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.
摘要：
癫痫性头痛，以头痛为特征的癫痫发作的唯一症状，是一种罕见的情况。在这个案例报告中,我们介绍了一名52岁女性,有系统性红斑狼疮病史,她因一种新型头痛在头痛诊所就诊.头痛被描述为剧烈的疼痛波，然后是迟钝的头痛，没有自主神经症状或偏头痛特征。磁共振成像显示，除了call体和左侧顶枕叶中的另外两个病变外，左侧海马中的病变也在增强。头痛发作期间的脑电图显示癫痫性放电源自左额颞区。患者开始服用左乙拉西坦，这导致了癫痫放电和头痛的解决。该病例强调了将发作性癫痫性头痛视为头痛的潜在次要原因的重要性，特别是在有潜在疾病的患者中，如系统性红斑狼疮。
