Relationship between migraine and epilepsy in pediatric age

Paolo Piccinelli, Renato Borgatti, Francesca Nicoli, Patrizia Calcagno, Maria Teresa Bassi, Marta Quadrelli, Giorgio Rossi, Giovanni Lanzi, Umberto Balottin

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective. - Many studies have supported the hypothesis of alteration of cortical hyperexcitability as a possible pathological mechanism underlying the onset of migraine and epileptic attacks. Different biochemical pathways involving cellular structures may increase or decrease the excitability of neuronal membranes. The aim of this study was to identify a possible link between migraine and epilepsy from a clinical and neurophysiologic point of view. Methods. - One-hundred thirty-seven children and adolescents consecutively diagnosed for tension-type headache and idiopathic migraine with and without aura were studied. Anamnestic, clinical, and instrumental data were collected by a neurological examination, a specific questionnaire, and awake electroencephalogram (EEG) registrations. EEG features of nonheadache and nonseizures control group were compared. Results. - Fourteen cases (10.2%) had a positive history for seizures with fever, isolated seizures, or epilepsy. Distribution differed according to headache diagnosis; migraine with aura (MWA) was largely prevalent. Specific electroencephalographic abnormalities were present in 11.7% of the sample, with a significant different distribution across the groups of children with headache and the control group: specific interictal abnormalities were found in 10 of 23 (43.5%) children with MWA. Two factors, seizures and specific interictal electroencephalographic abnormalities, showed a different distribution in patients with MWA compared to other classes of headache and control group (P≤ .01). Conclusion. - The present study supports the hypothesis of a possible clinical continuum between some types of MWA and epileptic syndromes as entities due to altered neuronal excitability with similar genetic substrates.

Original languageEnglish
Pages (from-to)413-421
Number of pages9
JournalHeadache
Volume46
Issue number3
DOIs
Publication statusPublished - Mar 2006

Fingerprint

Migraine with Aura
Migraine Disorders
Epilepsy
Pediatrics
Headache
Control Groups
Electroencephalography
Seizures
Migraine without Aura
Tension-Type Headache
Febrile Seizures
Neurologic Examination
Cellular Structures
History
Membranes

Keywords

  • Child
  • Epilepsy
  • Interictal EEG abnormalities
  • Ion channels
  • Migraine
  • Neuronal excitability

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Relationship between migraine and epilepsy in pediatric age. / Piccinelli, Paolo; Borgatti, Renato; Nicoli, Francesca; Calcagno, Patrizia; Bassi, Maria Teresa; Quadrelli, Marta; Rossi, Giorgio; Lanzi, Giovanni; Balottin, Umberto.

In: Headache, Vol. 46, No. 3, 03.2006, p. 413-421.

Research output: Contribution to journalArticle

Piccinelli, P, Borgatti, R, Nicoli, F, Calcagno, P, Bassi, MT, Quadrelli, M, Rossi, G, Lanzi, G & Balottin, U 2006, 'Relationship between migraine and epilepsy in pediatric age', Headache, vol. 46, no. 3, pp. 413-421. https://doi.org/10.1111/j.1526-4610.2006.00373.x
Piccinelli, Paolo ; Borgatti, Renato ; Nicoli, Francesca ; Calcagno, Patrizia ; Bassi, Maria Teresa ; Quadrelli, Marta ; Rossi, Giorgio ; Lanzi, Giovanni ; Balottin, Umberto. / Relationship between migraine and epilepsy in pediatric age. In: Headache. 2006 ; Vol. 46, No. 3. pp. 413-421.
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