Uppal Neuro Hospital, India
Uppal is a Doctor of Medicine in Neurology. He is the Medical Director of Uppal Neuro Hospital in Amritsar. His area of interests lies in Stroke, Epilepsy, Neuro Critical Care, and Movement Disorders. His research works include Non- motor symptoms in Parkinson's Disease, Transcranial Doppler in Acute Ischemic Stroke, Epilepsy and Migraine.
Headache is commonly associated with seizures as an inter-ictal, preictal, ictal, or postictal phenomenon, it is often neglected because of the dramatic neurological manifestations of the seizure. A prospective study was designed to identify epidemiological association between headache and epilepsy and to evaluate the types and frequency of seizure-associated headaches in patients with epilepsy on anti-epileptics. AIMS AND OBJECTIVES To evaluate the type and frequency of headache in people with epilepsy and risk factors with special attention to the anatomic localization of the epileptogenic focus, seizure classification (focal versus generalized) while on antiepileptic drugs over a period of 3 months. STUDY DESIGN Study conducted at Outdoor Patient Department, of Department of Neurology, DMC&H, Ludhiana. Patients ³17 years with a diagnosis of epilepsy more than 2 years on single antiepileptic agent - with new onset headache ,increase in frequency and severity of headache in epilepsy were taken . Headache data analyzed according to IHS criteria, Epilepsy classified according to the 2010 (ILAE) Commission report. Results 73 cases (29 female, males 44) on antiepileptic monotherapy were taken .Mean age was 26years, median age at epilepsy onset was 15 years ,median epilepsy duration was 8years.Generalized epilepsy seen in 48 (66%), focal epilepsy 25 (33%) . 23 (30%) reported headache , inter-IH in 15 (40%)and peri- IH occurred in 12 ( 50%) of these 5 (18.3 %) had an associated inter-IH, 7 had headache related to the seizures, Carbamazepine, levetricetam ,valproate, oxcarbamazepine ,lamictal given in 17,18,29, 6, 2, patients 7,5 ,10,2 1had headache