头痛是全身性癫痫患者常见的先兆症状。
Headache Is a Common Aura in Patients with Generalized Seizures.
作者信息
Kwack Dong Won, Kim Dong Wook
机构信息
Department of Neurology, Konkuk University School of Medicine, Seoul, Korea.
出版信息
J Epilepsy Res. 2023 Dec 31;13(2):51-54. doi: 10.14581/jer.23008. eCollection 2023 Dec.
BACKGROUND AND PURPOSE
Although aura in epilepsy is usually considered as a phenomenon in patients with focal seizures, headache can occur as an aura or solitary epileptic symptom in patients with generalized seizures.
METHODS
We performed a 14-year retrospective study of patients with generalized seizures and analyzed the proportion and characteristics of patients with auras including headache.
RESULTS
Among the 102 patients diagnosed with generalized seizures, aura was reported in 45 patients and headache was the most common aura in 26 patients. The age of onset of seizures was significantly lower in patients with headache as an aura than in patients without headache (14.8±3.8 vs. 24.7±16.2; =0.003).
CONCLUSIONS
Our study showed that headache was the most common aura in patients with generalized seizures and patients with a younger age of onset of seizures were more likely to experience headache as an aura in these patients.
背景与目的
尽管癫痫中的先兆通常被认为是局灶性发作患者的一种现象，但头痛可作为全身性发作患者的先兆或孤立性癫痫症状出现。
方法
我们对全身性发作患者进行了一项为期14年的回顾性研究，并分析了包括头痛在内的有先兆患者的比例和特征。
结果
在102例被诊断为全身性发作的患者中，45例报告有先兆，头痛是26例患者中最常见的先兆。有头痛先兆的患者癫痫发作的起始年龄显著低于无头痛的患者（14.8±3.8对24.7±16.2；P = 0.003）。
结论
我们的研究表明，头痛是全身性发作患者中最常见的先兆，癫痫发作起始年龄较小的患者在这些患者中更有可能经历头痛作为先兆。
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