Ictal and interictal EEG findings in
children with migraine

Pisani, Francesco; Fusco, Carlo

doi:10.1007/s10194-004-0064-y

Cited by 6 publications

(6 citation statements)

References 34 publications

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“…EEG could be the tool to determine the form of epilepsy by showing characteristic patterns of discharges and distinguishing PS from other types of childhood epileptic syndromes and non-epileptic disorders such asparasomnias or acute encephalopathy ( Table 2 and Table 3 ) [ 11 , 21 , 29 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Zontek

Paprocka

2022

Children

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One of the most common epileptic disorders in the pediatric population is Panayiotopoulos syndrome. Clinical manifestations of this idiopathic illness include predominantly autonomic symptoms and dysfunction of the cardiorespiratory system. Another feature constitutes prolonged seizures that usually occur at sleep. It is crucial to differentiate the aforementioned disease from other forms of epilepsy, especially occipital and structural epilepsy and non-epileptic disorders. The diagnostic process is based on medical history, clinical examination, neuroimaging and electroencephalography—though results of the latter may be unspecific. Patients with Panayiotopoulos syndrome (PS) do not usually require treatment, as the course of the disease is, in most cases, mild, and the prognosis is good. The purpose of this review is to underline the role of central autonomic network dysfunction in the development of Panayiotopoulos syndrome, as well as the possibility of using functional imaging techniques, especially functional magnetic resonance imaging (fMRI), in the diagnostic process. These methods could be crucial for understanding the pathogenesis of PS. More data arerequired to create algorithms that will be able to predict the exposure to various complications of PS. It also concerns the importance of electroencephalography (EEG) as a tool to distinguish Panayiotopoulos syndrome from other childhood epileptic syndromes and non-epileptic disorders.

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Section: Resultsmentioning

confidence: 99%

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Zontek

Paprocka

2022

Children

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“…The representative raw trace (waveform) and power spectrum of the LFP recorded from the module (Figures 1E-L and 2A-H) at a sampling frequency of 10 kHz were processed by power spectrum analysis in Spike2 (CED, UK). The LFP power or intensity was first calculated by fast Fourier transform in MATLAB with a time window of 10 s, and then divided into five frequency bands: delta (0.1-3 Hz), theta (3-7 Hz), alpha (7-12 Hz), beta (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and gamma (30-100 Hz). To compare the changes in LFP between the NTG and vehicle control groups, the data were normalized by the average power of the first 30 min.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 The LFP reflects the low-frequency activity of neurons with a frequency of < 500 Hz (typically < 100 Hz). 7 When analyzing LFP, we separate it into different frequency bands: delta (0.1-3 Hz), theta (3)(4)(5)(6)(7), alpha (7)(8)(9)(10)(11)(12), beta (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and gamma . In our previous study, we succeeded in deciphering multi-region LFP signatures and brain coherence (COH) changes in response to the formalin-induced stimulus.…”

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confidence: 99%

Multi‐region local field potential signatures and brain coherence alternations in response to nitroglycerin‐induced migraine attacks

2023

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Objective:To decipher the underlying mechanisms of nitroglycerin (NTG)-induced migraine electrophysiologically.Background: Migraine is a recurrent primary headache disorder with moderate to severe disability; however, the pathophysiology is not fully understood. Consequently, safe and effective therapies to alleviate migraine headaches are limited. Local field potential (LFP) recording, as a neurophysiological tool, has been widely utilized to investigate combined neuronal activity. Methods:We recorded LFP changes simultaneously from the anterior cingulate cortex, posterior nucleus of the thalamus, trigeminal ganglion, and primary visual cortex after NTG injection in both anesthetized and freely moving rats. Additionally, brain coherence was processed, and light-aversive behavior measurements were implemented.Results: Significant elevations of LFP powers with various response patterns for the delta, theta, alpha, beta, and gamma bands following NTG injection were detected in both anesthetized and freely moving rats; however, a surge of coherence alternations was exclusively observed in freely moving rats after NTG injection. Conclusion:The multi-region LFP signatures and brain coherence alternations in response to NTG-induced migraine attacks were determined. Furthermore, the results of behavior measurements in the freely moving group indicated that NTG induced the phenomenon of photophobia in our study. All these findings offer novel insights into the interpretation of migraine mechanisms and related treatments. K E Y W O R D S anterior cingulate cortex, brain coherence, local field potential, posterior nucleus of the thalamus, primary visual cortex, trigeminal ganglion INTRODUC TI ON Migraine has been ranked as the second leading cause of disability and the sixth most prevalent disease with up to 1 billion (1.04 billion in 2016) patients worldwide according to the Global Burden of Disease Study, and this brings about enormous socioeconomic burdens. 1 Migraine is a recurrent primary headache disorder with moderate to severe disability; manifesting with attacks of throbbing headache How to cite this article: Wang Z, Lin Q, Peng YB. Multi-region local field potential signatures and brain coherence alternations in response to nitroglycerin-induced migraine attacks.

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“…Arousal, however, is usually not decreased in ACM; and other brainstem signs and symptoms such as tinnitus, vertigo, diplopia and ataxia typically seen in migraine with brainstem aura are usually absent in ACM. Some of the EEG findings reported in basilar artery migraine [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ] and ACM [ 1 , 2 , 3 , 4 , 6 , 19 , 24 ] include FIRDA pattern and slow wave abnormalities in the delta theta range, however unilateral slowing in the delta-theta range has also been described in migraine with aura [ 45 ]. The presence of frontal intermittent rhythmic delta activity or FIRDA on EEG is a non-specific finding that can be found in patients with different conditions including toxic or metabolic encephalopathies and brain structural abnormalities [ 50 , 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Confusional Migraine: Distinct Clinical Entity or Spectrum of Migraine Biology?

Farooqi¹,

Padilla²,

Monteith³

2018

Brain Sciences

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The goal of this review is to explore the literature reports of acute confusional migraine (ACM) including patient characteristics, migraine symptomatology, and proposed diagnostic criteria. A literature review was conducted using PubMed, Scopus and Web of Science using the terms “confusional migraine” and “confusional state in migraine”. All the relevant articles from 1970 to 2016 were included. A total of 120 patients were found in the literature. Most of the cases were seen in the pediatric population with a slight male predominance. Personal or family history of migraine was common. Most patients had a headache prior to the confusional state. In addition to confusion and agitation, some developed visual (32.5%) and/or sensory symptoms (19%) and/or speech problems (39%) either prior to or during the confusional state. Data on treatment outcomes is lacking. Patients with most common forms of migraine report attention and cognitive disturbances but awareness remains intact as opposed to patients with ACM. ACM is a distinct entity and should be included as part of the appendix of International Classification of Headache Disoders-3 beta version (ICHD-3β) criteria. Prospective studies are needed to further study this disorder and its association with other migraine forms.

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Ictal and interictal EEG findings in children with migraine

Cited by 6 publications

References 34 publications

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Multi‐region local field potential signatures and brain coherence alternations in response to nitroglycerin‐induced migraine attacks

Acute Confusional Migraine: Distinct Clinical Entity or Spectrum of Migraine Biology?

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