Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report
Background Ictal epileptic headache is a very rare form of painful seizure that closely mimics several classic headache syndromes, including trigeminal neuralgia. Case Here, we present a woman who was treated as for treatment-refractory unilateral trigeminal neuralgia over 10 years, which was later...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-05-01
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| Series: | Cephalalgia Reports |
| Online Access: | https://doi.org/10.1177/25158163251342806 |
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| author | Demuni P Jayasena Karunanayaka A S K Karunanayaka Sudath Gunasekara Pathberiyage L S Pathberiya Sanjeewa Garusinghe Amila Chandrakumara Sunethra Senanayake Inuka K Gooneratne |
| author_facet | Demuni P Jayasena Karunanayaka A S K Karunanayaka Sudath Gunasekara Pathberiyage L S Pathberiya Sanjeewa Garusinghe Amila Chandrakumara Sunethra Senanayake Inuka K Gooneratne |
| author_sort | Demuni P Jayasena |
| collection | DOAJ |
| description | Background Ictal epileptic headache is a very rare form of painful seizure that closely mimics several classic headache syndromes, including trigeminal neuralgia. Case Here, we present a woman who was treated as for treatment-refractory unilateral trigeminal neuralgia over 10 years, which was later deemed to be due to somatosensory seizures from the insular cortex. A cavernous haemangioma in the right insular cortex was identified as the causative lesion for these recurrent seizures and was successfully treated with resective surgery. Conclusion This case underscores the importance of considering lesional ictal epileptic headaches as a differential diagnosis of treatment-resistant neuralgiform headaches, which can be effectively managed by targeted surgical resection thereby inducing long-term headache or seizure remission. |
| format | Article |
| id | doaj-art-0cd8ce3af3eb43cb862b497810b9dc38 |
| institution | OA Journals |
| issn | 2515-8163 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cephalalgia Reports |
| spelling | doaj-art-0cd8ce3af3eb43cb862b497810b9dc382025-08-20T02:34:13ZengSAGE PublishingCephalalgia Reports2515-81632025-05-01810.1177/25158163251342806Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case reportDemuni P Jayasena0Karunanayaka A S K Karunanayaka1Sudath Gunasekara2Pathberiyage L S Pathberiya3Sanjeewa Garusinghe4Amila Chandrakumara5Sunethra Senanayake6Inuka K Gooneratne7 Department of Clinical Sciences, , Rathmalana, Sri Lanka Institute of Neurology, , Colombo, Sri Lanka East and North Hertfordshire NHS Trust, , Hertford, UK Institute of Neurology, , Colombo, Sri Lanka Institute of Neurology, , Colombo, Sri Lanka Institute of Neurology, , Colombo, Sri Lanka Institute of Neurology, , Colombo, Sri Lanka Department of Medicine and Mental Health, Faculty of Medicine, , Moratuwa, Sri LankaBackground Ictal epileptic headache is a very rare form of painful seizure that closely mimics several classic headache syndromes, including trigeminal neuralgia. Case Here, we present a woman who was treated as for treatment-refractory unilateral trigeminal neuralgia over 10 years, which was later deemed to be due to somatosensory seizures from the insular cortex. A cavernous haemangioma in the right insular cortex was identified as the causative lesion for these recurrent seizures and was successfully treated with resective surgery. Conclusion This case underscores the importance of considering lesional ictal epileptic headaches as a differential diagnosis of treatment-resistant neuralgiform headaches, which can be effectively managed by targeted surgical resection thereby inducing long-term headache or seizure remission.https://doi.org/10.1177/25158163251342806 |
| spellingShingle | Demuni P Jayasena Karunanayaka A S K Karunanayaka Sudath Gunasekara Pathberiyage L S Pathberiya Sanjeewa Garusinghe Amila Chandrakumara Sunethra Senanayake Inuka K Gooneratne Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report Cephalalgia Reports |
| title | Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report |
| title_full | Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report |
| title_fullStr | Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report |
| title_full_unstemmed | Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report |
| title_short | Lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery: A case report |
| title_sort | lesional insular epilepsy mimicking treatment refractory trigeminal neuralgia effectively treated with epilepsy surgery a case report |
| url | https://doi.org/10.1177/25158163251342806 |
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