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Wenner AM, Weitz L, Ostertag K, Hubmer S, Springer E, Stoiser B, Baumgartner C, Riederer F. Human Herpesvirus 6 in the CSF of a Woman With New-Onset Seizures: Encephalitis or Genomic Integration? Neurol Clin Pract 2021; 11:e753-e756. [PMID: 34840899 DOI: 10.1212/cpj.0000000000001024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 10/21/2020] [Indexed: 11/15/2022]
Affiliation(s)
- Allyson M Wenner
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Lisa Weitz
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Karoline Ostertag
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Stefan Hubmer
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Elisabeth Springer
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Brigitte Stoiser
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Christoph Baumgartner
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
| | - Franz Riederer
- Medical University of Vienna (AMW, LW); Department of Neurology (KO, SH, CB, FR), Hietzing Hospital with Neurological Center Rosenhuegel and Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology (KO, SH, CB, FR); Institute of Radiology (ES), and Department of Microbiology (BS), Hietzing Hospital with Neurological Center Rosenhuegel; Medical Faculty (CB), Sigmund Freund Private University, Vienna, Austria; and Department of Neurology (FR), University Hospital Zurich, University of Zurich, Switzerland
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Bauer PR, Tolner EA, Keezer MR, Ferrari MD, Sander JW. Headache in people with epilepsy. Nat Rev Neurol 2021; 17:529-544. [PMID: 34312533 DOI: 10.1038/s41582-021-00516-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2021] [Indexed: 02/06/2023]
Abstract
Epidemiological estimates indicate that individuals with epilepsy are more likely to experience headaches, including migraine, than individuals without epilepsy. Headaches can be temporally unrelated to seizures, or can occur before, during or after an episode; seizures and migraine attacks are mostly not temporally linked. The pathophysiological links between headaches (including migraine) and epilepsy are complex and have not yet been fully elucidated. Correct diagnoses and appropriate treatment of headaches in individuals with epilepsy is essential, as headaches can contribute substantially to disease burden. Here, we review the insights that have been made into the associations between headache and epilepsy over the past 5 years, including information on the pathophysiological mechanisms and genetic variants that link the two disorders. We also discuss the current best practice for the management of headaches co-occurring with epilepsy and highlight future challenges for this area of research.
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Affiliation(s)
- Prisca R Bauer
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
| | - Else A Tolner
- Department of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.,Department of Human Genetics, Leiden University Medical Centre, Leiden, The Netherlands
| | - Mark R Keezer
- Research Centre of the Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.,School of Public Health, Université de Montréal, Montreal, Quebec, Canada.,Stichting Epilepsie Instellingen Nederland, Heemstede, The Netherlands
| | - Michel D Ferrari
- Department of Neurology, Leiden University Medical Centre, Leiden, The Netherlands
| | - Josemir W Sander
- Stichting Epilepsie Instellingen Nederland, Heemstede, The Netherlands.,NIHR University College London Hospitals Biomedical Research Centre, UCL Queen Square Institute of Neurology, London, UK.,Chalfont Centre for Epilepsy, Chalfont St Peter, UK
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