Can Ice Pick Headaches be related to Temporal Lobe Epilepsy?

by Kristin
(Lincoln, Nebraska USA.)

Im a 31 year old female who was diagnosed with Left Temporal Lobe Epilepsy at the age of 18 Months Old. Ive been on several different seizure medications, but have been well controled with taking Keppra XR since May 2011. Prior to being on Keppra XR, I was on Keppra XR and Carbatrol ER for over 11 years together. It worked well for my seizures.

In March 2011, I had my first VEEG (video eeg) done. I had a lot of simple partial seizures, but no tonic clonic seizures. So my neurologist wanted to try me on one seizure medication instead of two. It took a couple of months, but I finally was doing well with one seizure medication.

In the past couple of days, Ive had these weird headaches occur. It was two nights ago, I was laying in bed watching tv, when all of a sudden I had a sharp pain right above my left ear area. It didn't last long, and kind of just faded away. It left me with a slight headache. in the next couple of days afterwords, its happened on and off through out the day. Ive been taking ibuprophen for the pain. Ive always felt like rocks were on my eyes. Very tired and sluggish feeling. I see my neurologist in 9 days, and wanted to see if by any chance this was related to having Left Temporal Lobe Epilepsy?

I do not smoke, or drink

other than taking pain medication, that's all I've tried to help take them away.

Thank you



Hi Kristin,

I am glad your seizures are under good control.

In response to your question, there is about a 5% overlap between seizure and migraine. This means 5% of migraineurs have seizure and vice versa. Although your headaches do not sound like migraine, your neurologist can sort it out.

Other possibilities include a mild tension type headache, which when on the side of the head is usually coming from the neck. Feel free to read some more about headaches and neck pain and see if this applies to you.

I am not quite sure that you do have what is termed ice pick headache as that is a type of headache that has sharp short lived pain and no other symptoms. There is no headache afterwards and no eye pain.

Talk to the neurologist as a new onset of headache or a change in your headache profile may require and MRI.

Good luck!
Mary Kay Betz MS RPA-C

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