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部分性癫痫患者发作后头痛的特征

Characteristics of postictal headache in patients with partial epilepsy.

作者信息

Ito M, Adachi N, Nakamura F, Koyama T, Okamura T, Kato M, Kanemoto K, Nakano T, Matsuura M, Hara S

机构信息

Tenshi Hospital, Kita-12, Higashi-3. Higashi-ku, Sapporo 065-8611, Japan.

出版信息

Cephalalgia. 2004 Jan;24(1):23-8. doi: 10.1111/j.1468-2982.2004.00628.x.

Abstract

Migraine-like features sometimes characterize the headache that follows epileptic seizure (postictal headache, PIH). We compared patients with different types of epilepsy to investigate the association between migraine-like PIH and seizure type. Subjects comprised 364 patients with partial epilepsy. Epilepsy types were temporal lobe epilepsy (TLE, n = 177), frontal lobe epilepsy (FLE, n = 116), and occipital lobe epilepsy (OLE, n = 71). Patients participated in a structured interview pertaining to PIH as well as interictal headache and family history of migraine. Headaches were classified according to the International Headache Society criteria, which was modified for this study. Forty percent had PIH and 26% of these patients had migraine-like PIH. Migraine-like PIH occurred significantly more often in cases of TLE and OLE than in cases of FLE. In addition, the incidence of interictal migraine headache was significantly higher in patients with migraine-like PIH. These results suggest that migraine-like PIH is related to particular regions of epileptogenic focus and that susceptibility to migraine headache predisposes to migraine-like PIH.

摘要

偏头痛样特征有时是癫痫发作后头痛(发作后头痛,PIH)的特点。我们比较了不同类型癫痫患者,以研究偏头痛样PIH与癫痫发作类型之间的关联。研究对象包括364例部分性癫痫患者。癫痫类型为颞叶癫痫(TLE,n = 177)、额叶癫痫(FLE,n = 116)和枕叶癫痫(OLE,n = 71)。患者参与了有关PIH以及发作间期头痛和偏头痛家族史的结构化访谈。头痛根据国际头痛协会标准进行分类,该标准为本研究进行了修改。40%的患者有PIH,其中26%的患者有偏头痛样PIH。偏头痛样PIH在TLE和OLE患者中比在FLE患者中更常见。此外,有偏头痛样PIH的患者发作间期偏头痛头痛的发生率显著更高。这些结果表明,偏头痛样PIH与致痫灶的特定区域有关,并且偏头痛头痛的易感性易导致偏头痛样PIH。

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