knowledge that the doctor is interested in their problem. With the publication of the second edition of The International Classification of Headache Disorders(ICHD-2) in January 2004, clinicians who treat headache should become familiar with the revised criteria, which will become the standard for treatment and research. I offer orderly approach to primary headache diagnosis based on attack frequency and duration, using the ICHD-2. In this article, clinical evaluation of headache and differential diagnosis between primary and secondary headache will be reviewed.
안호기,도진국,박재용,한창현,이동국 대한신경과학회 2007 대한신경과학회지 Vol.25 No.3
Background: In this study, the quality of life of patients with chronic and episodic migraine was compared using quality of life assessments tools, which included the MIDAS (migraine disability assessment) questionnaire and MSQoL (migraine-specific quality of life) questionnaire. Methods: The investigation occurred from November 2005 to April 2006 for patients who visited the neurology department of hospital in because of headache. The patients for the question investigation consisted of 34 patients with chronic migraine (CM) and 48 patients with episodic migraine (EM). The diagnosis of migraines was obtained by the migraine criteria of the International Headache Society (IHS). Results: In the comparisons of the MIDAS score in patients with CM and EM, the second question (reduced effectiveness at work/school), the fourth question (reduced effectiveness in housework), total scores (28±19.7 versus 12.0±10.1, p<.01), and the question A were higher in CM patients (51.2±20.1 versus 15.5±13.1, p<.01). MIDAS grade of CM patients were also higher than EM patients. In MSQoL score comparisons of CM and EM patients, three parts of life qualities, which are role-function restrictive, role-function preventive, and emotional function due to headache, and total score (61.9±11.7 versus 73.7±13.9, p<.01) was less in CM patients than EM patients. Conclusions: The study shows that life qualities of the patients with CM were significantly lower than of the patients with EM.
오희종,도진국,이동국,곽규호 啓明大學校 醫科大學 1996 계명의대학술지 Vol.15 No.3
The cause of Parkinson's disease(PD) is unknown. Research has concentrated on genetics, exogenous toxins, and endogenous toxins from cellular oxidative reactions. Familial occurrence of PD has been reported, but the role of genetics in the etiology of PD has long been controversial. We presented a case of married couple who acquired the PD at the age of around 60.
이동국,도진국,곽규호,오희종 啓明大學校 醫科大學 1997 계명의대학술지 Vol.16 No.1
WEBINO syndrome refers to the condition of bilateral internuclear ophthalmoplegia with exotropia in the primary position. The pathophysiology of the exotropia is uncertain and this type of INO has no specific anatomical correlate. This condition was reported in the patients with multiple sclerosis, occlusive vascular disease, tuberculous granuloma, and small cell lung carcinoma. We report a 41-year-old man who manifested bilateral exotropia, bilateral INO, and paralysis of convergence without structural lesion on brain MRI.
Guillain-Barre 증후군에서 변종, 동통과 혈청 Creatine Kinase 증가
오희종,도진국,서상일,곽규호,김태일,이동국 啓明大學校 醫科大學 1999 계명의대학술지 Vol.18 No.1
The Guillain-Barre syndrome (GBS) is often regarded as a predominantly motor neuropathy with few sensory features. But there are many variants in GBS. However, pain is a common symptom, and that is often a diagnostic and therapeutic problem in GBS patients. Although pain is acknowledged as a common symptom, the various pain syndromes seen in GBS often go unrecognized and may be undertreated. Serum creatine kinase (CK) elevation is seen in approximately one third of patients in the first week of GBS. Although the CK rise has been associated with the presence of pain, this was not always the case. We have seen 3 GBS patients with classic symptoms or not, with or without pain and serum CK elevation or not.