A rare case of lupus cerebritis presenting as ictal epileptic headache: A case report
Ictal epileptic headache, characterized by headache as the sole symptom of a seizure attack, is a rare condition. In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The...
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| Veröffentlicht in: | Headache 2024-06, Vol.64 (6), p.685-691 |
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| creator | Zandieh, Ali Seeger, Susanne K. Tunnell, Evelyn C. Wheeler, Shawna K. |
| description | Ictal epileptic headache, characterized by headache as the sole symptom of a seizure attack, is a rare condition. In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The headache was described as an intense painful wave followed by a dull headache, without autonomic symptoms or migrainous features. Magnetic resonance imaging revealed an enhancing lesion in the left hippocampus in addition to two other lesions in the corpus callosum and left parieto‐occipital lobe. Electroencephalography during the headache episodes showed epileptic discharges originating from the left fronto‐temporal region. The patient was initiated on levetiracetam, which resulted in the resolution of both the epileptic discharges and the headaches. This case underscores the significance of considering ictal epileptic headache as a potential secondary cause for headaches, particularly in patients with underlying conditions that may predispose them to epilepsy, such as systemic lupus erythematosus. |
| doi_str_mv | 10.1111/head.14712 |
| format | Article |
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In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The headache was described as an intense painful wave followed by a dull headache, without autonomic symptoms or migrainous features. Magnetic resonance imaging revealed an enhancing lesion in the left hippocampus in addition to two other lesions in the corpus callosum and left parieto‐occipital lobe. Electroencephalography during the headache episodes showed epileptic discharges originating from the left fronto‐temporal region. The patient was initiated on levetiracetam, which resulted in the resolution of both the epileptic discharges and the headaches. 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In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The headache was described as an intense painful wave followed by a dull headache, without autonomic symptoms or migrainous features. Magnetic resonance imaging revealed an enhancing lesion in the left hippocampus in addition to two other lesions in the corpus callosum and left parieto‐occipital lobe. Electroencephalography during the headache episodes showed epileptic discharges originating from the left fronto‐temporal region. The patient was initiated on levetiracetam, which resulted in the resolution of both the epileptic discharges and the headaches. This case underscores the significance of considering ictal epileptic headache as a potential secondary cause for headaches, particularly in patients with underlying conditions that may predispose them to epilepsy, such as systemic lupus erythematosus.</description><subject>Anticonvulsants</subject><subject>Autoimmune diseases</subject><subject>Case reports</subject><subject>Chronic conditions</subject><subject>Corpus callosum</subject><subject>EEG</subject><subject>Electroencephalography</subject><subject>Epilepsy</subject><subject>Epilepsy - complications</subject><subject>Epilepsy - diagnosis</subject><subject>Epilepsy - drug therapy</subject><subject>Epilepsy - etiology</subject><subject>Epilepsy - physiopathology</subject><subject>Etiracetam</subject><subject>Female</subject><subject>Headache</subject><subject>Headache - diagnosis</subject><subject>Headache - etiology</subject><subject>Headaches</subject><subject>Humans</subject><subject>ictal epileptic headache</subject><subject>Lesions</subject><subject>Lupus</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Lupus Vasculitis, Central Nervous System - complications</subject><subject>Lupus Vasculitis, Central Nervous System - diagnosis</subject><subject>Lupus Vasculitis, Central Nervous System - physiopathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Occipital lobe</subject><subject>Seizures</subject><subject>Systemic lupus erythematosus</subject><issn>0017-8748</issn><issn>1526-4610</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqWw8AOQJRaElHKOHTthi0r5kCqx0DlynAtNlTbBToT673FJYWDgllsePXfvS8glgynzc7dCXUyZUCw8ImMWhTIQksExGQMwFcRKxCNy5twaAIRM5CkZ8VgBhBLGZJlSqy1Sox3SpqR13_aOGrSY26qrHG0tOtx21fadakcr0-maYlvV2HaVofvT2qzwnqaDwmLb2O6cnJS6dnhx2BOyfJy_zZ6DxevTyyxdBIYzGQaIRQFSh0Jxw0rkSW6khLhgYKRgOpR5wnShpNA65lHho6ko5lJAiYmMUfEJuRm8rW0-enRdtqmcwbrWW2x6l3GIIOFKhZFHr_-g66a3W_-dp2ScJEIk3FO3A2Vs45zFMmtttdF2lzHI9mVn-8TZd9kevjoo-3yDxS_6064H2AB8-r52_6iy53n6MEi_AHHGh24</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Zandieh, Ali</creator><creator>Seeger, Susanne K.</creator><creator>Tunnell, Evelyn C.</creator><creator>Wheeler, Shawna K.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202406</creationdate><title>A rare case of lupus cerebritis presenting as ictal epileptic headache: A case report</title><author>Zandieh, Ali ; Seeger, Susanne K. ; Tunnell, Evelyn C. ; Wheeler, Shawna K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3162-eedd06a2473c1fe39bc6608d10c641a26b91ad764aa835d1527583640fe968e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anticonvulsants</topic><topic>Autoimmune diseases</topic><topic>Case reports</topic><topic>Chronic conditions</topic><topic>Corpus callosum</topic><topic>EEG</topic><topic>Electroencephalography</topic><topic>Epilepsy</topic><topic>Epilepsy - complications</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - drug therapy</topic><topic>Epilepsy - etiology</topic><topic>Epilepsy - physiopathology</topic><topic>Etiracetam</topic><topic>Female</topic><topic>Headache</topic><topic>Headache - diagnosis</topic><topic>Headache - etiology</topic><topic>Headaches</topic><topic>Humans</topic><topic>ictal epileptic headache</topic><topic>Lesions</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Lupus Vasculitis, Central Nervous System - complications</topic><topic>Lupus Vasculitis, Central Nervous System - diagnosis</topic><topic>Lupus Vasculitis, Central Nervous System - physiopathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Middle Aged</topic><topic>Occipital lobe</topic><topic>Seizures</topic><topic>Systemic lupus erythematosus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zandieh, Ali</creatorcontrib><creatorcontrib>Seeger, Susanne K.</creatorcontrib><creatorcontrib>Tunnell, Evelyn C.</creatorcontrib><creatorcontrib>Wheeler, Shawna K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zandieh, Ali</au><au>Seeger, Susanne K.</au><au>Tunnell, Evelyn C.</au><au>Wheeler, Shawna K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A rare case of lupus cerebritis presenting as ictal epileptic headache: A case report</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2024-06</date><risdate>2024</risdate><volume>64</volume><issue>6</issue><spage>685</spage><epage>691</epage><pages>685-691</pages><issn>0017-8748</issn><issn>1526-4610</issn><eissn>1526-4610</eissn><abstract>Ictal epileptic headache, characterized by headache as the sole symptom of a seizure attack, is a rare condition. In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The headache was described as an intense painful wave followed by a dull headache, without autonomic symptoms or migrainous features. Magnetic resonance imaging revealed an enhancing lesion in the left hippocampus in addition to two other lesions in the corpus callosum and left parieto‐occipital lobe. Electroencephalography during the headache episodes showed epileptic discharges originating from the left fronto‐temporal region. The patient was initiated on levetiracetam, which resulted in the resolution of both the epileptic discharges and the headaches. This case underscores the significance of considering ictal epileptic headache as a potential secondary cause for headaches, particularly in patients with underlying conditions that may predispose them to epilepsy, such as systemic lupus erythematosus.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38700260</pmid><doi>10.1111/head.14712</doi><tpages>7</tpages></addata></record> |
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| subjects | Anticonvulsants Autoimmune diseases Case reports Chronic conditions Corpus callosum EEG Electroencephalography Epilepsy Epilepsy - complications Epilepsy - diagnosis Epilepsy - drug therapy Epilepsy - etiology Epilepsy - physiopathology Etiracetam Female Headache Headache - diagnosis Headache - etiology Headaches Humans ictal epileptic headache Lesions Lupus Lupus Erythematosus, Systemic - complications Lupus Vasculitis, Central Nervous System - complications Lupus Vasculitis, Central Nervous System - diagnosis Lupus Vasculitis, Central Nervous System - physiopathology Magnetic Resonance Imaging Middle Aged Occipital lobe Seizures Systemic lupus erythematosus |
| title | A rare case of lupus cerebritis presenting as ictal epileptic headache: A case report |
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