PP14.5 – 2641: Ictal and periictal headache in children with epilepsy – Correlation with type of seizures and EEG-changes

Objective Data from the literature show that 34–47% patients with epilepsy suffer from periictal, mainly postictal headache. There are poor information about correlations between type of headache with children's age and sex, type of seizures, type of eeg changes, localization of headaches and differentiation if the headache is preictal, ictal or postictal in children. The aim of the study was to evaluate the frequency of the preictal, ictal and postictal headaches in children with epilepsy and correlation between these symptoms with types of seizures and changes in eeg. Methods The prospective study conducted in the Department of Developmental Neurology in Medical University of Gdansk, include 30 patients, 6–17 years old, with diagnose of epilepsy (according to ILAE criteria) and periictal headaches. The study group was divided into three subgroups according to the headache: preictal, ictal or postictal. Results In 76% children focal seizures, in 40% secondary generalized and in 16% primary generalized seizures were observed. 73% patients suffered from postictal headache, ictal headache occurred very rarely (7%). The mean intensity of the pain measured with the VAS scale was 6.5. We found the correlation between lateralization of headache and interictal changes in eeg in patients with focal seizures. Conclusion The frequency of periictal headaches correlates with type of seizures and type of changes in eeg.