Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 36 486 2018 08 23 Epidemiological Assessment of Headache among the Patients with Drug-Resistant Epilepsy Epidemiological Assessment of Headache among the Patients with Drug-Resistant Epilepsy 757 762 15611 10.22122/jims.v36i486.10135 FA Jafar Mehvari-Habibabadi Associate Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0003-3209-7479 Mohammad Zare Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Seyed Navid Naghibi Fellowship of Epilepsy, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0003-3863-1724 Nasim Tabrizi Fellowship of Epilepsy, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-7978-2014 Iman Salehi Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0002-0744-9703 Journal Article 2018 05 20 Background: Epilepsy is one the most common chronic neurological disorders. One third of patients with history of epilepsy are resistance to any remedy prescribed for them. Headache, as a usual complaint of epilepsy, affects the quality of life negatively. This epidemiological study was designed to assess headache types among the patients with drug-resistant epilepsy.Methods: This cross-sectional study was conducted on patients with drug-resistant epilepsy, referred to Isfahan Epileptic Center, Iran, with complaint of headache in year 2017. Type of epilepsy (temporal, extratemporal, or generalized), site of headache, time of headache, headache characteristics, duration of headache, headache periodicity, association of headache with seizure, and associated symptoms were assessed.Findings: Pulsatile (27.5%), pressure sensation, (26.7%) and heaviness (25.2%) were most prevalent characteristics of headaches. In addition, postictal (40%), between seizure attacks (34.2%), preictal (10%), prodromal (8.5%), and ictal (7.1%) headaches were the most prevalent types regarding the time of headache, respectively, only based on the history, not in electroencephalography (EEG).Conclusion: Findings of current epidemiological study are consistent with previous researches, and the most prevalent headache among the patients with drug-resistant epilepsy are pulsatile and postictal ones. Background: Epilepsy is one the most common chronic neurological disorders. One third of patients with history of epilepsy are resistance to any remedy prescribed for them. Headache, as a usual complaint of epilepsy, affects the quality of life negatively. This epidemiological study was designed to assess headache types among the patients with drug-resistant epilepsy.Methods: This cross-sectional study was conducted on patients with drug-resistant epilepsy, referred to Isfahan Epileptic Center, Iran, with complaint of headache in year 2017. Type of epilepsy (temporal, extratemporal, or generalized), site of headache, time of headache, headache characteristics, duration of headache, headache periodicity, association of headache with seizure, and associated symptoms were assessed.Findings: Pulsatile (27.5%), pressure sensation, (26.7%) and heaviness (25.2%) were most prevalent characteristics of headaches. In addition, postictal (40%), between seizure attacks (34.2%), preictal (10%), prodromal (8.5%), and ictal (7.1%) headaches were the most prevalent types regarding the time of headache, respectively, only based on the history, not in electroencephalography (EEG).Conclusion: Findings of current epidemiological study are consistent with previous researches, and the most prevalent headache among the patients with drug-resistant epilepsy are pulsatile and postictal ones. https://jims.mui.ac.ir/article_15611_fc1618c9ae39989770371191790a772b.pdf