Neurophysiological parameters and the tone of the autonomic nervous system in patients with migraine and epilepsy

Aim: to study the bioelectric activity of the brain in relation to changes in the tone of the autonomic nervous system as assessed by heart rate variability (HRV) and evoked skin  sympathetic potentials (ESSP) in patients with migraine and epilepsy.Materials and methods. We studied patients with epi...

Full description

Bibliographic Details
Main Authors: N. D. Sorokina, G. V. Selitsky, A. V. Tsagashek, A. S. Zherdeva
Format: Article
Language:Russian
Published: IRBIS LLC 2018-08-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/406
Description
Summary:Aim: to study the bioelectric activity of the brain in relation to changes in the tone of the autonomic nervous system as assessed by heart rate variability (HRV) and evoked skin  sympathetic potentials (ESSP) in patients with migraine and epilepsy.Materials and methods. We studied patients with epileptic foci in the left (group 1) or right (group 2) hemisphere with migraine attacks followed by epileptic seizures. We used EEG recording  and EEG mapping programs and also determined HRV and ESSP.Results. We found that the subjects in group 1 had the normothymic and parasympathetic types  of heart rate control, and the subjects in group 2 tended toward the sympathetic type of heart rate  regulation. The spectral correlation EEG data indicated that the epileptiform activity in group  1 was more generalized than in group 2, which pointed to a more pronounced epileptogenesis in  group 1. In this group, all pain scores were higher than those in group 2. In group 2 though, depression, anxiety, and emotional disorders were more pronounced than in group 1.Conclusion. The findings can be explained by a closer connection between the right hemisphere and the limbic system. This, in our view, underlies the more pronounced changes in the tone of the  autonomic nervous system as assessed by the HRV and ESSP in patients with the right hemisphere epileptic activity and migraine attacks.
ISSN:2077-8333
2311-4088