Impact of interictal headache on the quality of life in patients with epilepsy

Impact of interictal headache on the quality of life in patients with epilepsy

 

Authors

 

N.G. Tokareva

Federal State Budgetary Educational Institution of Higher Education “National Research Mordovian State University named after N.P. Ogarev”, Saransk, Russian Federation

O.I. Ignatieva

Federal State Budgetary Educational Institution of Higher Education “National Research Mordovian State University named after N.P. Ogarev”, Saransk, Russian Federation

 

https://doi.org/10.26617/1810-3111-2024-4(125)-104-110

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2024; 4 (125):  104-110.

 

Abstract

Introduction. Interictal cephalgia in patients with epilepsy can be of any nature, but most often correspond to the diagnostic criteria of migraine, tension headache, or are caused by concomitant pathology, such as cerebrovascular diseases, cervical vascular lesions. Objective: comparative analysis of triggers and dampers, as well as a comparative study of the effect of various types of interictal headache on the quality of life in patients with epilepsy. Material and Methods. Examination and outpatient or inpatient treatment of patients with generalized and focal types of epilepsy and con-comitant cervicalgia were conducted. The study sample included 90 patients (43.3% men and 56.7% women) aged 30-69 years, mean age was 54.5 years. The patients were divided into 3 groups: Group 1 – cervicogenic headache due to injury of bone structures or soft tissues of the neck, Group 2 – headache against the background of cerebrovascular diseases, Group 3 – unspecified headache corresponding to tension headache or migraine. To assess the intensity, triggers, dampers of headache and the quality-of-life indicators, the following were used: Visual Analogue Scale (VAS) for measuring pain intensity, McGill pain questionnaire (pain intensity scale, set of descriptor words and description of pain), Headache Impact Index-6 (gradation of responses on pain frequency). Results. The distribution of patients by gender showed a predominance of women in all groups. Among patients of the 1st and 3rd groups, moderate headache prevailed in intensity; in patients of the 2nd group, an association between headache and psychoemotional factors was revealed. When comparing pain triggers, no statistically significant correlation difference was found in the groups; their quantity exceeded dampers, to a greater extent with cervicogenic pain (2.3 times). With all types of cephalgia, among sensory and psychoemotional factors, such triggers as high blood pressure, stress and psychological stress, and meteosensitivity prevailed. Conclusion. In patients with epilepsy, various types of interictal cephalgia (associated with damage to the vessels of the brain and neck, tension headache, migraine) do not have statistically significant differences and do not have a significant impact on the quality of life.

 

Keywords: headaches, interictal cephalgia, epilepsy, quality of life, cervicogenic headache.

 

Article (pdf)

Contacts

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Materials  

For citation: Tokareva N.G., Ignatieva O.I. Impact of interictal headache on the quality of life in patients with epilepsy. Siberian Herald of Psychiatry and Addiction Psychiatry.2024; 4 (125): 104-110. https://doi.org/10.26617/1810-3111-2024-4(125)-104-110

 

REFERENCES

  1. Osipova VV, Artemenko AR, Schmidt DA, Antipenko EA. Headache and epilepsy: prevalence and clinical varieties. Neurology, Neuropsychiatry, Psychosomatics. 2023;15(2):75-82.doi: 10.14412/2074-2711-2023-2-75-82(in Russian).
  2. Schiller K, Rauchenzauner M, Avidgor T, Hannan S, Lorenzen C, Kaml M, Walser G, Unterberger I, Filippi V, Broessner G, Luef G. Primary headache types in adult epilepsy patients. Eur J Med Res. 2023 Jan 27;28(1):49. doi: 10.1186/s40001-023-01023-8. PMID: 36707895; PMCID: PMC9881350.
  3. Kondratyev AV, Schneider NA, Shulmin AV. Epidemiology of headaches. Modern Problems of Science and Education. 2015;6. [Electronic resource]. URL: https://science-education.ru/ru/article/view?id=22811 (дата обращения: 12.05.2024. (in Russian).
  4. Stovner LJ, Hagen K, Linde M, Steiner TJ. The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. J Headache Pain. 2022 Apr 12;23(1):34. doi: 10.1186/s10194-022-01402-2. PMID: 35410119; PMCID: PMC9004186.
  5. Sorokina ND, Selitsky GV. Tension headache and migraine: the effectiveness of biofeedback in their therapy. S.S. Korsakov Journal of Neurology and Psychiatry. 2013;113(4):86-91 (in Russian).
  6. KazennykhTV, BokhanNA. Psychotherapeutic paradigm in the methodology of complex social and therapeutic correction of relationships in families of patients with epilepsy: new possibilities of a systematic approach. Siberian Herald of Psychiatry and Addiction Psychiatry. 2022;2(115):94-102. https://doi.org/10.26617/1810-3111-2022-2(115)-94-102 (in Russian).
  7. Golovacheva VA, Parfenov VA. Chronic daily headache under the guise of circulatory encephalopathy. Medical Council. 2015;2:72-77. doi.10.21518/2079-701X-2015-2-72-77(in Russian).
  8. Starikova NL. Drug-induced headache: characteristics of patients and analgesic drugs used before contacting a specialized center. Russian Journal of Pain. 2024.;22(2):16-21. doi:10.17116/pain20242202116(in Russian).
  9. Lebedeva ER, Ushenin AV, Gilev DV, Olesen J. Clinical characteristics of persistent headaches after the first-ever ischemic stroke (follow-up of 529 patients). Consilium Medicum. 2022;24(11):823-827. doi:10.26442/20751753.2022.11.201974(in Russian).
  10. Tabeeva GR. Headache and cerebrovascular diseases. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(2):114‑121 doi: 10.17116/jnevro2021121021114(in Russian).
  11. Kostenko EV. Post-stroke pain syndromes: clinical aspects, diagnostic criteria, features of therapy and rehabilitation measures. Medical Council. 2017;17:63-71. doi:10.21518/2079-701X-2017-17-63-71(in Russian).
  12. Golovacheva VA, Parfenov VA. Cognitive-behavioral therapy in the treatment of patients with migraine. Neurological Journal. 2015. Vol. 20, No. 3. P. 37-43 (in Russian).
  13. Abramenko YuV, Yakovlev NA, Slyusar TA. Clinical and Doppler characteristics of headache in men and women with cerebrovascular insufficiency. Saratov Scientific Medical Journal. 2012;8(2):368-371 (in Russian).
  14. Barulin AE, Kurushina OV, Drushlyakova AA. Cervicogenic headache and features of spine biomechanics. Russian Medical Journal. 2016;24:1606-1612 (in Russian).
  15. BogdanovEI, KhairutdinovaOS. Cervicogenicheadache. Practical Medicine. 2018;16(10):21-24. doi: 10.32000/2072-1757-2018-10-21-24 (in Russian).
  16. Moskaleva PV, Schneider NA, Petrova MM, Nasyrova RF. Scales and questionnaires for the diagnosis of tension-type headache. Russian Journal of Pain. 2020;18(4):8‑18 (in Russian).
  17. AzimovaYuE, AlferovaVV, AmelinAV, ArtemenkoAR, AkhmadeevaLR, EkushevaEV, KarakulovaYuV, KoreshkinaMI, KurushinaOV, LatyshevaNV, LebedevaER, NaprienkoMV, OsipovaVV, PavlovNA, ParfenovVA, RachinAP, SergeevAV, SkorobogatykhKV, TabeevaGR, FilatovaEG. Clinical guidelines “Tension-type headache (TTH)”. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(2-3):4-28. doi:10.17116/jnevro20221220234(in Russian).
  18. Siebenbrodt K, Willems LM, von Podewils F, Mross PM, Strüber M, Langenbruch L, Bierhansl L, Gorny I, Schulz J, Gaida B, Conradi N, Süß A, Rosenow F, Strzelczyk A. Determinants of quality of life in adults with epilepsy: a multicenter, cross-sectional study from Germany. Neurol Res Pract. 2023 Aug 3;5(1):41. doi: 10.1186/s42466-023-00265-5. PMID: 37533112; PMCID: PMC10398956.