title: Ictal epileptic headache revealing non convulsive status epilepticus in a case of eyelid myoclonia with absences.
abstract: 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).
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Martina
authors.initials: M
authors.lastname: Fanella
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Morano
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Jinane
authors.initials: J
authors.lastname: Fattouch
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Mariarita
authors.initials: M
authors.lastname: Albini
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Sara
authors.initials: S
authors.lastname: Casciato
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Manfredi
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy.
authors.forename: Anna Teresa
authors.initials: AT
authors.lastname: Giallonardo
authors.affiliation: Department of Neuroscience, Neurology Unit, "Sapienza" University, Rome, Italy. c_dibonaventura@yahoo.it.
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Bonaventura
mesh_terms: D000328:Adult; D004569:Electroencephalography / Q000379:methods; D004831:Epilepsies, Myoclonic / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D009207:Myoclonus / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D013226:Status Epilepticus / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology
keywords: Comorbidity; Cortical spreading depression; Eyelid myoclonia with absences; Ictal epileptic headache