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首页> 外文期刊>Journal of Behavioral and Brain Science >Clinical Characteristics of Headache in Egyptian Patients with Idiopathic Epilepsy
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Clinical Characteristics of Headache in Egyptian Patients with Idiopathic Epilepsy

机译：埃及特发性癫痫患者头痛的临床特征

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Purpose: Headache and epilepsy are common neurological disorders and their relationship is still incompletely known. The purpose of our work was to estimate the most common types of primary headache syndromes and its relation to seizure timing in epileptic patients in Upper Egypt. Patients & Methods: In a cross-sectional study, we evaluated headaches in 100 consecutive patients with idiopathic epilepsy attending the neurology outpatient clinic and the epilepsy clinic at Sohag university hospital by complete medical history, physical and neurologic examination EEG and CT brain. Results: Of our study population, 78% of patients with epilepsy reported headaches. Migraine occurred in 70.6% of patients with headache followed by tension-type headache in 25.58% of patients and other types of headaches occurred in 2.56% of patients. There were 8 patients (10.1%) had a pre-ictal headache, 52 patients (66.5%) had a postictal headache and 39 patients (50%) had an interictal headache. In our study, we found that the occurrence of headache being linked to the female sex, lower mean age, lower mean age at the onset of epilepsy, focal epilepsy, longer duration of epilepsy, high frequency of seizures and the use of polytherapy of antiepileptics. Conclusion: Headache especially migraine is an important comorbidity of epilepsy and should receive more attention especially in female patients, patients with younger age, lower mean age at epilepsy onset, longer duration of the disease, patients on polytherapy, patients with higher frequency of seizures and patients with focal epilepsy.
机译：目的：头痛和癫痫病是常见的神经系统疾病，其关系仍不完全清楚。我们的工作目的是评估上埃及癫痫患者最常见的原发性头痛综合征类型及其与癫痫发作时机的关系。 患者与方法：在一项横断面研究中，我们通过完整的病史，体格和神经科检查的脑电图和CT脑图，评估了连续100例就诊于Sohag大学医院神经内科门诊和癫痫诊所的特发性癫痫患者的头痛。 结果：在我们的研究人群中，有78％的癫痫患者报告头痛。偏头痛发生在70.6％的头痛患者中，其次是紧张型头痛在25.58％的患者中，其他类型的头痛在2.56％的患者中发生。发作前头痛有8例（10.1％），发作后头痛有52例（66.5％），发作间期有39例（50％）。在我们的研究中，我们发现头痛的发生与女性，较低的平均年龄，癫痫发作的平均年龄较低，局灶性癫痫，癫痫病的持续时间较长，癫痫发作的频率高以及使用抗癫痫药的多种疗法有关。 结论：头痛，尤其是偏头痛是癫痫的一种重要合并症，应引起更多关注，尤其是在女性患者，年龄较小，癫痫发作的平均年龄较低，病程较长，接受综合治疗的患者，频率较高的患者中癫痫发作和局灶性癫痫患者。

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