Lateralizing value of peri-ictal headache: A study of 100 patients with partial epilepsy.
To determine the lateralizing value of peri-ictal headache, the authors conducted a standardized interview of 100 patients with partial epilepsy, 60 with temporal lobe epilepsy (TLE) and 40 with extratemporal epilepsy (ETE). Peri-ictal headache occurred in 47 of 100 (47%) patients. Peri-ictal headache was more likely to be ipsilateral to the seizure onset in TLE (27 of 30 = 90%) than in ETE (two of 17 = 12%; p< 0.001). For both groups, peri-ictal headache usually conformed to the diagnostic criteria for common migraine (18 of 30 = 60% in TLE; 7 of 17 = 41% in ETE).
Bernasconi
A
A
Departments of Neurology and Neurosurgery, McGill University, and Montreal Neurological Institute and Hospital, Quebec, Canada.
Andermann
F
F
Bernasconi
N
N
Reutens
D C
DC
Dubeau
F
F
D000328:Adult; D004828:Epilepsies, Partial / Q000150:complications* / Q000503:physiopathology*; D005260:Female; D007839:Functional Laterality; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male