만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구 = Clinical Characteristic and Roentgenographic Finding of the Cervical Spine in Chronic Tension-type Headache

다국어 초록 (Multilingual Abstract)

Objectives : Although CTTH is one of the most common symptom in primary headache, the mechanism and treatment is not definite. The purpose of this study is to research about clinical characteristic and roentgenographic finding of the cervical spine in CTTH to determine relationship between the cervical spine and headache.
Methods : This study was carried out on 93 patients with CTTH. By roentgenographic finding, they were classified into four groups - HNP, Spondylosis, Sprain, Normal. Then the HNP group was divided again into two groups - singer type and multiple type.
Results :
1. Among 93 patients with CTTH, 69(74.19％) patients had abnormal cervical spine by roentgenographic finding.
2. There were HNP, spondylosis, sprain in abnormal roentgenographic finding. And a great majority of the patients were diagnosed as cervical sprain.
3. There were no significant difference between four groups on sex, weight, height, blood pressure, pulse, respiratory rate. But on ages, the HNP group showed the highest average while the sprain group showed the lowest.
4. The patients in HNP group had more frequent, severe pain, longer onset and higher onset-age than those of the other three group.
5. The patients in Multiple-type HNP group had severe pain, longer pain-duration, longer onset, more pre-symptoms and younger onset-age than those of the Single-type HNP group.
Conclusions : A great majority of the patients with CTTH had abnormal cervical spines. Also, we found out that the worse the grade of HNP, heavier the level of headache.

참고문헌 (Reference)

1 양유걸, "황제내경소문해석" 성보사 35-, 1980

2 황의원, "한방신경정신의학" 집문당 264-, 2005

3 이상호, "한국성인의 경추부 추간판 높이와 깊이에 대한 연구" 1 : 121-126, 2004

4 박규현, "편두통 환자의 경부 방사선 소견" 7 (7): 88-93, 2006

5 전국한의과대학 침구학교실, "침구학(하)" 집문당 1211-, 2004

6 석세일, "정형외과학" 최신의학사 241-242, 1988

7 서정호, "신임상 X선진단학" 일중사 539-, 1992

8 방사선과편찬위원회, "방사선과학" 도서정담 455-457, 2000

9 구선주, "만성 긴장성 두통 환자에 있어서 두경부 자세 평가" 18 : 9-14, 1993

10 강수일, "두통의 한방치료에 관한 연구" 13 (13): 324-325, 1992

11 김병모, "두통의 진단과 치료" 현대의학사 1-254, 2000

12 이태규, "두통" 의학출판사 45-, 2002

13 허준, "동의보감" 법인문화사 635-655, 1999

14 이상빈, "노인의 퇴행성 경추와 두통의 상관관계에 대한 고찰" 한국스포츠리서치 17 (17): 185-194, 2006

15 권순억, "긴장형 두통, 군발성 두통 및 기타 일차두통의 치료" 1 : 24-25, 2007

16 김신성, "경추성 두통에서 근육 내 자극술의 치료효과" 대한마취과학회 50 (50): 355-360, 2006

17 김함겸, "경추 추간판 탈출증의 유형별 자기공명영상 소견" 2 (2): 21-24, 2000

18 楊恩澍, "中國臨床大典(上冊)" 北京科學技術出版社 174-175, 1991

19 Borden AGB, "The normal cervical lordosis" 74 : 806-, 1960

20 Edward WC, "The developmental segmental sagittal dia meter of the spinal canal in patients with cervical spondylosis" 8 : 20-27, 1983

21 Bogduk N, "The anatomical basis for cervicogenic headache" 15 : 67-70, 1992

22 Headache Classification Subcommittee of the International Headache Society, "The Interna- tional Classification of the Headache Disorder. 2nd" 24 (24): 1-160, 2004

23 Stephen I Esses, "Textbook of Spinal Disorders. 18" 군자출판사 4-201, 2002

24 Silberstein SD, "Tension-type Headache" 34 : 2-7, 1994

25 Nagasawa A, "Roentgenographic findings of the cervical spine in tension type headache" 33 : 90-95, 1993

26 Calliet R, "Neck and arm pain" FA Davis 348-367, 1991

27 Amiri M, "Measuring range of active cervical rotation in position of full head flexion using the 3D Fastrak measurement system" 8 (8): 176-179, 2003

28 Altura BM, "Magnesium in tension headache and muscle tension" 57 (57): 705-713, 2001

29 Joutel A, "Genetic heterogeneity of familial hemiplegic migraine" 55 : 1166-, 1994

30 Raemussen BK, "Epidemiology of tension type headache. The Headaches. 2nd ed" Lippincott Williams & Wilkins 545-550, 2000

31 Sturgis ET, "Effect of movement and position in the evaluation of tension headache and nonheadache control subject" 24 : 88-93, 1984

32 Antonaci F, "Diag nosing cervicogenic headache" 7 (7): 145-148, 2006

33 Stergaard S, "Comparison of first degree relatives and spouses of people with chronic tension headache" 314 : 1092-1093, 1998

34 Sjaastad O, "Cervicogenic Headache : Diagnostic criteria" 38 : 442-445, 1998

35 Pavlov H, "Cervical spinal stenosis : Determination with vertebral body ratio method" 21 : 720-733, 1986

36 Lipchik GL, "Cental and peripheral mechanism in chronic Tension-type Headache" 64 : 467-475, 1996

37 Netter FH, "Atlas of human anatomy" Ciba-Geigy Corporation 22-30, 1987

38 Boden S, "Abnormal magnetic resonance scan in asymptomatic subject" 72A : 403-408, 1990

39 울산의대 서울아산병원 내과, "2004 내과학의 최신지견 Ⅶ" 한국의학 309-, 2004