Q. What causes headache in an epileptic patient?

Answered by
Dr. Prakashkumar P Bhatt
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Jan 28, 2020 and last reviewed on: Jan 30, 2020

Hello doctor,

I have to consult regarding my sister who is an epileptic patient. She has been having severe headaches since few days.



Welcome to icliniq.com.

Can you describe her headache in details, like since how many days she is suffering from headache? It started suddenly? Which part of head is paining ? What are the triggers? What are the reliver factors? Any history of fever? How many attacks of headache in a day /week? Once it starts how long it remains? Send me radiographic report of MRI.

Thank you doctor,

Headache since 3 months, started suddenly. Sometimes left side eyebrow area or right side above headline on one point. Noises trigger, taking painkiller and sleeping reliefs the pain. No fever history. Two times a day at least headaches. For hours it remains like this last one I am still having is almost 5 hours. I do not have a radiographic MRI report.



Welcome back to icliniq.com.

It seems migraine like headaches with MRI partial images normal (attachment removed to protect patient identity). I will advise to start treatment for migraine prophylaxis. Initially for 5 days give her tablet Indomethacin 75 mg once daily for 5 days and also start tablet B40 mg daily in the morning, if BP, heart rate normal, and she does not have asthma. Take it for 1 month. If good response then will need it for 3 months. Continue anti-epileptic Lamtec and consult me after 1 month and send me MRI report if possible.

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