Epilepsi Hastalar�nda �nteriktal Ba�a�r�s� S�kl���

ISSN 1300-7157

Anasayfa | �leti�im

Cilt : 25 Say� : 1 Y�l: 2019

Epilepsi Hastalar�nda �nteriktal Ba�a�r�s� S�kl�� [Epilepsi]

Epilepsi. 2018; 24(2): 51-54 | DOI: 10.14744/epilepsi.2018.26928

Epilepsi Hastalar�nda �nteriktal Ba�a�r�s� S�kl��

G�khan �zer¹, Yasemin �nal², G�lnihal Kutlu², Yasemin G�mceli³, Levent �nan⁴
¹Sanko �niversitesi T�p Fak�ltesi, N�roloji B�l�m�, Gaziantep
²Mu�la S�tk� Ko�man �niversitesi T�p Fak�ltesi, N�roloji B�l�m�, Mu�la
³Antalya E�itim ve Ara�t�rma Hastanesi, N�roloji B�l�m�, Antalya
⁴Bozok �niversitesi T�p Fak�ltesi N�roloji, Yozgat

G�R�� ve AMA�: Epilepsi ve ba�a�r�s� s�k g�r�len paroksismal n�rolojik fenomenlerdir. Ba�a�r�s� bazen n�betin tek belirtisi olabilir. Ayr�ca postiktal ba�a�r�lar� kompleks parsiyal ve jeneralize tonik-klonik n�betlerden sonra s�k g�r�lmektedir. Biz epilepsi poliklini�ine ba�vuran hastalarda interiktal ba�a�r�s� s�kl��n� bulmay� ama�lad�k.
Y�NTEM ve GERE�LER: Bu ileriye y�nelik �al��ma, n�roloji klini�inde epilepsi tan�s� ile takip edilen 86 eri�kin hastay� kapsamaktad�r.
BULGULAR: �al��maya epilepsi tan�s� ile izlenen 54 kad�n, 32 erkek, toplam 86 hasta al�nd�. Ba�a�r�s� olan 41 (%47.6) hastan�n a�r� tipleri s�ras�yla; gerilim tipi ba�a�r�s� (GTBA) %16.3, aural� migren %13.9, auras�z migren %12.8, GTBA + stabbing 1 %1.2, k�me ba�a�r�s� %1.2, di�er primer ba�a�r�lar� %2.4 olarak saptand�.
TARTI�MA ve SONU�: Epileptik hastalar s�k ba�a�r�s�, �zellikte migren�z �zellikte ba�a�r�s� ya�amaktad�r. Epilepsi hastalar�nda poliklinik takiplerinde ba�a�r�s� g�z ard� edilebilir ve bu da bu grup hastalar�n ya�am kalitesini etkileyebilir.

Anahtar Kelimeler: Epilepsi, ba�a�r�s�; migren.

Prevalence of Interictal Headache in Patients with Epilepsy

G�khan �zer¹, Yasemin �nal², G�lnihal Kutlu², Yasemin G�mceli³, Levent �nan⁴
¹Department of Neurology, Sanko Universty Faculty of Medicine, Gaziantep, Turkey
²Department of Neurology, Mu�la S�tk� Ko�man Universty Faculty of Medicine, Mu�la, Turkey
³Department of Neurology, Antalya Training and Research Hospital, Antalya, Turkey
⁴Department of Neurology, Bozok Universty Faculty of Medicine, Yozgat, Turkey

INTRODUCTION: Epilepsy and headache are common paroxysmal neurological disorders. Headache can occasionally be the sole symptom of a seizure. In addition, postictal headaches frequently occur after complex partial and generalized tonic�clonic seizures. The objective of this study was to determine the prevalence of interictal headache in patients with epilepsy presenting at an outpatient epilepsy clinic.
METHODS: This prospective study included 86 adult patients who were diagnosed with epilepsy and followed up at a neurology clinic.
RESULTS: A total of 86 patients with epilepsy (54 females, 32 males) were included. The type of headache in 41 (47.6%) patients was a tension-type headache (TTH) (n=14, 16.3%), migraine with aura (n=12, 13.9%), migraine without aura (n=11, 12.8%), TTH + stabbing headache (n=1, 1.2%), cluster headache (1.2%), and other primary headaches (n=2, 2.4%).
DISCUSSION AND CONCLUSION: Patients with epilepsy often have headaches, particularly a migraine headache. Headache in patients with epilepsy may be overlooked during follow-up in the outpatient clinic setting, and this can adversely affect the quality of life of these patients.

Keywords: Epilepsy, headache; migraine.

G�khan �zer, Yasemin �nal, G�lnihal Kutlu, Yasemin G�mceli, Levent �nan. Prevalence of Interictal Headache in Patients with Epilepsy. Epilepsi. 2018; 24(2): 51-54

Sorumlu Yazar: G�khan �zer, T�rkiye

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