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Ictal headache is a rare condition, the characteristics of which are clearly distinguishable from a migraine headache attack (MHA). Ictal headache is paroxysmal, brief, nonspecific in nature and description, associated with other epileptic manifestations, and ipsilateral to an epileptic discharge arising from the amygdala and hippocampus.1
We describe a patient with symptomatic occipital lobe epilepsy who developed nonconvulsive status epilepticus (NCSE) manifesting exclusively as a classic MHA.
Case report.
The patient was a 56-year-old right-handed woman with a history of occipital lobe epilepsy since age 16 years, secondary to perinatal hypoxic-ischemic brain injury, which 2 cortical porencephalic MRI lesions, one in the right temporo-parieto-occipital region and the other in the left occipital pole, were consistent with. The insult also caused a mild cerebellar syndrome, but developmental milestones were normal. She had no family history of migraine. Seizures consisted of brief episodes of visual disturbances (elementary hallucinations, metamorphopsia, or oscillopsia), occasionally progressing to complete blindness, loss of awareness with complex automatisms, or a generalized tonic-clonic seizure. Since age 54, she had been seizure-free on phenobarbital 100 mg/day and …
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- STATUS EPILEPTICUS MIGRAINOSUS: CLINICAL, ELECTROPHYSIOLOGIC, AND IMAGING CHARACTERISTICS
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