Headache and Pain Research

Kun-Woo Park

1 Article

일반연제-Photophobia in Korean Patients with Migraine: Kyungmi Oh, Byung-Kun Kim, Byung-Jo Kim, Jin-Kyu Han, Kun-Woo Park , Dae-Hie Lee; Korean J Headache. 2005;6(1):102-102. Published online June 30, 2005

Abstract PDF: Background
Although photophobia is a main component of migraine classification and ID-migraine, previous literature reported lower incidence rate(about 40%) in Korean patients with migraine than inte- rnational studies with Caucasian patients Objectives: This study was performed to compare the photophobia incidence rate detected by simple interview in Korean migraineurs with that detected by a specific photophobia questionnaire. Methods: Seventy-four migraine patients with mean age of 39.8±17.36 years were enrolled in this study. After simple interview by a headache specialist, patients were asked to report the questionnaire, which is comprised of 8 items. Seven items are questions about various symptoms, avoidance and as a triggering factor related to light during migraine attacks, and one item is a question if the symptom occurs during interictal period. Results: A total of 40(54.1%) patients noted photophobia through the simple interview, and all of them reported 　yes　 to at least 1 item in the questionnaire. Fifty-three(85.1%) patients were revealed as having photophobia by the questionnaire. Of these 53 patients, 23 had same symptoms in headache-free period. Conclusion: Similar photophobia incidence with Caucasian was revealed by the questionnaire. The questionnaire may be used as sensitive method to help detect photophobia in Korean.

Kun-Woo Park

2 Articles

증례 : 돌발 기침과 두통: Kyungmi Oh, Seong-Cheol Cho, Byung-Jo Kim, Kun-Woo Park, Dae-Hie Lee; Korean J Headache. 2006;7(2):106-108. Published online December 31, 2006

Abstract PDF: A 56-year-old man presented with a 40-day history of paroxysmal cough and hemicranial headaches occurring 5 to 10 times per day. The characteristic of headache was severe dull & aching nature in the left frontotemporal area for approximately 20 minutes. The headache attack was always accompanied concurrently by paroxysmal cough. Nasopharyngeal MRI revealed neck mass which encasing left cervical internal carotid artery and lower cranial nerves. Cough and headache, and other multiple lower cranial palsies were progressed and aggravated. We believe that the symptoms presented as simultaneous paroxysmal cough and headache might be related to mass lesion which stimulated vagus nerve.

두통 치료에 있어 항우울제와 항정신병 약제의 역할: Kun-Woo Park; Korean J Headache. 2005;6(1):34-39. Published online June 30, 2005

Abstract PDF: Antidepressants are included in the major medication group for preventive and adjunct headache treat- ment. Although they have several side effects and are to be caution in older patients, some of them have well-documented efficacy. Amitriptyline has demonstrated a consistent efficacy in prophylactic therapy of migraine and chronic tension type headache. There is fair support for the effectiveness of serotonine reup- take inhibitors in migraine prevention. Neuroleptis and antiemetics have long been used for acute headache treatment. However, they have not been widely used because of general unfamiliarity with them and concern for adverse effects. Neuroleptics are appropriate as second line agents in outpatient clinic such as triptans have failed, and as first line agents in emergency room. Korean Journal of Headache 6(1):34-39, 2005

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