M.P. and P.P. contributed equally to this work.
Ictal headache and visual sensitivity
Article first published online: 24 SEP 2008
© Blackwell Publishing Ltd
Volume 29, Issue 2, pages 194–203, February 2009
How to Cite
Piccioli, M., Parisi, P., Tisei, P., Villa, M., Buttinelli, C. and Kasteleijn-Nolst Trenité, D. (2009), Ictal headache and visual sensitivity. Cephalalgia, 29: 194–203. doi: 10.1111/j.1468-2982.2008.01707.x
- Issue published online: 15 JAN 2009
- Article first published online: 24 SEP 2008
- Received 21 November 2007, accepted 1 May 2008
- photosensitive epilepsy;
- occipital epilepsy;
Migrainous headache is reported by patients with photosensitive epilepsy, whereas their relatives complain more often about headache than the relatives of patients with other types of epilepsy. We therefore investigated whether headache itself could be an epileptic symptom related to photosensitivity. Four probands with headache and photosensitive epilepsy were selected. Their first-degree family members were studied using video-EEG with extensive intermittent photic stimulation and pattern stimulation. Nine of the 12 subjects (10 female and two male, mean age 30 years, range 14–46 years) proved to be photosensitive with either focal (n = 5) or generalized (n = 4) epileptiform discharges. In two subjects an ictal recording of headache occurred after visual stimulation. We found evidence that, in specific patients, headache could be an ictal sign of epilepsy. Photic stimulation during EEG recording can contribute to correct diagnosis and lead to the best care and management of the patient.