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NEUROLOGY 2005;65:1979-1981
© 2005 American Academy of Neurology
Brief Communications

Preictal headache in partial epilepsy

A. E. Yankovsky, MD, F. Andermann, MD, S. Mercho, MD, F. Dubeau, MD and A. Bernasconi, MD

From the Department of Neurology and Neurosurgery, Montreal Neurological Hospital and Institute, McGill University, Montreal, Quebec.

Address correspondence and reprint requests to Dr. Andrea Bernasconi, Montreal Neurological Hospital and Institute, 3801 University Street, Montreal H3A 2B4, Quebec, Canada; e-mail: andrea{at}bic.mni.mcgill.ca

The authors studied clinical characteristics in 11 patients with intractable focal epilepsy and preictal headache (PIHA) using a standardized interview. Headache was frontotemporal, ipsilateral to the focus, in nine patients with temporal lobe epilepsy (TLE) and contralateral in one with TLE and in one with frontal seizures. Migrainous features were found in four. After surgery, all seven seizure-free patients and two with rare seizures were free of PIHA. It may be a useful lateralizing sign in patients with TLE.

Disclosure: The authors report no conflicts of interest.

Received February 2, 2005. Accepted in final form September 20, 2005.




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