Abstract
Investigators at Robert Debre Hospital and Paris Diderot University, Paris, France, and Basildon University Hospital, Essex, UK, conducted a prospective study of 101 children aged 6-18 years presenting to the ED of a tertiary hospital with moderate to severe headache and focal neurologic deficit with focal brain disturbance.
Highlights
Escalating frequency and/or severity of headache change of frequency and severity of headache headache associated with fever headache accompanied by seizures
Headache and epilepsy are a common comorbidity in childhood and occur mostly in children older than 10 years with idiopathic epilepsy [5]
Among 100 children with chronic recurrent headaches treated in neurology practice, 15% had a history of epileptic seizures
Summary
Escalating frequency and/or severity of headache change of frequency and severity of headache headache associated with fever headache accompanied by seizures. The ICHD-2 defines 3 kinds of association of headache and epileptic seizure: (1) migraine-triggered seizure or ictal epileptic headache, (2) hemicrania epileptica (very rare variant of epileptic headache), and (3) pre-ictal headache [4]. Headache and epilepsy are a common comorbidity in childhood and occur mostly in children older than 10 years with idiopathic epilepsy [5]. Among 100 children with chronic recurrent headaches treated in neurology practice, 15% had a history of epileptic seizures.
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