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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Association between epilepsy and headache.

Aytül Mutlu1,2

  • 1Department of Neurology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey. meltemim98@yahoo.com.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|September 14, 2018
PubMed
Summary

Headache and migraine prevalence in epilepsy patients mirrors the general population. Interictal headaches are most common, particularly in those with migraine, suggesting complex, multifactorial causes.

Keywords:
EpilepsyHeadacheMigraineSeizure

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Area of Science:

  • Neurology
  • Clinical Neuroscience

Background:

  • Epilepsy and migraine share clinical similarities and are frequently comorbid.
  • Understanding the relationship between epilepsy and headache is crucial for patient management.

Purpose of the Study:

  • To investigate the relationship between epilepsy and headache, including the prevalence of headache and migraine in epilepsy patients.
  • To examine the temporal relationship of headache with seizures in this population.

Main Methods:

  • A cohort of 420 epilepsy patients was surveyed regarding headache presence and characteristics.
  • Data collected included age, gender, epilepsy duration, seizure type, and headache timing relative to seizures.

Main Results:

  • Headache was present in 26% of epilepsy patients, with migraine found in 15%.
  • Interictal headache (headache between seizures) was the most frequent type (74.8%).
  • Migraine patients showed a higher prevalence of interictal headache but lower prevalence of preictal and postictal headaches compared to non-migraine patients.

Conclusions:

  • The prevalence of headache and migraine in epilepsy patients is comparable to the general population.
  • The multifactorial nature of headache pathogenesis and variations in diagnostic criteria may explain differing study outcomes.