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High prevalence of headaches in patients with epilepsy.

Wang XQ, Lang SY, He MW, Zhang X, Zhu F, Dai W, Shi XB, Wan M, Ma YF, Chen YN, Yu SY - J Headache Pain (2014)

Bottom Line: The prevalence of headache yesterday in the general population was 4.8% (male 3.0%, female 6.6%).The high prevalence of postictal headaches confirms the frequent triggering of a headache by a seizure.A much lower frequency of preictal headaches, a condition in which the real triggering effect of the headache on the seizure might be difficult to prove.

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Affiliation: Department of Neurology, Chinese PLA General Hospital, Fuxing Road 28, Haidian District, Beijing 100853, P,R, China. yusy1963@126.com.

ABSTRACT

Background: To examine the association between headaches and epilepsy.

Methods: Consecutive adult epileptic patients who went to the outpatient clinic of the Epilepsy Center of PLA General Hospital between February 01, 2012, and May 10, 2013, were recruited into this study. A total of 1109 patients with epilepsy completed a questionnaire regarding headaches.

Results: Overall, 60.1% of the patients (male: 57.2%; female: 63.8%) reported headaches within the last year. The age-weighted prevalence of interictal migraine was 11.7% (male 8.9%, female 15.3%), which is higher than that reported in a large population-based study (8.5%, male 5.4%, female 11.6%) using the same screening questions. The prevalence of postictal headaches was 34.1% (males 32.7%, females 35.2%), and the presence of preictal headaches was 4.5% (males 4.3%, females 5.2%). The prevalence of headache yesterday in the general population was 4.8% (male 3.0%, female 6.6%). Thus, the prevalence of headaches, including migraine, is higher in epileptic patients in China.

Conclusions: The high prevalence of postictal headaches confirms the frequent triggering of a headache by a seizure. A much lower frequency of preictal headaches, a condition in which the real triggering effect of the headache on the seizure might be difficult to prove.

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Diagram of types of interitcal headache in patients with epilepsy (n = 231).
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Figure 2: Diagram of types of interitcal headache in patients with epilepsy (n = 231).

Mentions: Among the 231 epileptic patients with this type of headache (including 54 patients who had postictal headaches and interictal migraine and 17 patients who had postictal headaches and interictal tension-type headaches), the pain was mild for 72 (31.2%) patients, moderate for 131 (56.7%) patients and severe for 28 (12.1%) patients. Migraine headaches (including probable migraine) were present in 60.2% of the patients with interictal headaches: 30.3% had tension-type headaches, 5.2% had combined headaches and 4.3% had other headache types (FigureĀ 2).


High prevalence of headaches in patients with epilepsy.

Wang XQ, Lang SY, He MW, Zhang X, Zhu F, Dai W, Shi XB, Wan M, Ma YF, Chen YN, Yu SY - J Headache Pain (2014)

Diagram of types of interitcal headache in patients with epilepsy (n = 231).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4231166&req=5

Figure 2: Diagram of types of interitcal headache in patients with epilepsy (n = 231).
Mentions: Among the 231 epileptic patients with this type of headache (including 54 patients who had postictal headaches and interictal migraine and 17 patients who had postictal headaches and interictal tension-type headaches), the pain was mild for 72 (31.2%) patients, moderate for 131 (56.7%) patients and severe for 28 (12.1%) patients. Migraine headaches (including probable migraine) were present in 60.2% of the patients with interictal headaches: 30.3% had tension-type headaches, 5.2% had combined headaches and 4.3% had other headache types (FigureĀ 2).

Bottom Line: The prevalence of headache yesterday in the general population was 4.8% (male 3.0%, female 6.6%).The high prevalence of postictal headaches confirms the frequent triggering of a headache by a seizure.A much lower frequency of preictal headaches, a condition in which the real triggering effect of the headache on the seizure might be difficult to prove.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Neurology, Chinese PLA General Hospital, Fuxing Road 28, Haidian District, Beijing 100853, P,R, China. yusy1963@126.com.

ABSTRACT

Background: To examine the association between headaches and epilepsy.

Methods: Consecutive adult epileptic patients who went to the outpatient clinic of the Epilepsy Center of PLA General Hospital between February 01, 2012, and May 10, 2013, were recruited into this study. A total of 1109 patients with epilepsy completed a questionnaire regarding headaches.

Results: Overall, 60.1% of the patients (male: 57.2%; female: 63.8%) reported headaches within the last year. The age-weighted prevalence of interictal migraine was 11.7% (male 8.9%, female 15.3%), which is higher than that reported in a large population-based study (8.5%, male 5.4%, female 11.6%) using the same screening questions. The prevalence of postictal headaches was 34.1% (males 32.7%, females 35.2%), and the presence of preictal headaches was 4.5% (males 4.3%, females 5.2%). The prevalence of headache yesterday in the general population was 4.8% (male 3.0%, female 6.6%). Thus, the prevalence of headaches, including migraine, is higher in epileptic patients in China.

Conclusions: The high prevalence of postictal headaches confirms the frequent triggering of a headache by a seizure. A much lower frequency of preictal headaches, a condition in which the real triggering effect of the headache on the seizure might be difficult to prove.

Show MeSH
Related in: MedlinePlus