Epilepsy and headache: the contribution of the Italian study group to the new ICHD-3 classification
Clinical Case, 73 - 74Tag this article
Headache may be associated with seizures as a preictal, ictal, or postictal phenomenon, but is often neglected by patients and physicians because of the dramatic neurological manifestations of the seizures. Headache can also be the sole or predominant clinical manifestation of epileptic seizures, although this is relatively rare. Ictal epileptic headache is a particular type of pain seizure that has a complex pathophysiology and, when isolated, requires differential diagnostic consideration. We believe that, although it is not frequent, pain as an ictal symptom should be highlighted in the operational classification of seizure types. Our study group aims to collect and study more IEH cases to suggest introduction of this terminology also in the ILAE classification.
KEY WORDS: Epilepsy, Migraine, Ictal Epileptic Headache, hemicrania epileptica and migralepsy.