Autonomic headache with autonomic seizures: a case report |
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Authors: | Ozge Aynur Kaleagasi Hakan Yalçin Tasmertek Fazilet |
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Institution: | (1) Department of Neurology, Mersin University Faculty of Medicine, Mersin 33079, Turkey |
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Abstract: | The aim of the report is to present a case of an autonomic headache associated with autonomic seizures. A 19-year-old male
who had had complex partial seizures for 15 years was admitted with autonomic complaints and left hemicranial headache, independent
from seizures, that he had had for 2 years and were provoked by watching television. Brain magnetic resonance imaging showed
right hippocampal sclerosis and electroencephalography revealed epileptic activity in right hemispheric areas. Treatment with
valproic acid decreased the complaints. The headache did not fulfil the criteria for the diagnosis of trigeminal autonomic
cephalalgias, and was different from epileptic headache, which was defined as a pressing type pain felt over the forehead
for several minutes to a few hours. Although epileptic headache responds to anti-epileptics and the complaints of the present
case decreased with antiepileptics, it has been suggested that the headache could be a nontrigeminal autonomic headache instead
of an epileptic headache. |
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Keywords: | Headache Non-trigeminal autonomic cephalalgias Autonomic seizure Valproic acid |
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