Ictal epileptic headache revealing non convulsive status epilepticus in a case of eyelid myoclonia with absences

The Journal of Headache and Pain

Case Report

Carlo Di Bonaventura¹  Alessandra Morano¹  Mario Manfredi¹  Anna Teresa Giallonardo¹  Mariarita Albini¹  Jinane Fattouch¹  Martina Fanella¹  Sara Casciato¹ 

[1] Department of Neuroscience, Neurology Unit, “Sapienza” University, Rome, Italy;

关键词: Eyelid myoclonia with absences;    Ictal epileptic headache;    Cortical spreading depression;    Comorbidity;   

DOI  :  10.1186/s10194-015-0587-4

 received in 2015-10-17, accepted in 2015-11-28,  发布年份 2015

来源: Springer

【 摘 要 】

Epileptic seizures and headache attacks are two common neurologic phenomena characterized by paroxysmal alteration of brain functions followed by complete restauration of the baseline condition. Headache and epilepsy are related in numerous ways, and they often co-occur. Although the link between these two diseases is not completely clear, several clinical, physiopathological and therapeutic features overlap. Headache is reported in association with epileptic seizures as a pre-ictal, ictal or post-ictal phenomenon. We present the case of a 40 year-old woman affected by eyelid myoclonia with absences (EMA) with a history of prolonged headache attacks. A video-EEG recording performed during one of these episodes showed subcontinuous epileptic activity consisting of generalized spike-and-wave discharges (GSWDs), clinically associated with tensive headache. Our work represents one of the few well EEG-documented cases of ictal epileptic headache in idiopathic generalized epilepsy (IGE).

【 授权许可】

CC BY   
© Fanella et al. 2015