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Clinical, EEG and neuroimaging features of ictal epileptic headache
The Journal of Headache and Pain volume 14, Article number: P156 (2013)
Introduction
Migraine end epilepsy have common pathophysiologic mechanisms and share essential and defining attributes which distinguish them from other common neurological disorders. They are both characterized by paroxysmal symptoms and are, therefore, episodic disorders. Occipital lobe to be the brain structures most responsible for development of migraine and occipital lobe epilepsies Both are characterized by visual symptoms followed by headache and other autonomic symptoms. Recognition of headache as an epileptic manifestation per se still represents a challenge.
Methods
This study included consecutive 89 patients with IEH= ictal epileptic headache,at our hospital and our diagnostical department – MRI and EEG.
Results
EEG recordings high voltage rhythmic 11-12 Hz activity with intermingled spikes over the right TO regions. Other –high voltage theta activity intermingled with sharp waves over occipital region. And third bilateral SWC.Brain MRI showed secondary brain lesion in the right TPO region with restricted diffusion in the right occipital region.
Conclusion
IEH be used to classify the events in wich headache represent the only ictal epileptic feature These rare cases should be classified as autonomic epilepsy.
References
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Lenox WG, Lennox MA: . In Epilepsy and related disorders. Little, Brown, Boston; 1960.
Perucca P, Teryaghi M, Manni R: Status epilepticus migrainosus clinical electroencephysiologic, and imaging characteristics neurology. 2010.
Teryano MG, Pietrini L, Milione FF: Migraine and intercalated seizures with occipital EEG paroxisms:observations on a family. headache 1986.
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Open Access This article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Radojkovic Gligic, N., Kacar, K., Atic, S. et al. Clinical, EEG and neuroimaging features of ictal epileptic headache. J Headache Pain 14 (Suppl 1), P156 (2013). https://doi.org/10.1186/1129-2377-14-S1-P156
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DOI: https://doi.org/10.1186/1129-2377-14-S1-P156