High prevalence of headaches in patients with epilepsy
Xiang-qing Wang,Sen-yang Lang,Mianwang He,Xu Zhang,Fei Zhu,Wei Dai,Xiao-bing Shi,Min Wan,Yun-feng Ma,Ya-nan Chen,Shengyuan Yu +10 more
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TLDR
The high prevalence of postictal headaches confirms the frequent triggering of a headache by a seizure, a condition in which the real triggering effect of the headache on the seizure might be difficult to prove.Abstract:
To examine the association between headaches and epilepsy. 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. 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. 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.read more
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Journal ArticleDOI
Clinical Characteristics of Headache in Egyptian Patients with Idiopathic Epilepsy
Mohamed A. Sayed,Hazem K. Ibrahim,Alaaeldin Sedky Bekhit,Mohamed N. Thabit,Mostafa Abdelmomen +4 more
TL;DR: Headache especially migraine is an important comorbidity of epilepsy and should receive more attention especially in female patients, patients with younger age, lower mean age at epilepsy onset, longer duration of the disease, patients on polytherapy, Patients with higher frequency of seizures and patients with focal epilepsy.
Journal ArticleDOI
Hypsarrhythmia and spasms resolution after Valproic acid discontinuation in an infantile spasm patient.
TL;DR: It might have a negative impact on spasms in some patients which warrants its discontinuation sooner than later during spasms treatment, as occurred with this child who presented with post-traumatic seizure which evolved to spasms.
Journal ArticleDOI
Prescription patterns of antiepileptic drugs in Kazakhstan in 2018: A retrospective study of 57,959 patients.
TL;DR: Patients with epilepsy were frequently prescribed valproate, carbamazepine, and lamotrigine in Kazakhstan in 2018, and Interestingly, 10,745valproate users were women aged ≤40 years, and further research is needed to gain a better understanding of the prescription ofValproate in women with epilepsy who are of childbearing age.
Journal ArticleDOI
Ventrolateral Periaqueductal Gray Matter Neurochemical Lesion Facilitates Epileptogenesis and Enhances Pain Sensitivity in Epileptic Rats.
TL;DR: In this article, the impairments of vlPAG neuronal network during spontaneous recurrent seizure (SRS) development after status epilepticus (SE) were investigated, and the pain sensitivity as well as the SRS investigated after neurochemical lesion to vlG to determine the role of vLPAG in epileptogenesis and in migraine comorbidity with epilepsy.
Journal ArticleDOI
The comorbidity of headaches in pediatric epilepsy patients: How common and what types?
TL;DR: Headache, predominantly migraine, is a common problem in pediatric epileptic patients and choosing valproic acid when possible can be important in preventing migraine in these patients.
References
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The International Classification of Headache Disorders: 2nd edition
Journal ArticleDOI
The Global Burden of Headache: A Documentation of Headache Prevalence and Disability Worldwide:
Lars Jacob Stovner,Knut Hagen,Rigmor Jensen,Zaza Katsarava,Richard B. Lipton,Ann I. Scher,Timothy J. Steiner,John-Anker Zwart +7 more
TL;DR: The calculations indicate that the disability attributable to tension-type headache is larger worldwide than that due to migraine, which would bring headache disorders into the 10 most disabling conditions for the two genders, and into the five most disabling for women.
Journal ArticleDOI
Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors.
TL;DR: The magnitude and distribution of the public health problem posed by migraine in the United States is described by examining migraine prevalence, attack frequency, and attack-related disability by gender, age, race, household income, geographic region, and urban vs rural residence.
Journal ArticleDOI
Epidemiology of headache.
TL;DR: The study supports the notion that migraine and tension-type headache are separate clinical entities and that migraine without aura and migraine with aura are distinct subforms of migraine.
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