Abstract
Using a questionnaire, we studied the incidence and characteristics of interictal headaches (IHs) in 162 patients with epilepsy. IHs occurred in 64% of patients. In this group, the frequency of IHs was weekly or monthly in 69%. IHs had a pounding component in 56%, and the severity was moderate to severe (interfering with normal daily activities) in 67%. IHs lasted more than several hours in 67% and were accompanied by nausea, vomiting, and photophobia or phonophobia in 68%, symptoms that are consistent with migraine headaches. There were no differences in the duration of epilepsy, seizure type, or seizure frequency between patients with IHs and patients without IHs. In contrast, the presence of postictal headaches (PIHs) and a family history of migraine were significantly more common in patients with IHs than in patients without IHs.
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