Characteristics of Postictal Headache in Patients with Partial Epilepsy

Cephalalgia ◽  
2004 ◽  
Vol 24 (1) ◽  
pp. 23-28 ◽  
Author(s):  
M Ito ◽  
N Adachi ◽  
F Nakamura ◽  
T Koyama ◽  
T Okamura ◽  
...  
Keyword(s):  
Migraine Headache ◽  
International Headache Society ◽  
Occipital Lobe ◽  
Structured Interview ◽  
Partial Epilepsy ◽  
Seizure Type ◽  
Migraine Headaches ◽  
Occipital Lobe Epilepsy ◽  
Different Types ◽  
History Of

Migraine-like features sometimes characterize the headache that follows epileptic seizure (postictal headache, PIH). We compared patients with different types of epilepsy to investigate the association between migraine-like PIH and seizure type. Subjects comprised 364 patients with partial epilepsy. Epilepsy types were temporal lobe epilepsy (TLE, n = 177), frontal lobe epilepsy (FLE, n = 116), and occipital lobe epilepsy (OLE, n = 71). Patients participated in a structured interview pertaining to PIH as well as interictal headache and family history of migraine. Headaches were classified according to the International Headache Society criteria, which was modified for this study. Forty percent had PIH and 26% of these patients had migraine-like PIH. Migraine-like PIH occurred significantly more often in cases of TLE and OLE than in cases of FLE. In addition, the incidence of interictal migraine headache was significantly higher in patients with migraine-like PIH. These results suggest that migraine-like PIH is related to particular regions of epileptogenic focus and that susceptibility to migraine headache predisposes to migraine-like PIH.

Premorbid migraine history as a risk factor for vestibular and oculomotor baseline concussion assessment in pediatric athletes

2019 ◽  
Vol 23 (4) ◽  
pp. 465-470 ◽  
Author(s):  
Ryan N. Moran ◽  
Tracey Covassin ◽  
Jessica Wallace
Keyword(s):  
Risk Factor ◽  
Smooth Pursuit ◽  
Migraine Headache ◽  
Visual Motion ◽  
Assessment Tools ◽  
Motion Sensitivity ◽  
Ocular Reflex ◽  
Migraine Headaches ◽  
Vestibular Ocular Reflex ◽  
History Of

OBJECTIVEMigraine history has recently been identified as a risk factor for concussion and recovery. The authors performed a cross-sectional study examining baseline outcome measures on newly developed and implemented concussion assessment tools in pediatrics. The purpose of this study was to examine the effects of premorbid, diagnosed migraine headaches as a risk factor on vestibular and oculomotor baseline assessment in pediatric athletes.METHODSPediatric athletes between the ages of 8 and 14 years with a diagnosed history of migraine headache (n = 28) and matched controls without a history of diagnosed migraine headache (n = 28) were administered a baseline concussion assessment battery, consisting of the Vestibular/Ocular Motor Screening (VOMS), near point of convergence (NPC), and the King-Devick (K-D) tests. Between-groups comparisons were performed for vestibular symptoms and provocation scores on the VOMS (smooth pursuit, saccades, convergence, vestibular/ocular reflex, visual motion sensitivity), NPC (average distance), and K-D (time).RESULTSIndividuals diagnosed with migraine headaches reported greater VOMS smooth pursuit scores (p = 0.02), convergence scores (p = 0.04), vestibular ocular reflex scores (p value range 0.002–0.04), and visual motion sensitivity scores (p = 0.009). Differences were also observed on K-D oculomotor performance with worse times in those diagnosed with migraine headache (p = 0.02). No differences were reported on NPC distance (p = 0.06) or headache symptom reporting (p = 0.07) prior to the VOMS assessment.CONCLUSIONSPediatric athletes diagnosed with migraine headaches reported higher baseline symptom provocation scores on the VOMS. Athletes with migraine headaches also performed worse on the K-D test, further illustrating the influence of premorbid migraine headaches as a risk factor for elevated concussion assessment outcomes at baseline. Special consideration may be warranted for post-concussion assessment in athletes with migraine headaches.

Second Cervical Root Neurofibroma and Ipsilateral Migraine Headache

Cephalalgia ◽  
1993 ◽  
Vol 13 (2) ◽  
pp. 132-134 ◽  
Author(s):  
Leo Goldhammer
Keyword(s):  
Migraine With Aura ◽  
Case History ◽  
Migraine Headache ◽  
Surgical Removal ◽  
Migraine Headaches ◽  
Affected Side ◽  
History Of ◽  
Cervical Root

This is a case history of a 38–year-old woman with a dumbbell-shaped C2 neurofibroma associated with right-sided classic migraine headaches (migraine with aura) and cervical trigeminal signs on the affected side. Surgical removal of the tumor was followed by resolution of the migraine headaches and persistence of the signs of cervicotrigeminal involvement.

Non-Migraine Headache Across the Menstrual Cycle in Women With and Without Premenstrual Syndrome

Cephalalgia ◽  
1992 ◽  
Vol 12 (6) ◽  
pp. 356-359 ◽  
Author(s):  
PA Keenan ◽  
LA Lindamer
Keyword(s):  
Menstrual Cycle ◽  
Migraine Headache ◽  
International Headache Society ◽  
Physiological Mechanism ◽  
Severe Headache ◽  
Cycle Phase ◽  
Chi Square ◽  
Migraine Headaches ◽  
Chi Square Analysis ◽  
Mild Headache

Fluctuation of estrogen levels across the menstrual cycle influences migraine headache. In this study, 53 women documented prospectively the incidence and severity of headache daily for an average of three menstrual cycles. Seven of the women met the criteria established by the International Headache Society for migraine with or without aura, while the remaining 46 women failed to do so. Chi-square analysis revealed that, overall, the incidence of non-migraine headache was dependent on day of the cycle (χ2 [1,66] = 247.7, p < 0.001), with more headaches occurring during the perimenstrual phase. The 46 women without migraine were further classified according to NIMH criteria into PMS ( N= 26) and non-PMS groups (n = 26). An association between headache and menstrual cycle phase was noted for both groups ( p < 0.001), although the incidence of severe headache was greater for the PMS women, during both the perimenstrual and intermenstrual phases. Both groups experienced an increase in severe headaches during the perimenstrual phase. The PMS women peaked on the day prior to menstruation, while the non PMS women peaked on the first day of menstruation. There did not appear to be an overall difference in the reporting of mild headache across the cycle between women with or without PMS. These findings suggest that (a) severe headache which does not meet the criteria for migraine with or without aura also may be menstrually related in women with and without PMS and; (b) the as yet unidentified physiological mechanism predisposing some women to PMS may also render them susceptible to more frequent, severe, non-migraine headaches both during the perimenstrual phase and throughout the entire menstrual cycle.

Migraine with Persistent Aura in a Mexican Patient: Case Report and Review of the Literature

Cephalalgia ◽  
2007 ◽  
Vol 27 (5) ◽  
pp. 456-460 ◽  
Author(s):  
OD San-Juan ◽  
PF Zermeño
Keyword(s):  
Migraine Headache ◽  
Spreading Depression ◽  
International Headache Society ◽  
Radiographic Evidence ◽  
Visual Aura ◽  
First Case ◽  
Mexican Woman ◽  
Persistent Aura ◽  
History Of ◽  
Mexican Patient

Persistent aura symptoms in patients with migraine are rare but well documented. The International Headache Society defines persistent aura without infarction as when the aura symptoms persist for >1 week without radiographic evidence of infarction. The visual aura of migraine attacks has been explained by cortical spreading depression. We describe a case of a 28-year-old Mexican woman, who presented with persistent aura symptoms, and a literature review. The patient had a 24-year history of migraine headache. In November 2005 the patient had an attack which started with scintillating scotomas bilaterally associated with photopsias and amaurosis followed by migraine headache. All imaging studies were negative. The episode lasted 35 days and probably resolved with nimodipine therapy. Persistent aura symptoms are rare entities. This is the first case documented of a Mexican patient with persistent aura without infarction and probably resolved with nimodipine therapy.

scholarly journals Occipital lobe epilepsy or migraine headache

SANAMED ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 225-228
Author(s):  
Fadil Skrijelj ◽  
Mersudin Mulic
Keyword(s):  
Migraine Headache ◽  
Occipital Lobe ◽  
Occipital Lobe Epilepsy

scholarly journals The Frequency of Food Allergy Among Children With Migraine Headache; A Descriptive Cross-Sectional Study

2020 ◽  
Vol 14 (1) ◽  
pp. 46-52
Author(s):  
Akefeh Ahmadiafshar ◽  
Mohammad Vafaee-Shahi ◽  
Saeide Ghasemi ◽  
Fariba Khosroshahi ◽  
Aina Riahi
Keyword(s):  
Food Allergy ◽  
Skin Test ◽  
Migraine Headache ◽  
Critical Role ◽  
Food Allergies ◽  
Cross Sectional ◽  
Positive Skin ◽  
Migraine Headaches ◽  
Allergy Test ◽  
History Of

Background: Headache and particularly migraine headaches are considered as a debilitating disease worldwide that can adversely affect the quality of life of children and adults. Various factors can play a critical role in the development of migraine headache attacks. The food allergens are considered as important factors. This study aimed to determine the frequency of food allergy in children with migraine headaches. Methods: Forty patients aged <16 years with a migraine headache were entered into the study. A questionnaire was provided in which data on demographic information and skin test results for various allergens were recorded. Dietary allergies were defined based on a positive skin test plus a patient's history of food allergies. The severity of migraine was evaluated using the Migraine disability assessment score (MIDAS) questionnaire. Results: The present study showed 32.5% of our participants had a food allergy. No significant association was detected between sex (p=58) and age (p=0.14) with food allergy. However, the frequency of food allergy was significantly higher in patients aged ≥12 years old (44.4%) than those aged <12 (22.7%). A significant relationship was found between the number of attacks after prophylaxis and the frequency of food allergies (p=0.032). Individuals with lower attacks had a lower food allergy. Conclusion: Our findings revealed that about one-third of children with a migraine headache had a food allergy. This frequency was significantly higher in children with migraines than that of the general population based on the results of previous studies. It is recommended that these patients receive a skin allergy test while preparing a strong history of food allergies or when the frequency of migraine attacks does not decrease significantly despite proper prophylaxis.

Age at menarche and risk of developing migraine or non-migraine headaches by young adulthood: A prospective cohort study

Cephalalgia ◽  
2016 ◽  
Vol 37 (13) ◽  
pp. 1257-1263 ◽  
Author(s):  
Nasim Maleki ◽  
Tobias Kurth ◽  
Alison E Field
Keyword(s):  
Cohort Study ◽  
Family History ◽  
Young Adulthood ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Migraine Headache ◽  
The United States ◽  
Age At Menarche ◽  
Migraine Headaches ◽  
History Of

Importance Migraine is a highly prevalent and disabling primary headache disorder that is two to three times more prevalent in young women. Among females, there is a steep increase in incidence from puberty to young adulthood, but the mechanisms for the increase are unknown. Objective To determine if age of menarche is a risk factor for developing migraine headache vs. non-migraine headache by young adulthood. Design A prospective cohort study, The Growing Up Today Study (GUTS), of adolescents who have been followed since 1996, when they were nine, to 14 years of age. Headache questions were included on the 2007 and 2010 surveys. Setting Youth from across the United States who are offspring of women participating in the Nurses’ Health Study II. Participants 6112 female participants who had provided data on headache symptoms, age at menarche and family history of migraine and were followed through 2007 or 2010 were included in this analysis. Main outcomes Migraine or non-migraine headache. Results Many females had a history of headaches, with approximately equal numbers reporting symptoms consistent with migraine (29.7%) and non-migraine headaches (25.3%). We found that, independent of age and family history of migraine, each one-year delay in onset of menarche decrease the odds of migraine by 7% (odds ratio (OR) = 0.93, 95% confidence interval (CI) 0.89–0.97), but was not related to non-migraine headaches. Conclusions and relevance The findings of this study suggest that early puberty increases the risk of developing migraines by young adulthood. As such, the study emphasizes the need for understanding the pathophysiological links between puberty and developmental changes that occur in the brain during that period and the mechanisms of onset of the migraine disease and its trajectory.

Are Cortical Spreading Depression and Headache in Migraine Causally Linked?

Cephalalgia ◽  
2009 ◽  
Vol 29 (2) ◽  
pp. 244-249 ◽  
Author(s):  
J Wolthausen ◽  
S Sternberg ◽  
C Gerloff ◽  
A May
Keyword(s):  
Migraine With Aura ◽  
Cortical Spreading Depression ◽  
Migraine Headache ◽  
Spreading Depression ◽  
International Headache Society ◽  
Neuronal Process ◽  
The Third ◽  
The Past ◽  
Migraine Headaches

During the past few decades, much controversy has surrounded the pathophysiology of migraine. Cortical spreading depression (CSD) is widely accepted as the neuronal process underlying visual auras. It has been proposed that CSD can also cause the headaches, at least in migraine with aura. We describe three patients, each fulfilling the International Headache Society criteria for migraine with aura, who suffered from headaches 6–10 days per month. Two patients were treated with flunarizine and the third patient with topiramate for the duration of 4 months. All patients reported that aura symptoms resolved completely, whereas the migraine headache attacks persisted or even increased. These observations question the theory that CSD (silent or not) is a prerequisite for migraine headaches.

Headache and psychiatry

2020 ◽  
pp. 475-483
Author(s):  
Maurizio Pompili ◽  
Dorian A. Lamis ◽  
Frank Andrasik ◽  
Paolo Martelletti
Keyword(s):  
Mental Illness ◽  
Chronic Migraine ◽  
Migraine With Aura ◽  
Migraine Headache ◽  
Migraine Without Aura ◽  
Psychiatric Comorbidity ◽  
Somatic Symptoms ◽  
Migraine Aura ◽  
Migraine Headaches ◽  
History Of

Patients suffering from different types of headache typically complain of numerous associated symptoms (e.g. behavioural and somatic), which may be partially related to psychiatric comorbidity. Somatic symptoms have been demonstrated to be more common in patients with chronic migraine, especially for severe headaches with accompanying depression or anxiety. Moreover, chronic migraine may be considered as distinct from an episodic type of migraine with aura, migraine without aura, and migraine aura without headache (without a history of characteristic migraine headaches). Accordingly, the present chapter explores the prevalence and impact of mental illness in patients diagnosed with migraine headache.

scholarly journals From Childhood Migraine Headache to Pheochromocytoma

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Y. M. Hazimeh ◽  
M. Luidens ◽  
M. E. Ehlers ◽  
V. Sharma
Keyword(s):  
Migraine Headache ◽  
Multiple Endocrine Neoplasia ◽  
Medullary Thyroid Cancer ◽  
Multiple Endocrine Neoplasia Type ◽  
Clinical Manifestations ◽  
Medullary Thyroid ◽  
Childhood Migraine ◽  
Migraine Headaches ◽  
History Of ◽  
Men 2A

Pheochromocytoma may have multiple clinical manifestations including paroxysmal hypertension, tachycardia, sweating, nausea, and headache (Phillips et al., 2002). Migraine has some of the manifestations seen with pheochromocytoma. We describe a patient who had a history of migraine headaches since childhood and was found to have pheochromocytoma. Resection of her tumor significantly improved her headache. The diagnoses of pheochromocytoma subsequently lead to diagnosing her with medullary thyroid cancer (MTC) and multiple endocrine neoplasia type 2A (MEN-2A).

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