Migralepsy, hemicrania epileptica, post-ictal headache and "ictal epileptic headache": A proposal for terminology and classification revision

Vincenzo Belcastro, Pasquale Striano, Dorotheè G A Kasteleijn-Nolst Trenité, Maria Pia Villa, Pasquale Parisi

Research output: Contribution to journalArticle

Abstract

Despite the fact that migraine and epilepsy are among the commoner brain diseases and that comorbidity of these conditions is well known, only few reports of migralepsy and hemicrania epileptica (HE) have been published according to the current ICHD-II criteria. Particularly, ICHD-II describes "migraine-triggered seizure" (i.e., migralepsy) among complications of migraine at "1.5.5" (as a rare event in which a seizure happens during migrainous aura), while hemicrania epileptica (coded at "7.6.1") and post-ictal headache (coded at "7.6.2") are described among headaches attributed to epileptic seizure. However, to date neither the International Headache Society nor the International League against Epilepsy mention that headache/migraine may be the sole ictal epileptic manifestation. Based on the current knowledge, migralepsy is highly unlikely to exist as such. We, therefore, propose to delete this term until clear evidence its existence is provided. Moreover, we herein propose a revision of terminology and classification criteria to properly represent the migraine/headache relationships. We suggest the term "ictal epileptic headache" in cases in which headache/migraine is the sole ictal epileptic manifestation.

Original languageEnglish
Pages (from-to)289-294
Number of pages6
JournalJournal of Headache and Pain
Volume12
Issue number3
DOIs
Publication statusPublished - Jun 2011

Keywords

  • EEG
  • Epilepsy
  • Hemicrania epileptica
  • Ictal epileptic headache
  • Migraine
  • Migralepsy
  • Status epilepticus
  • Status migrainosus

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

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