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目的 为研究癫疒间 发作后头痛 (post ictalheadaches,PIH)的临床特征及其发生的危险因素。 方法 采用病史询问方法对 97例与部位有关的癫疒间患者头痛的临床特征进行研究。结果 发现PIH一般表现为搏动性头痛 ,咳嗽、呕吐、弯腰、喷嚏、突然头部运动等能使头痛加重 ,部分患者伴有恶心、呕吐、畏光、怕声等症状 ,睡眠能使部分患者头痛减轻和缓解。PIH的发生率为 3 6 1% ,致疒间 灶的部位不同其PIH发生率也不同 ,颞叶癫疒间PIH的发生率为 2 1 3 % ,枕叶癫疒间为 61 9% ,额叶癫疒间 为 41 4% ,枕叶明显高于颞叶和额叶 (P <0 0 5 ) ,另外强直 -阵挛性发作患者PIH发生率高于其它类型发作 ,发病年龄越轻的患者PIH发生率越高。结论 PIH与偏头痛具有某些共同临床特点。其发生机制可能与致疒间灶的部位及疒间性放电扩布范围有关
Objective To study the clinical characteristics and the risk factors of headache after epileptic seizures (PIH). Methods The clinical features of 97 patients with focal epilepsy were analyzed by history inquiry method. The results showed that PIH generally manifested as pulsatile headache, cough, vomiting, bending, sneezing, sudden head movement can make headache worsened, some patients with nausea, vomiting, photophobia, fear of sound and other symptoms, sleep can make some patients Headache to reduce and alleviate. The incidence of PIH was 36.1%, and the incidence of PIH was also different in different parts of the foci. The incidence of PIH in temporal lobe epilepsy was 21.3% and that in occipital lobe epilepsy was 61.9% 41.4% between epilepsy, occipital lobe was significantly higher than the temporal lobe and frontal lobe (P <0 05), in addition to the incidence of PIH in patients with tonic-clonic seizures than other types of seizures, the age of onset of patients with less The higher the incidence of PIH. Conclusion PIH and migraine have some common clinical features. Its mechanism may be related to the site of the fissure and intercostal discharge discharge range