Ictal Headache and Visual Sensitivity

Piccioli, Marta; Parisi, Pasquale; Tisei, Paolo; Villa, MP; Buttinelli, Carla; Trenité, Dga Kasteleijn-Nolst

doi:10.1111/j.1468-2982.2008.01707.x

Cited by 57 publications

(70 citation statements)

References 29 publications

(36 reference statements)

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“…mainly a peri-ictal phenomenon), but in some cases (whose number is probably largely underestimated) "the headache represents the only ictal phenomenon": we recently named this condition "ictal epileptic headache" (Parisi et al 2012a). Since 1971, fewer than 20 IEH cases diagnosed according to proposed criteria (Table 1, Parisi et al 2012b) have been reported (Grossman et al 1971;Walser and Isler 1982;Laplante et al 1983;Isler et al 1987;Niedermeyer 1993;Marks and Ehrenberg 1993;Walker et al 1995;Ghofrani et al 2006;Parisi et al 2007;Piccioli et al 2009;Perucca et al 2010;Belcastro et al 2011c;Fusco et al 2011;Italiano et al 2011;Fanella et al 2012;Cianchetti et al 2013). Verrotti et al recently published 16 other potential ictal epileptic headache cases from a large multicentre neuropediatric sample (Verrotti et al 2011b), stressing the concept of "probable underestimate phenomenon" (Parisi et al 2012a;Parisi et al 2013a, b).…”

Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 96%

“…Following the introduction of the migralepsy concept by Lennox and Lennox (1960), an increasing number of ictal epileptic headaches have been reported since the 1970s (Grossman et al 1971;Walser and Isler 1982;Laplante et al 1983;Isler et al 1987;Niedermeyer 1993;Marks and Ehrenberg 1993;Walker et al 1995;Ghofrani et al 2006;Parisi et al 2007;Piccioli et al 2009;Perucca et al 2010;Belcastro et al 2011c;Fusco et al 2011;Italiano et al 2011;Fanella et al 2012;Cianchetti et al 2013). It has also been suggested (Parisi and Kasteleijn-Nolst Trenité 2010;Belcastro et al 2011a;Verrotti et al 2011a, b;Striano et al 2011Striano et al , 2012Parisi et al 2012aParisi et al , 2013a that the migralepsy sequence may not exist at all and that the initial part of the "migralepsy sequence" may merely be an "ictal epileptic headache" (Parisi et al 2012a) followed by other ictal autonomic, sensory, motor or psychic features.…”

Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 96%

“…Intermittent photic stimulation evokes headache in patients with a positive photo-paroxysmal response, who may also have visually induced seizures (Table 1) (Parisi et al 2012b). With regard to the EEG abnormalities recorded in "ictal epileptic headache" cases (Grossman et al 1971;Walser and Isler 1982;Laplante et al 1983;Isler et al 1987;Niedermeyer 1993;Marks and Ehrenberg 1993;Walker et al 1995;Ghofrani et al 2006;Parisi et al 2007;Piccioli et al 2009;Perucca et al 2010;Belcastro et al 2011c;Fusco et al 2011;Italiano et al 2011;Fanella et al 2012;Cianchetti et al 2013), the same wide spectrum of different EEG patterns (spike-wave activity, "theta" or even "delta" shape, without any spike activity) associated with both CSD and/or seizures were also confirmed "in vivo" by electrocorticography (Fabricius et al 2008).…”

Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 97%

“…Indeed, different EEG patterns have been recorded during migraine-like complaints in both symptomatic and idiopathic cases (Grossman et al 1971;Walser and Isler 1982;Laplante et al 1983;Isler et al 1987;Niedermeyer 1993;Marks and Ehrenberg 1993;Walker et al 1995;Ghofrani et al 2006;Parisi et al 2007;Piccioli et al 2009;Perucca et al 2010;Belcastro et al 2011c;Fusco et al 2011;Italiano et al 2011;Fanella et al 2012;Cianchetti et al 2013). Moreover, when EEG anomalies are recorded, no specific cortical correlations emerge (e.g.…”

Section: Drawbacks: the Current "Ictal Epileptic Headache" Definitionmentioning

confidence: 97%

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The Complex Relationship Between Epilepsy and Headache and the Concept of Ictal Epileptic Headache

Parisi

2014

Contemporary Clinical Neuroscience

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Key Points-Headache/migraine is often associated with epilepsy in children, as a pre-ictal, ictal, post-ictal or inter-ictal phenomenon.-Epidemiological aspects of the co-morbidity between epilepsy and headache are clearly different in children and adults.-Headache as a symptom, with migraine characteristics and/or tension-type headache characteristics, may be the only clinical ictal manifestation of an epileptic seizure: this condition is now classified as "ictal epileptic headache".-In particular, according to published criteria, the term "ictal epileptic headache" must be used in cases of a headache/migraine attack as the sole clinical ictal symptom of epileptic origin, confirmed by ictal-EEG recording and clinical-EEG responsiveness to intravenous antiepileptic drugs.-EEG is not recommended as a routine examination for children diagnosed with headache, but is mandatory and must be carried out promptly in cases of prolonged migraine/headache that does not respond to antimigraine drugs and in which epilepsy is suspected.-This is not a marginal question, because these possible, isolated, non-motor, ictal manifestations (i.e. ictal epileptic headache) should be taken into account before declaring an epileptic patient as "seizure free" so as to be able to suspend anticonvulsant therapy safely. SummaryThe possible link/comorbidity (causal or not causal) between epilepsy and headaches has been a topic of debate for over a hundred years, ever Since William Richard Gowers's time. In recent decades, new data have emerged in favor of a non-random relationship between these two entities. They are both characterized by transient attacks of altered brain function with a clinical, pathophysiological, genetic and therapeutic overlap, and may thus mimic each other. Indeed, the clinical distinction between headache and epilepsy may make the differential diagnosis a highly challenging task. Both are common and often co-morbid, with headache attacks in epilepsy being temporally related to the occurrence of epileptic seizures as a pre-ictal, ictal, post-ictal or inter-ictal event. Yet, they are both paroxysmal and chronic neurological disorders that share many clinical and epidemiological aspects, and they may both present with visual, cognitive, sensitive-sensorial and motor signs/symptoms; these neurophysiologicl phenomena arise from the cerebral cortex and are modulated by sub-cortical connections. Even from an epidemiological point of view, data in the literature regarding the co-morbidity between headache and epilepsy appear to be quite distinct in children. What makes this scenario even more variegated and complex are new data suggesting that a headache may, in some cases, even be the only ictal manifestation of an epileptic seizure. The latter condition, the so-called "ictal epileptic headache", is a new entity that has recently been cited in the new classification of headache disorders (ICHD-III), whose diagnostic criteria have very recently been defined and published. The data that have led, over the last decade, to the...

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Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 96%

Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 96%

Section: Sunset Of the "Migralepsy" Conceptmentioning

confidence: 97%

Section: Drawbacks: the Current "Ictal Epileptic Headache" Definitionmentioning

confidence: 97%

See 2 more Smart Citations

The Complex Relationship Between Epilepsy and Headache and the Concept of Ictal Epileptic Headache

Parisi

2014

Contemporary Clinical Neuroscience

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“…Ictal headaches are reported by less than 5% of patients with epilepsy [20], and in some patients it might reflect a true epileptic phenomenon [21]. The relatively low prevalence of ictal headaches might be a consequence of cognitive or consciousness impairments provoked by seizures.…”

Section: Ictal Headachesmentioning

confidence: 99%

Migraine and Epilepsy: A Focus on Overlapping Clinical, Pathophysiological, Molecular, and Therapeutic Aspects

Bianchin

Londero

Lima

et al. 2010

Curr Pain Headache Rep

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The association of epilepsy and migraine has been long recognized. Migraine and epilepsy are both chronic disorders with episodic attacks. Furthermore, headache may be a premonitory or postdromic symptom of seizures, and migraine headaches may cause seizures per se (migralepsy). Migraine and epilepsy are comorbid, sharing pathophysiological mechanisms and common clinical features. Several recent studies identified common genetic and molecular substrates for migraine and epilepsy, including phenotypic-genotypic correlations with mutations in the CACNA1A, ATP1A2, and SCN1A genes, as well as in syndromes due to mutations in the SLC1A3, POLG, and C10orF2 genes. Herein, we review the relationship between migraine and epilepsy, focusing on clinical aspects and some recent pathophysiological and molecular studies.

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Idiopathic Photosensitive Occipital Lobe Epilepsy

Parmeggiani¹,

Guerrini

2010

Atlas of Epilepsies

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Ictal Headache and Visual Sensitivity

Cited by 57 publications

References 29 publications

The Complex Relationship Between Epilepsy and Headache and the Concept of Ictal Epileptic Headache

The Complex Relationship Between Epilepsy and Headache and the Concept of Ictal Epileptic Headache

Migraine and Epilepsy: A Focus on Overlapping Clinical, Pathophysiological, Molecular, and Therapeutic Aspects

Idiopathic Photosensitive Occipital Lobe Epilepsy

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