Short-lasting retroorbital pain attacks as a form of ictal epileptic headache: Case report.
Cephalalgia
; 39(9): 1195-1199, 2019 Aug.
Article
en En
| MEDLINE
| ID: mdl-30880433
ABSTRACT
BACKGROUND AND OBJECTIVES:
Ictal epileptic headache is a rare form of painful seizure, habitually consisting of migrainous or tension-type headache. We describe a case of a patient with short-lasting, severe retroorbital pain attacks caused by frontal lobe epilepsy. CASE REPORT A 25-year-old male patient presented with recurrent attacks of paroxysmal, short-lasting, excruciating left periorbital and facial pain mainly occurring from sleep. After intracranial EEG exploration and resection of a right prefrontal focal cortical dysplasia, long-term seizure and headache remission was obtained.DISCUSSION:
Our case extends the clinical and neuroanatomical spectrum of ictal epileptic headache and suggests that long-term remission can be obtained by resective epilepsy surgery. It also reinforces the role of the prefrontal cortex in the pain matrix and pain generation.CONCLUSION:
Despite its rarity, ictal epileptic headache should be suspected in selected patients, particularly those with other ictal symptoms and signs, history of epileptic seizures, or neuroimaging abnormalities.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Convulsiones
/
Epilepsia del Lóbulo Frontal
/
Cefalea
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Cephalalgia
Año:
2019
Tipo del documento:
Article
País de afiliación:
Reino Unido