1.Prevalence of headache in Kashmir Valley, India
Zarka Amin Masoodi ; Parvaiz A Shah ; Irfan Iqbal
Neurology Asia 2016;21(2):145-153
Background: Headache disorders represent a major public health problem globally. It is more so in
developing countries with rising trend in young adults affecting negatively their quality of life. There
has been very little information on the epidemiology of headache disorder in Kashmir India which
has witnessed prolonged and large scale militancy related disturbance. A prospective population based
study was undertaken in Srinagar district of Kashmir to determine the prevalence of headache disorder.
Methods: The study was a cross sectional survey using cluster sampling with a culturally adapted
version of pretested questionnaire translated into local language, in Hazratbal Community Block of
Srinagar. In the first phase households were screened. Individuals with headache were then examined
by a senior neurologist for migraine and non migraine disorder. Results: The overall prevalence of
headache was 66.2 % with female preponderance. Occurrence of headache was as high as 79.90 %
in adults of 19-45 years. The prevalence rate declined after the age of 45 years in both the genders.
Women had higher prevalence rate than men in all age groups and for all headache categories. Age
distribution showed prevalence rate of migraine of 45.69% in young adults of 19-45 years; females
55.44% and males 32.79 %. Non migraine headache was more common than migraine type, and was
more prevalent in young age group in both the genders, highest in adolescents (74.20 %).
Conclusion: The high prevalence rate of headache both migrainous and non migrainous in Kashmir may
be related to the stress the community has been subjected to from militancy related conflict since 1990.
Headaches
2.EEG Findings in 980 Cases of Headache.
Journal of the Korean Neurological Association 1987;5(1):30-35
Since the EEG study is without harm and pain, it has often been applied to headache sufferers,and many articles have been reported on the findings therefrom in other countries, but rare in Korea. An analysis of clinical and EEG features in 980 headache subjects in National Medical Center is presented. 1. In 980 cases of headache, 542 cases are female and about two thirds of the patients are between 20 and 49 years of age. 2. The distribution of patients contains functional headache (368 cases), tension headache (221 cases). Vascular headache (201 cases) and headache by organic brain diseases (93 cases) in orders. 3. The incidence of EEG abnormalities is 15.1% (147 cases) and most of the findings are dysrrhythmia I or II. The generalized abnormality is more common than focal. 4. Abnormal EEG findings are most common in patients with headache with seizure disorder (54.7%), followed by organic brain diseases (47.3%), and vascular headache (15.3%). In contrast, functional headache and tension headache reveal very low occurrence of EEG abnormalities. 5. There is a tendency of reverse relationship between symptom duration and incidence of EEG abnormalities but no close relationship between the characters of headache and EEG findings.
Brain Diseases
;
Electroencephalography*
;
Epilepsy
;
Female
;
Headache*
;
Humans
;
Incidence
;
Korea
;
Tension-Type Headache
;
Vascular Headaches
3.Slit Ventricle Syndrome in Pediatric Patient Presenting with Only Visual Symptoms.
Korean Journal of Ophthalmology 2017;31(1):92-93
No abstract available.
Humans
;
Slit Ventricle Syndrome*
4.Responses of Trigeminal Ganglion Neurons to Electrical and Mechanical Stimulation of the Middle Meningeal Artery, Superior Sagittal Sinus and Transverse Sinus in Rats.
Kyung Jin LEE ; Jin Whang KIM ; Jung Ki CHO ; Hae Kwan PARK ; Sung Chan PARK ; Kyung Keun CHO ; Hyoung Kyun RHA ; Joon Ki KANG ; Chang Rak CHOI
Journal of Korean Neurosurgical Society 1999;28(6):752-761
The intracranial blood vessels of the dura and the pia receive sensory afferent innervations from trigeminal nerve which has been believed to play a critical role in the mediation of vascular headache such as migraine. The purpose of this study was to discover the mechanism by which the interaction between trigeminal ganglion neurons and the function of cerebral blood vessels. Using electrophysiological recording, we studied the responses of trigeminal ganglion neurons to electrical stimulation of middle meningeal artery(MMA), superior sagittal sinus(SS) and transverse sinus(TS) in rats. Sumatriptan is a highly selective agonist for 5-HT1D receptor subtype which mediates vasoconstriction of cerebral blood vessels. We observed responses to electrical stimulation in trigeminal ganglion neurons and meningeal blood flow(MBF) after intravenous injection of sumatriptan. The results were as follows: 1) The presumed mean conduction velocities of the cells activated MMA, SS and TS by electrical stimulation were approximately 1.5, 2.9 and 2.9m/s, respectively. These were presumed to be nociceptive small myelinated or unmylinated sensory fibers. 2) The action potential discharges of trigeminal ganglion neurons on MMA, SS and TS in the experimental control groups were 671+/-39.49, 856+/-63.95 and 494+/-21.54microV, respectrely. The action potential discharges of sumatriptan groups on MMA, SS and TS(393+/-20.10, 562+/-32.26 and 262+/-18.94microV, respectively) were significantly decreased compared to that of the experimental control groups. 3) The mean MBF of normal control group was 63.29+/-7.54ml/100g/min. The mean MBF of the experimental control groups on MMA, SS and TS were 97.13+/-9.91, 104.28+/-12.54 and 91.82+/-6.41ml/100g/min, respectively(p<0.05). MBF of sumatriptan group before stimulation was significantly decreased(compared to normal: 37.17+/-4.76ml/100g /min vs 63.29+/-7.54ml/100g/min). The mean MBF of sumatriptan groups on MMA, SS and TS were 57.11+/-4.48, 66.56+/-6.23 and 56.07+/-5.00ml/100g/min, respectively. Compared to that of the experimental control groups, the MBF of the sumatriptan groups were significantly decreased. In conclusion, the activation of trigeminal sensory afferents by the electrical stimulation of the dural vessel may create vasodilatation and increase cerebral blood flow which may lead to vascular headaches via trigeminal ganglion to brain stem This pathway can be important for understanding the neural mechanism for the development of pharmacological and surgical approach to alleviate vascular headache.
Action Potentials
;
Animals
;
Blood Vessels
;
Brain Stem
;
Electric Stimulation
;
Headache
;
Injections, Intravenous
;
Meningeal Arteries*
;
Migraine Disorders
;
Myelin Sheath
;
Negotiating
;
Neurons*
;
Rats*
;
Receptor, Serotonin, 5-HT1D
;
Sumatriptan
;
Superior Sagittal Sinus*
;
Trigeminal Ganglion*
;
Trigeminal Nerve
;
Vascular Headaches
;
Vasoconstriction
;
Vasodilation
5.Slit Ventricle Syndrome.
Byung Yoon JUN ; Joong Uhn CHOI ; Sang Sup CHUNG ; Kyu Chang LEE
Journal of Korean Neurosurgical Society 1987;16(4):1241-1246
Authors report four cases of hydrocephalic patients with slit ventricle syndrome, three of whom evidenced reexpansion of the ventricular system following insertion of high resistance value or anti-siphon devices. The results of the treatment were dramatic in two cases of anti-siphon divice application and relatively good in one case of high resistance valve application. The authors reviewed the pathogenesis, diagnosis and treatment of the slit ventricle syndrome.
Diagnosis
;
Humans
;
Hydrocephalus
;
Slit Ventricle Syndrome*
6.A Case of Carotidynia.
Gyung Whan KIM ; Byung Chul LEE ; Won Joo KIM ; Kyoung HEO ; Byung In LEE ; Tae Sub CHUNG
Journal of the Korean Neurological Association 1990;8(1):129-133
A carotidynia is a syndrome of vascular neck pain or tenderness arising from one or both carotid artery which is frequently associated with various forms of extracranial vascular headache, Carotidynia is a common but infrequently recognized syndrome. Careful history taking, physical examination and appropreate Lab(ex: CT scan of neck) may be indicated for accurate diagnosis and adequate management. We experienced a case of carotidynia which was believed to be related to a carotid arteritis evidenced by elevated ESR, abnormalities of neck CT, angiogram, and good response to steroid.
Arteritis
;
Carotid Arteries
;
Diagnosis
;
Neck
;
Neck Pain
;
Physical Examination
;
Tomography, X-Ray Computed
;
Vascular Headaches
7.Clinical Experience on Lumboperitoneal Shunt.
Joong Uhn CHOI ; Sang Keun PARK ; Young Soo KIM ; Sang Sup CHUNG ; Jyu Chang LEE
Journal of Korean Neurosurgical Society 1986;15(1):107-112
Authors experienced the lumboperitoneal shunt in 13 patients. There were 8 communicating hydrocephaluses, 2 benign intracranial hypertensions, 2 cerebrospinal fluid fistulas and 1 postcraniectomy bulging. Lumboperitoneal shunt was thought to be a very simple extracranial procedure which reduce the complications from ventriculoperitoneal shunt such as subdural fluid collection, subdural hematoma, slit ventricle syndrome and conversion from communicating hydrocephalus to non-communicating hydrocephalus. The efficacy of this procedure was documented and literatures were reviewed.
Arachnoiditis
;
Cerebrospinal Fluid
;
Fistula
;
Hematoma, Subdural
;
Humans
;
Hydrocephalus
;
Slit Ventricle Syndrome
;
Ventriculoperitoneal Shunt
8.IMPACT OF HEADACHE ON THE INDIVIDUAL SUFFERER.
Journal of the Korean Neurological Association 1998;16(3):247-255
No abstract available.
Headache*
9.Secondary headache.
Journal of the Korean Academy of Family Medicine 1998;19(6):432-436
No abstract available.
Headache*
10.Headache overview.
Journal of the Korean Academy of Family Medicine 1998;19(6):413-417
No abstract available.
Headache*