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Related Experiment Videos

Post-epileptic headache and migraine.

F Schon1, J N Blau

  • 1National Hospitals for Nervous Diseases, Maida Vale Hospital, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|September 1, 1987
PubMed
Summary
This summary is machine-generated.

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Epilepsy seizures can trigger headaches similar to migraine in about half of patients. These post-ictal headaches often last several hours and may involve symptoms like vomiting and light sensitivity.

Area of Science:

  • Neurology
  • Clinical Neuroscience

Background:

  • Headaches are a common complaint among patients with epilepsy.
  • The relationship between epileptic seizures and headache characteristics remains an area of interest.

Purpose of the Study:

  • To investigate the occurrence and characteristics of headaches following epileptic seizures.
  • To explore the potential link between post-ictal headaches and migraine.

Main Methods:

  • A cohort of 100 epileptic patients was surveyed regarding their headache experiences.
  • Data collected included headache frequency, duration, associated symptoms, and triggers.

Main Results:

  • Post-ictal headaches were reported by 51% of patients, typically lasting 6-72 hours.

Related Experiment Videos

  • Major seizures were more frequently associated with these headaches than minor seizures.
  • Eight of nine patients with a history of migraine experienced a mild migraine attack provoked by seizures.
  • In patients without migraine, post-ictal headaches were accompanied by vomiting and/or photophobia in a significant subset.

    • Conclusions:

    • Epileptic seizures can provoke a headache syndrome resembling migraine in approximately 50% of individuals.
    • Intracranial mechanisms, potentially involving post-ictal vasodilatation, are proposed as the cause of these headaches.
    • The findings suggest a pathophysiological link between post-epileptic headaches and migraine, possibly related to cortical spreading depression.