Child Neurology and Department of Pediatrics, University of Chieti, Chieti, Italy.
Epilepsy Behav. 2011 May;21(1):52-9. doi: 10.1016/j.yebeh.2011.03.004. Epub 2011 Apr 15.
The few reports that have been published on the current International Classification of Headache Disorders, Second Edition (ICHD-II), criteria for migralepsy and hemicrania epileptica have highlighted the considerable confusion regarding this "hot topic" within both headache and epilepsy classifications (ICHD-II and International League Against Epilepsy [ILAE]). Indeed, the ICHD-II describes a migraine-triggered seizure as a rare event in which a seizure occurs during migraine aura; on the other hand, hemicrania epileptica is described as an "ictal headache" that occurs "synchronously" with a partial seizure. To confuse matters even further, neither the term migralepsy nor the term hemicrania epileptica is included in the currently used ILAE classification. On the basis of both a review of "migralepsy" cases in the literature and 16 additional retrospective multicenter cases, we suggest that the term migraine-triggered seizure or migralepsy be deleted from the ICHD-II classification until unequivocal evidence is provided of its existence, and that the term ictal epileptic headache be introduced into the ILAE classification.
目前已经发表的少数关于国际头痛疾病分类，第二版（ICHD-II）中偏头痛性癫痫和癫痫性偏瘫发作标准的报告，突出强调了在头痛和癫痫分类（ICHD-II 和国际抗癫痫联盟 [ILAE]）中，针对这个“热门话题”存在的相当大的混乱。事实上，ICHD-II 将偏头痛触发的癫痫发作描述为一种罕见事件，即在偏头痛先兆期间发生癫痫发作；另一方面，癫痫性偏瘫发作被描述为“发作性头痛”，与部分性癫痫发作“同步”发生。为了进一步混淆问题，术语偏头痛性癫痫发作和癫痫性偏瘫发作都未包含在目前使用的 ILAE 分类中。根据文献中“偏头痛性癫痫发作”病例的回顾和另外 16 例回顾性多中心病例，我们建议在 ICHD-II 分类中删除术语偏头痛触发的癫痫发作或偏头痛性癫痫发作，直到提供明确证据证明其存在，并且将术语“发作性癫痫性头痛”引入 ILAE 分类。
