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反复的枕叶发作被误诊为偏头痛状态。

Recurrent occipital seizures misdiagnosed as status migrainosus.

机构信息

IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.

出版信息

Epileptic Disord. 2011 Jun;13(2):197-201. doi: 10.1684/epd.2011.0437.

DOI:10.1684/epd.2011.0437
PMID:21636355
Abstract

Periictal headache is commonly reported in patients with epilepsy and often exhibits migraine features. Misdiagnosis is frequent since visual seizures may often be misinterpreted as visual aura of migraine. We herein describe a 35-year-old woman with recurrent occipital seizures, clinically presenting with intractable headache. EEG monitoring was crucial in order to reach the correct diagnosis.

摘要

癫痫患者常报告发作间期头痛,且常表现为偏头痛特征。由于视觉发作常被误诊为偏头痛的视觉先兆,因此误诊很常见。本文描述了一位 35 岁女性,反复发作枕叶癫痫,临床表现为顽固头痛。EEG 监测对明确诊断至关重要。

相似文献

1
Recurrent occipital seizures misdiagnosed as status migrainosus.反复的枕叶发作被误诊为偏头痛状态。
Epileptic Disord. 2011 Jun;13(2):197-201. doi: 10.1684/epd.2011.0437.
2
Visual phenomena and headache in occipital epilepsy: a review, a systematic study and differentiation from migraine.枕叶癫痫中的视觉现象与头痛:综述、系统研究及与偏头痛的鉴别
Epileptic Disord. 1999 Dec;1(4):205-16.
3
Seizure or migraine? The eternal dilemma. Comment on: "recurrent occipital seizures misdiagnosed as status migrainosus".癫痫发作还是偏头痛?永恒的两难困境。评:“被误诊为偏头痛持续状态的复发性枕叶癫痫发作”
Epileptic Disord. 2011 Dec;13(4):456. doi: 10.1684/epd.2011.0466.
4
[Non-convulsive status with hemianopsia and ictal headaches: an uncommon manifestation of parieto-occipital epilepsy].[伴有偏盲和发作性头痛的非惊厥性癫痫持续状态:顶枕叶癫痫的一种罕见表现]
Neurologia. 2008 Apr;23(3):184-7.
5
Migraine and other clinical syndromes in children affected by EEG occipital spike-wave complexes.受脑电图枕叶棘波复合波影响的儿童偏头痛及其他临床综合征。
Funct Neurol. 1988 Apr-Jun;3(2):187-203.
6
The benign occipital epilepsies of childhood: an overview of the idiopathic syndromes and of the relationship to migraine.儿童良性枕叶癫痫:特发性综合征概述及其与偏头痛的关系
Epilepsia. 1998;39 Suppl 4:S9-23. doi: 10.1111/j.1528-1157.1998.tb05129.x.
7
[Epileptic activity of the occipital lobe. Clinico-electroencephalographic contribution].[枕叶癫痫活动。临床脑电图学贡献]
Fortschr Neurol Psychiatr. 1988 Sep;56(9):286-99. doi: 10.1055/s-2007-1001793.
8
The relationship between benign occipital seizures in childhood and migraine.儿童良性枕叶癫痫与偏头痛之间的关系。
Epilepsia. 1999 Nov;40(11):1672-3. doi: 10.1111/j.1528-1157.1999.tb02057.x.
9
Migraine with visual aura and photosensitive epileptic seizures.伴有视觉先兆的偏头痛和光敏性癫痫发作。
Epilepsia. 1997 Sep;38(9):1032-4. doi: 10.1111/j.1528-1157.1997.tb01487.x.
10
[Benign epilepsy with occipital spike waves in children].[儿童枕叶棘波良性癫痫]
Bull Mem Acad R Med Belg. 1981;136(11):540-55.

引用本文的文献

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Epilepsy and migraine: a diagnostic and therapeutic challenge.癫痫与偏头痛:诊断与治疗挑战
Front Pharmacol. 2025 Aug 29;16:1649543. doi: 10.3389/fphar.2025.1649543. eCollection 2025.
2
Ictal Epileptic Headache: When Terminology Is Not a Moot Question.发作期癫痫性头痛:当术语并非无关紧要的问题时。
Front Neurol. 2019 Jul 23;10:785. doi: 10.3389/fneur.2019.00785. eCollection 2019.
3
The complex interrelations between two paroxysmal disorders: headache and epilepsy.两种发作性疾病——头痛与癫痫之间的复杂相互关系。
Neurol Sci. 2017 Jun;38(6):941-948. doi: 10.1007/s10072-017-2926-5. Epub 2017 Mar 24.
4
Spectrum of complicated migraine in children: A common profile in aid to clinical diagnosis.儿童复杂性偏头痛的谱系:有助于临床诊断的常见特征
World J Clin Pediatr. 2015 Feb 8;4(1):1-12. doi: 10.5409/wjcp.v4.i1.1.
5
Ictal epileptic headache: an old story with courses and appeals.发作性癫痫性头痛:一个有曲折和吸引力的老故事。
J Headache Pain. 2012 Nov;13(8):607-13. doi: 10.1007/s10194-012-0485-y. Epub 2012 Sep 27.