Department of Developmental Neurology, Medical University of Gdańsk, Gdańsk, Poland.
Cephalalgia. 2021 May;41(6):690-700. doi: 10.1177/0333102420977856. Epub 2020 Dec 9.
The co-occurrence of headache and epilepsy is well-documented in the adult population. The aim of the prospective study was to analyse in the paediatric population the correlations between the types of peri-ictal headaches and types of seizures. Furthermore, an attempt was made to find trends in characteristic features of peri-ictal headaches. A total of 57 children with peri-ictal headache were enrolled in the study. The participants' guardians were asked to keep a diary of the seizure and peri-ictal headache episodes during a 180-day period. During follow-up visits, systematic history regarding peri-ictal headaches was taken.
A total of 913 seizure and 325 peri-ictal headache episodes were noted during the study. Post-ictal headaches were most common, occurring in < 1 h after the seizure, lasting minutes to hours and more likely to occur after generalised seizures, whereas pre-ictal headaches occurred 30-240 min before the seizure. In the analysed group, peri-ictal headaches were most often moderate in intensity. Only 30% of patients took analgesic medication, usually to treat post-ictal headaches.
Peri-ictal headaches are a significant health problem for patients with epilepsy. The most common type are post-ictal headaches, and they are most likely to appear after a generalised seizure.
头痛和癫痫在成年人群中同时发生的情况已有充分记录。本前瞻性研究的目的是分析儿童人群中发作间期头痛的类型与癫痫发作类型之间的相关性。此外，还试图找到发作间期头痛的特征性特征的趋势。共有 57 名伴有发作间期头痛的儿童入组本研究。要求参与者的监护人在 180 天内记录癫痫发作和发作间期头痛发作。在随访期间，对发作间期头痛进行了系统的病史采集。
在研究期间共记录了 913 次癫痫发作和 325 次发作间期头痛发作。发作后头痛最常见，发生在癫痫发作后<1 小时内，持续数分钟至数小时，更可能发生在全身性癫痫发作后，而发作前头痛发生在癫痫发作前 30-240 分钟。在分析的组中，发作间期头痛大多为中度强度。只有 30%的患者服用了止痛药，通常用于治疗发作后头痛。
发作间期头痛是癫痫患者的一个重要健康问题。最常见的类型是发作后头痛，最有可能在全身性癫痫发作后出现。
