We explored the characteristics of postictal headaches (PIH) by teleph
one survey of 372 patients attending an epilepsy clinic. Overall, 45%
experienced PIH and 21% had PIH after every seizure: Of this group, 39
% described their headaches as severe. In contrast, 10% of patients wi
th occasional PIH described the headaches as severe. Patients with fou
r or fewer seizures a year were more than twice as likely to have PIH
after every seizure than were those with more frequent seizures (p = 0
.003). Seventy-three percent of patients with PIH did not have headach
es other than seizure-associated headaches. Healthcare providers shoul
d consider PIH in assessing the effect of seizures on quality of life
(QOL) of patients with epilepsy.