Epileptic seizures and headache/migraine: A review of types of association and terminology

Cianchetti, Carlo; Pruna, Dario; Ledda, MariaGiuseppina

doi:10.1016/j.seizure.2013.05.017

Cited by 61 publications

(59 citation statements)

References 55 publications

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“…Headaches are often nonspecific clinical manifestations of epilepsy; they frequently develop as the result of general organism and brain fatigue after GTC seizure. In relation to the epileptic seizure, in epilepsies headaches are classified as preictal (prodrom seizures), ictal, postictal and interictal (10,11). In the epilepsies of the occipital lobe, headache is a frequent manifestation showing characteristic of seizures; inctalare of shorter duration, while the postictal last longer and have the characteristics of migraine.…”

Section: Discussionmentioning

confidence: 99%

Occipital lobe epilepsy or migraine headache

Skrijelj

Mulić

2016

SANAMED

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Introduction: Occipital lobe epilepsies are rarely met in clinical practice, but when they occur, they can be misdiagnosed as migraine-like headache. Their prevalence ranges from 5% to 10% of all epilepsies. Seizures can occur at any age; etiologically speaking they can be symptomatic, cryptogenic and idiopathic (most often onsetis in childhood). Clinical symptomatology is manifested by partial epileptic seizures in the sense of visual elementary and/or complex manifestations, palinopsia, amaurosis, tonic head deviation, bulbus, nistagmus and headache. Propagation discharge to neighbour areas (temporal, parietal and frontal) is a frequent occurrence appearing with complex partial seizures frequently finishing with secondary generalized tonic-clonic (GTC) seizures. Case report: We are presenting a17-year-old male patient who has suffered from attacks of visual problems with headache since 10 years of age. All the time it is treated as a migraine headache. During the last attack of headache the patient also had a loss of consciousness, EEG that was performed for the first time evidenced epileptic discharges of the occipital area.The therapy also included treatment with antiepileptic drug pregabalin resulting in seizure withdrawal. Conclusion:The appearance of visual symptoms followed by headache is most frequently qualified as migraine triggered headache. However, when antimigraine therapy does not give favorable results epileptic headache should be suspected, with obligatory performance of EEG recording. Occipital lobe epilepsy often presents diagnostic dilemmas due to clinical manifestations that are similar to that of non-migraine headache.

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Section: Discussionmentioning

confidence: 99%

Occipital lobe epilepsy or migraine headache

Skrijelj

Mulić

2016

SANAMED

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“…This adds-up with variability in the presentation of migraines. A relatively slow speed of spread of the cortical depression differentiates migraine from seizure [17,18].…”

Section: Contextmentioning

confidence: 99%

Spectrum of migraine variants and beyond: The individual syndromes in children

Gupta

Borad

2016

Brain and Development

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“…Both, migraine and epilepsy are closely related disorders. But they have their own distinct distinguishing characters [33].…”

Section: Epileptic Auramentioning

confidence: 99%

Preictal Symptomatology in Migraines: Diagnostic and Therapeutic Significance

Gupta¹,

Gupta²

2015

Journal of Headache &Amp; Pain Management

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Prodrome and aura constitute preictal symptomatology of migraines. The objective of this clinical review is to examine the diagnostic and therapeutic significance of preictal symptomatology in children with migraines. The systemic review of the literature identified a single study in children with migraines. The majority studies were in adults. Based on our search and longitudinal clinical observation, we describe the clinical characteristics of diagnostic and therapeutic significance of preictal symptoms and various types of auras in migraines. Such significance can be substantially increased by including prodromal physical signs in children with migraines. Future studies' methodology should include physical signs in addition to symptoms and identify the spectrum of the various auras, and relate to their temporal association with ictal and postictal phases of migraines. In addition these clinical parameters should be statistically analyzed.

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Epileptic seizures and headache/migraine: A review of types of association and terminology

Abstract: On the basis of this review we suggest definitions and a terminology which may become the basis of a forthcoming classification of headaches associated with epileptic seizures.

Cited by 61 publications

References 55 publications

Occipital lobe epilepsy or migraine headache

Occipital lobe epilepsy or migraine headache

Spectrum of migraine variants and beyond: The individual syndromes in children

Preictal Symptomatology in Migraines: Diagnostic and Therapeutic Significance

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