TY - JOUR
T1 - Ictal epileptic headache
T2 - When terminology is not a moot question
AU - Parisi, Pasquale
AU - Paolino, Maria Chiara
AU - Raucci, Umberto
AU - Vecchia, Nicoletta Della
AU - Belcastro, Vincenzo
AU - Villa, Maria Pia
AU - Striano, Pasquale
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The relationship between headache and epilepsy is complex and despite the nature of this association is not yet clear. In the last few years, it has been progressively introduced the concept of the “ictal epileptic headache” that was included in the recently revised International Classification of Headaches Disorders 3rd edition (ICHD-3-revised). The diagnostic criteria for ictal epileptic headache (IEH) suggested in 2012 were quite restrictive thus leading to the underestimation of this phenomenon. However, these criteria have not yet been included into the ICHD-3 revision published in 2018, thus creating confusion among both, physicians and experts in this field. Here, we highlight the importance to strictly apply the original IEH criteria explaining the reasons through the analysis of the clinical, historical, epidemiological and pathophysiological characteristics of the IEH itself. In addition, we discuss the issues related to the neurophysiopathological link between headache and epilepsy as well as to the classification of these epileptic events as “autonomic seizure”.
AB - The relationship between headache and epilepsy is complex and despite the nature of this association is not yet clear. In the last few years, it has been progressively introduced the concept of the “ictal epileptic headache” that was included in the recently revised International Classification of Headaches Disorders 3rd edition (ICHD-3-revised). The diagnostic criteria for ictal epileptic headache (IEH) suggested in 2012 were quite restrictive thus leading to the underestimation of this phenomenon. However, these criteria have not yet been included into the ICHD-3 revision published in 2018, thus creating confusion among both, physicians and experts in this field. Here, we highlight the importance to strictly apply the original IEH criteria explaining the reasons through the analysis of the clinical, historical, epidemiological and pathophysiological characteristics of the IEH itself. In addition, we discuss the issues related to the neurophysiopathological link between headache and epilepsy as well as to the classification of these epileptic events as “autonomic seizure”.
KW - Autonomic seizures
KW - EEG
KW - Epilepsy
KW - Hemicrania epileptica
KW - Ictal epileptic headache
KW - Migraine
KW - Panayiotopoulos syndrome
KW - Tension-type headache
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U2 - 10.3389/fneur.2019.00785
DO - 10.3389/fneur.2019.00785
M3 - Review article
AN - SCOPUS:85069752712
VL - 10
JO - Frontiers in Neurology
JF - Frontiers in Neurology
SN - 1664-2295
IS - JUL
M1 - 785
ER -