Ictal epileptic headache: Moving forward. Reply to Cianchetti et al.

Parisi, Pasquale; Belcastro, Vincenzo; Striano, Pasquale

doi:10.1177/0333102413499251

Cited by 1 publication

(2 citation statements)

References 6 publications

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“…27,28 In regards to treatment, ictal headaches patients may respond to intravenous injection of benzodiazepines. 24,31,32 Anti-epileptic drugs (AEDs) seem to have varying levels of effectiveness. 24,31,32 Anti-epileptic drugs (AEDs) seem to have varying levels of effectiveness.…”

Section: Discussionmentioning

confidence: 99%

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Ictal Epileptic Headache: A Review of Current Literature and Differentiation From Migralepsy and Other Epilepsies

Saitowitz¹,

Flamini

Berenson³

2014

Headache

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Ictal headaches are increasingly becoming the focus of research as more data demonstrate headaches existing as a sole manifestation of an epileptic event. Due to the difficulty in diagnosing the event as an epileptic phenomenon as opposed to a migraine, the condition is often misdiagnosed. This paper seeks to review the current published literature on ictal epileptic headaches as well as provide differentiation between ictal headaches and similarly presenting conditions. In doing so, we hope to improve the diagnosis of ictal headaches and thus improve patient care. We review two case studies that exemplify the potential of multiple conditions with comparable symptoms to ictal headaches, and discuss how to differentiate the variable diagnoses. As of the writing of this paper, there is no universally agreed upon set of features of ictal headaches; however, reviewing the current literature, there do seem to be several features that should be noted when treating patients. More research on the pathophysiology of ictal epileptic headaches needs to be done before the condition can be fully understood.

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Section: Discussionmentioning

confidence: 99%

“…26,29,30 However, benzodiazepines have also been proven to be ineffective in several instances; thus, response to intravenous medication treatment does not necessarily equate to a given diagnosis of IEH. 24,31,32 Anti-epileptic drugs (AEDs) seem to have varying levels of effectiveness.…”

Section: Discussionmentioning

confidence: 99%