Ictal headache and visual sensitivity

被引：43

作者：

Piccioli, M. ^{[1
]}

Parisi, P. ^{[2
,3
]}

Tisei, P. ^{[1
]}

Villa, M. P. ^{[2
,3
]}

Buttinelli, C. ^{[1
]}

Kasteleijn-Nolst Trenite, D. G. A. ^{[1
,4
]}

机构：

[1] Univ Roma La Sapienza, Fac Med 2, Dept Neurol, I-00189 Rome, Italy

[2] Univ Roma La Sapienza, Fac Med 2, Paediat Sleep Ctr, Child Neurol Sect, I-00189 Rome, Italy

[3] Univ Roma La Sapienza, Fac Med 2, Paediat Headache Ctr, Chair Paediat, I-00189 Rome, Italy

[4] Univ Med Ctr, Wilhelmina Childrens Hosp, Dept Med Genet, Utrecht, Netherlands

来源：

CEPHALALGIA | 2009年 / 29卷 / 02期

关键词：

Headache; migraine; photosensitive epilepsy; occipital epilepsy; PPR; EEG; OCCIPITAL EPILEPSY; MIGRAINE; SEIZURES; MANIFESTATION; STIMULATION;

D O I：

10.1111/j.1468-2982.2008.01707.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Migrainous headache is reported by patients with photosensitive epilepsy, whereas their relatives complain more often about headache than the relatives of patients with other types of epilepsy. We therefore investigated whether headache itself could be an epileptic symptom related to photosensitivity. Four probands with headache and photosensitive epilepsy were selected. Their first-degree family members were studied using video-EEG with extensive intermittent photic stimulation and pattern stimulation. Nine of the 12 subjects (10 female and two male, mean age 30 years, range 14-46 years) proved to be photosensitive with either focal (n = 5) or generalized (n = 4) epileptiform discharges. In two subjects an ictal recording of headache occurred after visual stimulation. We found evidence that, in specific patients, headache could be an ictal sign of epilepsy. Photic stimulation during EEG recording can contribute to correct diagnosis and lead to the best care and management of the patient.

引用

页码：194 / 203

页数：10

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