Characteristics of Headache Associated with Intractable Partial Epilepsy
TLDR
This large-scale study characterized HA types and head sensations in large populations of individuals with well‐defined forms of epilepsy and found associations between headache and epilepsy is well known.Abstract:
Summary: Purpose: The association between headache (HA) and epilepsy is well known. However, few previous studies characterized HA types and head sensations (HSens) in large populations of individuals with well-defined forms of epilepsy.
Methods: To analyze the incidence of HA in such a group, we compare HA and non-HA patients to identify special predictive factors for HAs or migraine. We also investigate the pathologically verified group for possible correlations with HAs or migraine. One hundred consecutive patients undergoing presurgical evaluation for pharmacologically intractable partial epilepsy were interviewed. For each HA type, we inquired about lateralization, localization, quality of HA, and results of treatment.
Results: Periictal HAs were reported by 47 patients. Of those, 11 had preictal HA (PIHA), and 44 had postictal HA (PostHA). Eight patients had both PIHA and PostHA. Interictal HAs (InterHAs) were reported by 31 patients. Twenty-nine (62%) of 47 patients had frontotemporal HAs. Twenty-five patients had migraine-like HA without aura: 18 (60%) of 30 patients with temporal lobe epilepsy (TLE) and seven (41%) of 17 with extratemporal epilepsy (ETE). No correlation between pathology and presence of HA was found in 59 pathologically verified patients, except in four who had arteriovenous malformations (AVMs): three had and one did not have HAs. Eighteen patients had, in addition, poorly localized and ill-described HSens other than HAs.
Conclusions: We confirm an association between focal epilepsy and HAs, including migraine without aura. This is true for both TLE and ETE. PIHA and even prodromal HA may be related to the epileptic discharge and may have lateralizing value. This association is not recognized by the current International Headache Society (IHS) classification. The presence of HA and migraine is not related to the underlying epileptogenic pathology except in patients with AVMs.read more
Citations
More filters
Journal ArticleDOI
International Classification of Headache Disorders
TL;DR: The ICHD identifies and categorizes more than a hundred different kinds of headache in a logical, hierarchal system and has provided explicit diagnostic criteria for all of the headache disorders listed.
Journal ArticleDOI
Chronic disorders with episodic manifestations: focus on epilepsy and migraine
TL;DR: This investigation draws attention to unique aspects of both epilepsy and migraine, while identifying areas of crossover in which each specialty could benefit from the experience of the other.
Journal ArticleDOI
Hemispheric surgery in children with refractory epilepsy: seizure outcome, complications, and adaptive function.
Sheikh Nigel Basheer,Mary B. Connolly,Aaron Lautzenhiser,Elisabeth M. S. Sherman,Glenda Hendson,Paul Steinbok +5 more
TL;DR: Describing seizure control, complications, adaptive function and language skills following hemispheric surgery for epilepsy is described.
Journal ArticleDOI
Comorbidity between headache and epilepsy in a pediatric headache center
Irene Toldo,Egle Perissinotto,F. Menegazzo,Clementina Boniver,Stefano Sartori,Leonardo Salviati,Maurizio Clementi,Pasquale Montagna,Pier Antonio Battistella +8 more
TL;DR: In this paper, the authors analyzed the comorbidity between headache and epilepsy in a large series of children with headache and found a strong association between migraine and epilepsy: in migraineurs (46/56) the risk of epilepsy was 3.2 times higher when compared with tension-type headache.
Journal ArticleDOI
Migraine and Epilepsy: A Focus on Overlapping Clinical, Pathophysiological, Molecular, and Therapeutic Aspects
Marino Muxfeldt Bianchin,Renata Gomes Londero,José Eduardo Lima,Marcelo E. Bigal,Marcelo E. Bigal +4 more
TL;DR: The relationship between migraine and epilepsy is reviewed, focusing on clinical aspects and some recent pathophysiological and molecular studies.
References
More filters
Journal ArticleDOI
A Report on the Journal 2004
TL;DR: From this issue Cephalalgia will become a monthly journal and has a strong throughput of excellent work and rather than raise the rejection rate, and somewhat arbitrarily dismiss work that readers might be very interested in seeing, it is timely to increase to 12 issues a year.
Journal ArticleDOI
Epilepsy and other Chronic Convulsive Diseases, Their Causes, Symptoms and Treatment
Journal ArticleDOI
Comorbidity of migraine and epilepsy
Ruth Ottman,Richard B. Lipton +1 more
TL;DR: The results indicate that migraine and epilepsy are strongly associated, independent of seizure type, etiology, age at onset, or family history of epilepsy.