Cefaléia epiléptica: estudo de um caso com registro eletrencefalográfico durante a crise

Grossmann, Rosi Mary; Abramovich, Irene; Lefèvre, B.

doi:10.1590/S0004-282X1971000200008

Resumos

É relatado o caso de uma paciente com 9 anos de idade, na qual foi feito o EEG durante 3 crises de cefaléia sem caráter de enxaqueca. Simultaneamente com as crises foram observadas, no EEG, anormalidades caracterizadas por ondas agudas ritmadas de projeção difusa no hemisfério cerebral direito, predominando na região occipital. São feitos comentários sobre a raridade do relato de anormalidades do tipo irritativo durante crises de cefaléia, sendo ressaltado o valor de tais achados para a classificação dessas cefaléias dentro do conceito de epilepsia.

The case of a 9-year-old patient, in which the EEG was made during three crises of headache without the character of migraine is reported. Simultaneously with the crises the EEG showed rhythmic sharp waves in the right cerebral hemisphere prevailing in the occipital region. Comments are made on the rarity of reports showing irritative abnormalities in the EEG during headache crises. The value of these findings for the classification of some cases of headache within the concept of epilepsy is emphasized.

Cefaléia epiléptica: estudo de um caso com registro eletrencefalográfico durante a crise

Epileptic headache: report of a case with electroencephalogram recorded during the crisis

Rosi Mary Grossmann^I; Irene Abramovich^II; Antonio B. Lefèvre^III

^IDepartamento de Neurologia da Faculdade de Medicina da Universidade de São Paulo (Prof. Horácio M. Canelas): Assistente

^IIDepartamento de Neurologia da Faculdade de Medicina da Universidade de São Paulo (Prof. Horácio M. Canelas): Residente

^IIIDepartamento de Neurologia da Faculdade de Medicina da Universidade de São Paulo (Prof. Horácio M. Canelas): Professor de Disciplina de Neuropediatria

RESUMO

É relatado o caso de uma paciente com 9 anos de idade, na qual foi feito o EEG durante 3 crises de cefaléia sem caráter de enxaqueca. Simultaneamente com as crises foram observadas, no EEG, anormalidades caracterizadas por ondas agudas ritmadas de projeção difusa no hemisfério cerebral direito, predominando na região occipital. São feitos comentários sobre a raridade do relato de anormalidades do tipo irritativo durante crises de cefaléia, sendo ressaltado o valor de tais achados para a classificação dessas cefaléias dentro do conceito de epilepsia.

SUMMARY

The case of a 9-year-old patient, in which the EEG was made during three crises of headache without the character of migraine is reported. Simultaneously with the crises the EEG showed rhythmic sharp waves in the right cerebral hemisphere prevailing in the occipital region. Comments are made on the rarity of reports showing irritative abnormalities in the EEG during headache crises. The value of these findings for the classification of some cases of headache within the concept of epilepsy is emphasized.

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Clínica Neurológica Faculdade de Medicina, Universidade de São Paulo Caixa Postal 3461 São Paulo, SP Brasil.

1. AKIMOTO, H. Electroencephalographic studies in migraine. Int. J. Neurol. (Montevideo) 3:379, 1962.
2. ARIAS, B. R.; DIES, J. M. S. & BADO, J. V. Estudio EEG de una serie de migrafiosos. Electroenceph. clin. Neurophysiol. 5:461, 1953.
3. BAROLIN, G. S. The EEG in atypical migraine. Electroenceph. clin. Neurophysiol. 17:348, 1964.
4. BAROLIN, G. S. Migraines and epilepsies a relationship? Epilepsia (Amsterdam) 7:53, 1966.
5. BAROLIN, G. S. The relationship between migraine and epilepsy. Electroenceph. clin. Neurophysiol. 20:106, 1966.
6. BOUDIN, G.; PEPIN, B.; BARBIZET, J. & MASSON, S. Migraine and EEG disturbances. Electroenceph. clin. Neurophysiol. 14:141, 1962.
7. CAMP, W. A. & WOLFF, H. G. Studies on headache. Arch. Neurol. 4:475, 1961.
8. CHAVANY, J. A.; LOBEL, G. & HAGENMULLER, D. L'epilepsie pseudo-migraineuse. Sem. Hôp. Paris 30:1626, 1954.
9. COTTE-RITTAUD, M. R. EEG abnormalities observed in patients with migraine. Electroenceph. clin. Neurophysiol. 17:720, 1964.
10. DOW, D. J. & WHITTY, C. W. M. Electro-encephalographic changes in migraine. Lancet 253ii:52, 1947.
11. EDES, A. O. & DALY, D. D. The EEG in a particular variety of migraine. Electroenceph. clin. Neurophysiol. 19:415, 1965.
12. EDES, A. O. & DALY, D. D. EEG studies in complex migraine. Electroenceph. clin. Neurophysiol. 23:86, 1967.
13. ENGEL, G. L.; FERRIS, E. B. & ROMANO, J. Focal electroencephalographic changes during the escotomas of migraine. Amer. J. Med. Sci. 209:650, 1945.
14. ENGEL, G. L.; HAMBURGER, W. W.; REISER, M. & PLUNKETT, J. Electroencephalographic and psychological studies of a case of migraine with severe preheadache phenomena. Psychosom. Med. 15:337, 1953.
15. ESPADALER-MEDINA, J. M. Céphalées epileptiques. World Neurol. 2:309, 1961.
16. FELDMAN, R. G. & GLASER, G. H. EEG study of methysergide in migraine. Electroenceph. clin. Neurophysiol. 15:699, 1963.
17. FRIEDMAN, A. P. & MERRIT, H. H. Migraine. In Friedman, A. P. & Merrit, H. H.: Headache: Diagnosis and Treatment. F. A. Davis Co. Publishers, Philadelphia, 1959, pp. 201-250.
18. FROELICH, W. A.; CARTER, C. C.; O'LEARY, J. L. & ROSENBAUM, H. E. Headache in childhood. Neurology (Minneapolis) 10:639, 1960.
19. GASTAUT, H.; NAVARRANNE, P. & SIMON y CANTON, L. EEG characteristics of migrainous cerebral attaks of a deficitary type (hémiplégie migraine). Electroenceph. clin. Neurophysiol. 23:381, 1967.
20. GIEL, R.; VLIEGER, M. & VLIET, A. G. M. Headache and the EEG. Electroenceph. clin. Neurophysiol. 21:292, 1966.
21. HALPERN, L. & BENTAL, E. Epileptic cephalea. Neurology (Minneapolis) 8:615, 1958.
22. HERON, J. R. The electroencephalogram in complex forms of migraine. Electroenceph. clin. Neurophysiol. 22:293, 1967.
23. HEYCK, H. Dolor de Cabeza. Trad, castelhana por C. R. Borstnar. Marin, Barcelona, 1959.
24. KUNKLE, E. C. In Merrit, H. H. Summary and discussion (Symposium on headache: its mechanism, diagnosis and management). Neurology (Minneapolis) 13 (mar. special issue) :38, 1963.
25. LENNOX, W. G. - Migraine, an autonomic epilepsy? In Lennox, W. G. & Lennox, M. A.: Epilepsy and Related Disorders. Little-Brown Boston, 1960, p. 449.
26. LERIQUE-.KOECHLIN, A. & MISES, J. L'EEG dans une manifestation paroxystique non-épileptique de l'enfant: la migraine. Electroenceph. clin. Neurophysiol. 16:203, 1964.
27. MATZILEWICH, B. & MERLIS, J. D. Headache as an epileptic manifestation. Arch. Neurol. Psychiat. (Chicago) 66:651, 1951.
28. MISES, J. & LÉRIQUE, A. Electroclinical study of chronic headaches in children. Electroenceph. clin. Neurophysiol. 12:941, 1960.
29. MOENCH, L. G. Migraine. In Moench, L. G.: Headache. The Year Book Publishers Inc., Chicago, 1947, pp. 154-186.
30. OBÁAL, F. & TOMKA, J. EEG examinations on patients with headaches. Electroenceph. clin. Neurophysiol. 12:935, 1960.
31. O'CONNOR, P. & DAVIES, R. Hemiplegic migraine. Electroenceph. clin. Neurophysiol. 19:531, 1965.
32. POLÁK, O. & GROF, P. An electroencephalographs record in cerebellar migraine and the influence of Ultracorten-H. Electroenceph. clin. Neurophysiol. 20:283, 1966.
33. PUPO, P. P.; ZUKERMAN, E. & ACUÑA-OLCESTER, E. Cefaléia: aspectos eletrencefalográficos. Rev. paul. Med. 67:165, 1965.
34. RODIN, E. A. Paroxysmal atypical headache associated with marked electroencefalographic abnormalities. Electroenceph. clin. Neurophysiol. 12:268, 1960.
35. SCHUMACHER, G. A. & WOLFF, H. G. Experimental studies on headache. Arch. Neurol. Psychiat. (Chicago) 45:199, 1941.
36. SMYTH, V. O. G. & WINTER, A. L. The EEG in migraine. Electroenceph. clin. Neurophysiol. 13:828, 1961.
37. SMYTH, V. O. G. & WINTER, A. L. The EEG in migraine. Electroenceph. clin. Neurophysiol. 16:194, 1964.
38. TARLAU, M.; ALLAN, D. F. & POMINA, A. Dysrhythmic migraine with unusual clinical and EEG features. Electroenceph. clin. Neurophysiol. 13:496, 1961.
39. TASHEV, T. Electroencephalographs findings in migraine and chronic headache. Electroenceph. clin. Neurophysiol. 15:716, 1963.
40. ULETT, G. A.; EVANS, D. & O'LEARY, J. L. Survey of EEG, findings in 1.000 patients with chief complaint of headache. Electroenceph. clin. Neurophysiol. 4:463, 1952.
41. UZUNOV, N. Some clinic-electrographic correlations in migrainous children. Electroenceph. clin. Neurophysiol. 17:709, 1964.
42. WEILL, A. A. EEG findings in a certain type of psychosomatic headache: dyshythmic migraine. Electroenceph. clin. Neurophysiol. 4:181, 1952.
43. ZIEGLER, D. K. & TORRES, F. Focal spike and wave activity in a patient with headaches. Electroenceph. clin. Neurophysiol. 8:133, 1956.

Datas de Publicação

Publicação nesta coleção
19 Abr 2013
Data do Fascículo
Jun 1971

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. AKIMOTO, H. Electroencephalographic studies in migraine. Int. J. Neurol. (Montevideo) 3:379, 1962.

[2] 2. ARIAS, B. R.; DIES, J. M. S. & BADO, J. V. Estudio EEG de una serie de migrafiosos. Electroenceph. clin. Neurophysiol. 5:461, 1953.

[3] 3. BAROLIN, G. S. The EEG in atypical migraine. Electroenceph. clin. Neurophysiol. 17:348, 1964.

[4] 4. BAROLIN, G. S. Migraines and epilepsies a relationship? Epilepsia (Amsterdam) 7:53, 1966.

[5] 5. BAROLIN, G. S. The relationship between migraine and epilepsy. Electroenceph. clin. Neurophysiol. 20:106, 1966.

[6] 6. BOUDIN, G.; PEPIN, B.; BARBIZET, J. & MASSON, S. Migraine and EEG disturbances. Electroenceph. clin. Neurophysiol. 14:141, 1962.

[7] 7. CAMP, W. A. & WOLFF, H. G. Studies on headache. Arch. Neurol. 4:475, 1961.

[8] 8. CHAVANY, J. A.; LOBEL, G. & HAGENMULLER, D. L'epilepsie pseudo-migraineuse. Sem. Hôp. Paris 30:1626, 1954.

[9] 9. COTTE-RITTAUD, M. R. EEG abnormalities observed in patients with migraine. Electroenceph. clin. Neurophysiol. 17:720, 1964.

[10] 10. DOW, D. J. & WHITTY, C. W. M. Electro-encephalographic changes in migraine. Lancet 253ii:52, 1947.

[11] 11. EDES, A. O. & DALY, D. D. The EEG in a particular variety of migraine. Electroenceph. clin. Neurophysiol. 19:415, 1965.

[12] 12. EDES, A. O. & DALY, D. D. EEG studies in complex migraine. Electroenceph. clin. Neurophysiol. 23:86, 1967.

[13] 13. ENGEL, G. L.; FERRIS, E. B. & ROMANO, J. Focal electroencephalographic changes during the escotomas of migraine. Amer. J. Med. Sci. 209:650, 1945.

[14] 14. ENGEL, G. L.; HAMBURGER, W. W.; REISER, M. & PLUNKETT, J. Electroencephalographic and psychological studies of a case of migraine with severe preheadache phenomena. Psychosom. Med. 15:337, 1953.

[15] 15. ESPADALER-MEDINA, J. M. Céphalées epileptiques. World Neurol. 2:309, 1961.

[16] 16. FELDMAN, R. G. & GLASER, G. H. EEG study of methysergide in migraine. Electroenceph. clin. Neurophysiol. 15:699, 1963.

[17] 17. FRIEDMAN, A. P. & MERRIT, H. H. Migraine. In Friedman, A. P. & Merrit, H. H.: Headache: Diagnosis and Treatment. F. A. Davis Co. Publishers, Philadelphia, 1959, pp. 201-250.

[18] 18. FROELICH, W. A.; CARTER, C. C.; O'LEARY, J. L. & ROSENBAUM, H. E. Headache in childhood. Neurology (Minneapolis) 10:639, 1960.

[19] 19. GASTAUT, H.; NAVARRANNE, P. & SIMON y CANTON, L. EEG characteristics of migrainous cerebral attaks of a deficitary type (hémiplégie migraine). Electroenceph. clin. Neurophysiol. 23:381, 1967.

[20] 20. GIEL, R.; VLIEGER, M. & VLIET, A. G. M. Headache and the EEG. Electroenceph. clin. Neurophysiol. 21:292, 1966.

[21] 21. HALPERN, L. & BENTAL, E. Epileptic cephalea. Neurology (Minneapolis) 8:615, 1958.

[22] 22. HERON, J. R. The electroencephalogram in complex forms of migraine. Electroenceph. clin. Neurophysiol. 22:293, 1967.

[23] 23. HEYCK, H. Dolor de Cabeza. Trad, castelhana por C. R. Borstnar. Marin, Barcelona, 1959.

[24] 24. KUNKLE, E. C. In Merrit, H. H. Summary and discussion (Symposium on headache: its mechanism, diagnosis and management). Neurology (Minneapolis) 13 (mar. special issue) :38, 1963.

[25] 25. LENNOX, W. G. - Migraine, an autonomic epilepsy? In Lennox, W. G. & Lennox, M. A.: Epilepsy and Related Disorders. Little-Brown Boston, 1960, p. 449.

[26] 26. LERIQUE-.KOECHLIN, A. & MISES, J. L'EEG dans une manifestation paroxystique non-épileptique de l'enfant: la migraine. Electroenceph. clin. Neurophysiol. 16:203, 1964.

[27] 27. MATZILEWICH, B. & MERLIS, J. D. Headache as an epileptic manifestation. Arch. Neurol. Psychiat. (Chicago) 66:651, 1951.

[28] 28. MISES, J. & LÉRIQUE, A. Electroclinical study of chronic headaches in children. Electroenceph. clin. Neurophysiol. 12:941, 1960.

[29] 29. MOENCH, L. G. Migraine. In Moench, L. G.: Headache. The Year Book Publishers Inc., Chicago, 1947, pp. 154-186.

[30] 30. OBÁAL, F. & TOMKA, J. EEG examinations on patients with headaches. Electroenceph. clin. Neurophysiol. 12:935, 1960.

[31] 31. O'CONNOR, P. & DAVIES, R. Hemiplegic migraine. Electroenceph. clin. Neurophysiol. 19:531, 1965.

[32] 32. POLÁK, O. & GROF, P. An electroencephalographs record in cerebellar migraine and the influence of Ultracorten-H. Electroenceph. clin. Neurophysiol. 20:283, 1966.

[33] 33. PUPO, P. P.; ZUKERMAN, E. & ACUÑA-OLCESTER, E. Cefaléia: aspectos eletrencefalográficos. Rev. paul. Med. 67:165, 1965.

[34] 34. RODIN, E. A. Paroxysmal atypical headache associated with marked electroencefalographic abnormalities. Electroenceph. clin. Neurophysiol. 12:268, 1960.

[35] 35. SCHUMACHER, G. A. & WOLFF, H. G. Experimental studies on headache. Arch. Neurol. Psychiat. (Chicago) 45:199, 1941.

[36] 36. SMYTH, V. O. G. & WINTER, A. L. The EEG in migraine. Electroenceph. clin. Neurophysiol. 13:828, 1961.

[37] 37. SMYTH, V. O. G. & WINTER, A. L. The EEG in migraine. Electroenceph. clin. Neurophysiol. 16:194, 1964.

[38] 38. TARLAU, M.; ALLAN, D. F. & POMINA, A. Dysrhythmic migraine with unusual clinical and EEG features. Electroenceph. clin. Neurophysiol. 13:496, 1961.

[39] 39. TASHEV, T. Electroencephalographs findings in migraine and chronic headache. Electroenceph. clin. Neurophysiol. 15:716, 1963.

[40] 40. ULETT, G. A.; EVANS, D. & O'LEARY, J. L. Survey of EEG, findings in 1.000 patients with chief complaint of headache. Electroenceph. clin. Neurophysiol. 4:463, 1952.

[41] 41. UZUNOV, N. Some clinic-electrographic correlations in migrainous children. Electroenceph. clin. Neurophysiol. 17:709, 1964.

[42] 42. WEILL, A. A. EEG findings in a certain type of psychosomatic headache: dyshythmic migraine. Electroenceph. clin. Neurophysiol. 4:181, 1952.

[43] 43. ZIEGLER, D. K. & TORRES, F. Focal spike and wave activity in a patient with headaches. Electroenceph. clin. Neurophysiol. 8:133, 1956.