Primary headache disorders in epileptic adults
Abstract Background Epilepsy and primary headache disorders are two relatively common neurological disorders and their relationship is still a matter of debate. We aimed to estimate the prevalence and clinical features of primary headache disorders in patients with epilepsy. Methods 62 subjects aged...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-06-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41983-022-00498-2 |
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| author | Ahmed Hosny Marwa Orabi Imane Yassine Mohamed Elsayed Abd El-Hady |
| author_facet | Ahmed Hosny Marwa Orabi Imane Yassine Mohamed Elsayed Abd El-Hady |
| author_sort | Ahmed Hosny |
| collection | DOAJ |
| description | Abstract Background Epilepsy and primary headache disorders are two relatively common neurological disorders and their relationship is still a matter of debate. We aimed to estimate the prevalence and clinical features of primary headache disorders in patients with epilepsy. Methods 62 subjects aged ≥ 18 years were recruited from the hospital’s neurology outpatient clinic in the period from January to April 2018. The subjects were further divided into two equal groups, epileptics and non-epileptics. They underwent a semi-structured interview including the ILAE 2017 epilepsy classification and the ICHD III-beta criteria for headache. Patients' demographic data and clinical characteristics of epilepsy and headache and temporal relationships between them were assessed. Patients who experienced headaches were grouped based on the type of headaches and on whether their headaches occurred in the pre-ictal, post-ictal or inter-ictal period. Results Primary headache disorders were more common in epileptic group (61.3%) than the non-epileptic group (32.2%) (p = 0.021). The tension-type headache was the most common (45.2%) followed by migraine-type headache (12.9%) in the epileptic group. Post-ictal headache was the most common type (29%). Inter-ictal headaches were significantly related to "focal to bilateral tonic–clonic" seizures (p = 0.046). The prevalence of headache among patients on polytherapy (69.2%) was higher than that of patients on monotherapy (52.9%). Conclusions In this study, headache was more common in epileptic patients. TTH was the most represented type of headache in patients with epilepsy. Headache occurred in patients with epilepsy most frequently during the post-ictal period. |
| first_indexed | 2024-12-12T09:25:48Z |
| format | Article |
| id | doaj.art-56d8a55f495d4d1fa2b60fc904b3e6bc |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-12T09:25:48Z |
| publishDate | 2022-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-56d8a55f495d4d1fa2b60fc904b3e6bc2022-12-22T00:29:02ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-06-015811610.1186/s41983-022-00498-2Primary headache disorders in epileptic adultsAhmed Hosny0Marwa Orabi1Imane Yassine2Mohamed Elsayed Abd El-Hady3Faculty of Medicine, Suez Canal UniversityFaculty of Medicine, Suez Canal UniversityFaculty of Medicine, Suez Canal UniversityFaculty of Medicine, Suez Canal UniversityAbstract Background Epilepsy and primary headache disorders are two relatively common neurological disorders and their relationship is still a matter of debate. We aimed to estimate the prevalence and clinical features of primary headache disorders in patients with epilepsy. Methods 62 subjects aged ≥ 18 years were recruited from the hospital’s neurology outpatient clinic in the period from January to April 2018. The subjects were further divided into two equal groups, epileptics and non-epileptics. They underwent a semi-structured interview including the ILAE 2017 epilepsy classification and the ICHD III-beta criteria for headache. Patients' demographic data and clinical characteristics of epilepsy and headache and temporal relationships between them were assessed. Patients who experienced headaches were grouped based on the type of headaches and on whether their headaches occurred in the pre-ictal, post-ictal or inter-ictal period. Results Primary headache disorders were more common in epileptic group (61.3%) than the non-epileptic group (32.2%) (p = 0.021). The tension-type headache was the most common (45.2%) followed by migraine-type headache (12.9%) in the epileptic group. Post-ictal headache was the most common type (29%). Inter-ictal headaches were significantly related to "focal to bilateral tonic–clonic" seizures (p = 0.046). The prevalence of headache among patients on polytherapy (69.2%) was higher than that of patients on monotherapy (52.9%). Conclusions In this study, headache was more common in epileptic patients. TTH was the most represented type of headache in patients with epilepsy. Headache occurred in patients with epilepsy most frequently during the post-ictal period.https://doi.org/10.1186/s41983-022-00498-2EpilepsyPrimary headache disordersPost-ictal headachePre-ictal headache |
| spellingShingle | Ahmed Hosny Marwa Orabi Imane Yassine Mohamed Elsayed Abd El-Hady Primary headache disorders in epileptic adults The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Epilepsy Primary headache disorders Post-ictal headache Pre-ictal headache |
| title | Primary headache disorders in epileptic adults |
| title_full | Primary headache disorders in epileptic adults |
| title_fullStr | Primary headache disorders in epileptic adults |
| title_full_unstemmed | Primary headache disorders in epileptic adults |
| title_short | Primary headache disorders in epileptic adults |
| title_sort | primary headache disorders in epileptic adults |
| topic | Epilepsy Primary headache disorders Post-ictal headache Pre-ictal headache |
| url | https://doi.org/10.1186/s41983-022-00498-2 |
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