Headache as a Sole Manifestation in Nonconvulsive Status Epilepticus

Ghofrani, Mohammad; Mahvelati, F.; Tariq, Hassan

doi:10.1177/0883073807303252

Cited by 14 publications

(1 citation statement)

References 11 publications

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“…From both a genetic [63–65] and clinical [19, 20, 30] point of view, the concept of a “continuum”, or maybe even a complete “overlap”, between headache and epilepsy is gaining increasingly strong evidence-based support. Indeed, a novel SCN1A L263V mutation in a family with co-segregating hemiplegic migraine (FHM) and epilepsy [65] and a Na + , K + -ATPase pump defect [66] have been documented.…”

Section: Underlying Mechanisms For the Overlap Between Headache Epilmentioning

confidence: 99%

Headache, epilepsy and photosensitivity: how are they connected?

et al. 2010

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Although headache and epilepsy have often been associated, the precise electroclinical and pathophysiological interaction between these disorders and in particular its relations with photosensitivity is as yet to be fully understood in adults or children. The association between headache and epilepsy commonly occurs in all types of epilepsy and not only in occipital epilepsy. Generally, peri-ictal headache is often neglected, regardless of its severity, because patients are more concerned about their seizures. Altered cerebral cortex excitability may be the link between these two conditions and photosensitivity shows this. The physician should bear this association in mind when dealing with epileptic and migraine patients so as to be able to offer such patients an accurate diagnosis and appropriate treatment; this should be borne in mind when declaring epileptic patients ‘seizure free’. To date neither the International Headache Society nor the International League against Epilepsy mention that headache/migraine may, on occasion, be the sole ictal epileptic manifestation. Lastly, studies designed to investigate the triggering role of photosensitivity in both headache and epilepsy are warranted.

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Section: Underlying Mechanisms For the Overlap Between Headache Epilmentioning

confidence: 99%

Headache, epilepsy and photosensitivity: how are they connected?

et al. 2010

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The complex interrelations between two paroxysmal disorders: headache and epilepsy

Cianchetti

Avanzini²,

Dainese

et al. 2017

Neurol Sci

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The interrelations between headache/migraine and epileptic seizures are an interesting topic, still lacking a systematization, which is the objective of the present revision. We organize the general setting on: (a) a distinction between pre-ictal, ictal, post-ictal and inter-ictal headaches, assuming "ictal" as epileptic seizure, and (b) the kind of headache, if it is of migraine type or not. Concerning pre-ictal migraine/headache, the necessity of its differentiation from an epileptic headache presenting as an aura of a seizure is stressed; this is connected with the indefiniteness of the term "migralepsy". The term "migraine aura-triggered seizure" should be used only in front of a proven triggering effect of migraine. Epileptic headache (called also "ictal epileptic headache") is a well-characterized entity, in which different types of head pain may occur and an ictal EEG is necessary for the diagnosis. It may present as an isolated event ("isolated epileptic headache"), requiring a differential diagnosis from other kinds of headache, or it may be uninterruptedly followed by other epileptic manifestations being in this case easily identifiable as an epileptic aura. Hemicrania epileptica is a very rare variant of epileptic headache, characterized by the ipsilaterality of head pain and EEG paroxysms. Ictal non-epileptic headache needs to be differentiated from epileptic headache. Post-ictal headaches are a frequent association of headache with seizures, particularly in patients suffering also from inter-ictal headache-migraine. The reported systematization of the topic led us to suggest a classification which is shown in Appendix.

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Secondary intracranial causes for headaches in children

Ahad

Kossoff²

2008

Current Science Inc

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Although migraines are the most common cause of headaches in children, it is important to be cognizant of other, secondary causes of headaches. Secondary headaches are caused by an underlying etiology that may be systemic (medical) or due to a problem inherent in the central nervous system. Common intracranial etiologies for headache include structural (eg, tumor, hydrocephalus, Chiari malformation), infection (encephalitis or meningitis), inflammatory (acute disseminated encephalomyelitis, multiple sclerosis, vasculitis), and epilepsy. In some situations, early identification and appropriate treatment of these underlying conditions can result in complete headache resolution. This article discusses these secondary causes of headaches due to primary brain etiologies, focusing on aspects of the history that should lead a neurologist to order neuroimaging or electroencephalographic studies for these children.

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Headache as a Sole Manifestation in Nonconvulsive Status Epilepticus

Cited by 14 publications

References 11 publications

Headache, epilepsy and photosensitivity: how are they connected?

Headache, epilepsy and photosensitivity: how are they connected?

The complex interrelations between two paroxysmal disorders: headache and epilepsy

Secondary intracranial causes for headaches in children

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