Headache, epilepsy and photosensitivity: how are they connected?

The Journal of Headache and Pain

Review Article

Pasquale Parisi¹  Maria Pia Villa¹  Raffaella Bruschi¹  Alberto Verrotti²  Alessia Di Fonzo²  Francesco Chiarelli²  Dorothée G. A. Kasteleijn-Nolst Trenité³  Laura Cantonetti⁴ 

[1] Chair of Paediatrics, Child Neurology, Headache Paediatric Center, Paediatric Sleep Disorders, II Faculty of Medicine, “Sapienza University”, c/o Sant’Andrea Hospital, Via di Grottarossa 1035-1039, Rome, Italy;Chair of Paediatrics, Paediatric Department, University of Chieti, Chieti, Italy;Department of Medical Genetics, Wilhelmina Children’s Hospital, Utrecht University Medical Centre, Utrecht, The Netherlands;Unit of Paediatric Rehabilitation, Department of Neuroscience, Bambino Gesù Children’s Hospital, IRCCS, Santa Marinella, Rome, Italy;

关键词: Peri-ictal headache;    Ictal epileptic headache;    PPR;    Photosensitivity;    Headache;    Migraine;    Epilepsy;    Migralepsy;    Hemicrania epileptica;   

DOI  :  10.1007/s10194-010-0229-9

 received in 2010-04-09, accepted in 2010-05-25,  发布年份 2010

来源: Springer

【 摘 要 】

Although headache and epilepsy have often been associated, the precise electroclinical and pathophysiological interaction between these disorders and in particular its relations with photosensitivity is as yet to be fully understood in adults or children. The association between headache and epilepsy commonly occurs in all types of epilepsy and not only in occipital epilepsy. Generally, peri-ictal headache is often neglected, regardless of its severity, because patients are more concerned about their seizures. Altered cerebral cortex excitability may be the link between these two conditions and photosensitivity shows this. The physician should bear this association in mind when dealing with epileptic and migraine patients so as to be able to offer such patients an accurate diagnosis and appropriate treatment; this should be borne in mind when declaring epileptic patients ‘seizure free’. To date neither the International Headache Society nor the International League against Epilepsy mention that headache/migraine may, on occasion, be the sole ictal epileptic manifestation. Lastly, studies designed to investigate the triggering role of photosensitivity in both headache and epilepsy are warranted.

【 授权许可】

Unknown   
© Springer-Verlag 2010