![]() Thirty-nine patients in the TLE group and 4 patients in the JME group were identified with more than one type of headaches, respectively. Specifically, 67 (44.37%), 12 (7.95%), and 118 (7.95%) patients were found with inter-IH, pre-ictal headache (Pre-IH) and post-ictal headache (Post-IH) in the TLE group while 8 (26.67%), 4 (13.33%) and 26 (86.67%) patients had inter-IH, Pre-IH and Post-IH in the JME group. There was no difference in the headache types among patients with TLE or JME. The composition of the antiseizure medications (ASM) applied in the TLE group differed from that in the JME group (p = 0.047), and the usage of oxcarbazepine was more frequently in the TLE group than in the JME group (p = 0.003). The types of seizures in the TLE group varied from those in the JME group (p < 0.001). The proportion of cases with refractory epilepsy was higher in the TLE group than that in the JME group (p < 0.001). Patients in the TLE group were significantly older (p = 0.004), and a lower percentage of them had a family history of epilepsy (p = 0.007) compared with the JME patients. There was no significant difference in the family history of headache, epilepsy durations, headache types, proportion receiving analgesic therapy, the frequency of inter-ictal headache (inter-IH), and the quality of life in epilepsy -10 inventory (QOLIE-10) between the TLE and JME patients. A total of 151 TLE patients and 30 JME patients were enrolled in this study. χ 2-test, t-test, rank-sum test, logistic regression modeling and Mann Whitney test were used to compare the clinical differences of the headache in TLE and JME. The headache was classified according to the International Classification Headache Disorders-3rd edition (ICHD-III) criteria. Data on headache and epilepsy were obtained through face-to-face questionnaires. The duration of epilepsy was longer than 6 months in these patients. Patients with either TLE or JME diagnosed with headache and referred to the West China Hospital of Sichuan University were consecutively recruited from June 2021 to June 2022. This study aimed to analyze the headache features of these two types of epilepsy. Nevertheless, there was no study comparing the clinical features of headache between TLE and JME. Temporal lobe epilepsy (TLE) and juvenile myoclonic epilepsy (JME) are the common types of focal epilepsy and generalized epilepsy, respectively. Previous studies mostly investigated the overall incidence and clinical features of the headache in patients with the epilepsy. However, the relationship between the epilepsy and headache still needs clarification. Frank Smithuis sr, who is a professor at Oxford university and happens to be the brother of Robin Smithuis.Ĭlick here to watch the video of Medical Action Myanmar and if you like the Radiology Assistant, please support Medical Action Myanmar with a small giftīy Hanefeld F, Kruse B, Holzbach U, Christen HJ, Merboldt KD, Hanicke W, Frahm J.Headache is one of the most common symptoms of epilepsy comorbidities. Differential of hippocampal hyperintensityĪll the profits of the Radiology Assistant go to Medical Action Myanmar which is run by Dr.We will discuss the MRI protocol and the typical findings in the most common epilepsy-associated diseases. Resection of these lesions can lead to seizure freedom in many patients. Using a dedicated MRI-protocol, it is possible to detect an epileptogenic lesion in 80 percent of these patients. In many patients with epilepsy antiepileptic drug treatment is unable to control the seizures. How to Differentiate Carotid Obstructions.TI-RADS - Thyroid Imaging Reporting and Data System.Head Neck tumors - When to think of malignancy. ![]() Anatomy and Pathology of the Infrahyoid Neck.Pulmonary nodule - Benign versus Malignant.Mediastinal Masses - differential diagnosis. ![]() Esophagus II: Strictures, Acute syndromes, Neoplasms and Vascular impressions.Esophagus I: anatomy, rings, inflammation.Vascular Anomalies of Aorta, Pulmonary and Systemic vessels.Contrast-enhanced MRA of peripheral vessels.Ischemic and non-ischemic cardiomyopathy.Coronary Artery Disease-Reporting and Data System 2.0.Bi-RADS for Mammography and Ultrasound 2013.Transvaginal Ultrasound for Non-Gynaecological Conditions. ![]()
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