Clinical Characteristic and Roentgenographic Finding of the Cervical Spine in Chronic Tension -type Headache

만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구

  • Kim, Min-Jung (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University) ;
  • Lee, Ki-Su (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University) ;
  • Kwak, Byung-Min (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University) ;
  • Lee, Eun-Kyoung (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University) ;
  • Choi, Eun-Hee (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University) ;
  • Park, Yang-Chun (Dept. of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kang, Wee-Chang (Dept. of Applicative Statistics, College of Economics, Daejeon University) ;
  • Lee, Jin-Woo (Dept. of Radiology, Daejeon University Hyehwa Hospital) ;
  • Lee, Sang-Bong (Dept. of Neurology, College of Medicine, Catholic University) ;
  • Hong, Kwon-Eui (Dept. of Acupunture & Moxibustation, College of Oriental Medicine, Daejeon University)
  • 김민정 (대전대학교 한의과대학 침구학교실) ;
  • 이기수 (대전대학교 한의과대학 침구학교실) ;
  • 곽병민 (대전대학교 한의과대학 침구학교실) ;
  • 이은경 (대전대학교 한의과대학 침구학교실) ;
  • 최은희 (대전대학교 한의과대학 침구학교실) ;
  • 박양춘 (대전대학교 한의과대학 한방내과학교실) ;
  • 강위창 (대전대학교 경영대학 응용통계학과) ;
  • 이진우 (대전대학교 혜화병원 영상의학과) ;
  • 이상봉 (카톨릭대학교 의과대학 신경과) ;
  • 홍권의 (대전대학교 한의과대학 침구학교실)
  • Published : 2009.04.20

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.

Keywords

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