1.Primary Position Downbeat Nystagmus During Acute Vestibular Migraine.
Ji Yun PARK ; Ji Ae GO ; Jeong Ho PARK ; Sun Ah PARK ; Tae Kyeong LEE ; Ki Bum SUNG
Journal of the Korean Neurological Association 2011;29(2):139-141
Only a few cases of primary position downbeat nystagmus (PPDN) during an acute vestibular migraine (VM) have been reported but without details of the nystagmus pattern. A 15-year old girl with a history of recurrent headache and oscillopsia presented with PPDN, which lasted about 12 hours and resolved spontaneously. VM should be considered in the differential diagnosis of PPDN which are presumed to be caused by the dysfunction of the vestibular cerebellum and its connection.
Cerebellum
;
Diagnosis, Differential
;
Headache
;
Migraine Disorders
;
Vertigo
2.Clinical Characteristics of Primary Epiploic Appendagitis.
Jae Jung PARK ; Sung Ae JUNG ; Young Wook NOH ; Go Heun KIM ; Hyun mi HEO ; Suh Eun BAE ; Yun Jung CHOI ; So I KIM ; Myung Won LEE ; Min Jung KANG ; Ji Min JUNG ; Seong Eun KIM ; Hye Kyung JUNG ; Ki Nam SHIM ; Tae Hun KIM ; Kwon YOO ; Il Hwan MOON
Intestinal Research 2009;7(1):47-51
BACKGROUND/AIMS: Primary epiploic appendagitis (PEA) is a rare cause of focal abdominal pain in otherwise healthy patients. Patients with acute abdominal pain are often misdiagnosed clinically as acute appendicitis or diverticulitis. The purpose of this study was to describe the clinical presentation and characteristic computed tomography (CT) findings of PEA. METHODS: We reviewed the clinical records and CT images of 23 consecutive patients in Korea who presented with acute abdominal pain between January 2005 and February 2009 and had radiologic signs of PEA. RESULTS: Twenty-three patients (7 females and 16 males; average age, 42+/-14 years) were diagnosed with symptomatic PEA. Abdominal pain localized to the left (8 patients [44.5%]) and right (10 patients [55.5%]) lower quadrants as the leading symptom. CT findings specific for PEA were present in all patients except one. The symptoms resolved within 1 week (mean, 3.5 days) with or without antibiotic treatment. CONCLUSIONS: In patients with localized, sharp, acute abdominal pain not associated with other symptoms, such as nausea, vomiting, fever or atypical laboratory values, the diagnosis of PEA should be considered and the diagnosis confirmed by CT scan.
Abdomen, Acute
;
Abdominal Pain
;
Appendicitis
;
Diverticulitis
;
Female
;
Fever
;
Humans
;
Korea
;
Nausea
;
Peas
;
Vomiting