Relations between epileptic seizures and headaches.

Autor: Gameleira FT; Programme of Epilepsy Surgery of the University Hospital of the Federal University of Alagoas, Brazil. fernandotg@uol.com.br, Ataíde L Jr, Raposo MC
Jazyk: angličtina
Zdroj: Seizure [Seizure] 2013 Oct; Vol. 22 (8), pp. 622-6. Date of Electronic Publication: 2013 May 20.
DOI: 10.1016/j.seizure.2013.04.016
Abstrakt: Purpose: To describe headaches in patients with epilepsy and try to identify relations between epileptic seizures and headaches.
Methods: Cross-sectional study, with 304 patients from the epilepsy out-patient section of University Hospital of Federal University of Alagoas (Brazil) between February 2007 and February 2008. The presence of headaches and their relationships with the epileptic seizures were analyzed.
Results: Frequent seizures were associated with a greater tendency of occurrence of headaches (odds ratio=1.6 times, p=0.077). Headaches occurred in 66.1% of the cases. The highest occurrence was of migraine (32.9% of the patients), followed by tension-type headaches (9.2%). Two syndromes with a continuum epilepsy-migraine in the same seizure are worth mentioning: migralepsy in 6.6% and epilepgraine in 10.2% of the patients with epilepsy.
Conclusions: A high prevalence of headaches in patients with epilepsy was observed, with emphasis on hybrid crises of epilepsy and migraine.
(Copyright © 2013 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE