Migralepsy: A Case Report (original) (raw)
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The journal of headache and pain, 2011
Despite the fact that migraine and epilepsy are among the commoner brain diseases and that comorbidity of these conditions is well known, only few reports of migralepsy and hemicrania epileptica (HE) have been published according to the current ICHD-II criteria. Particularly, ICHD-II describes "migraine-triggered seizure" (i.e., migralepsy) among complications of migraine at "1.5.5" (as a rare event in which a seizure happens during migrainous aura), while hemicrania epileptica (coded at "7.6.1") and post-ictal headache (coded at "7.6.2") are described among headaches attributed to epileptic seizure. However, to date neither the International Headache Society nor the International League against Epilepsy mention that headache/migraine may be the sole ictal epileptic manifestation. Based on the current knowledge, migralepsy is highly unlikely to exist as such. We, therefore, propose to delete this term until clear evidence its existence is prov...
Migraine in the borderland of epilepsy: “Migralepsy” an overlapping syndrome of children and adults?
Epilepsia, 2012
Gowers gave migraine a place in the borderland of epilepsy, justified by many relations and the fact that distinction of these two diseases is difficult. Gowers based his ideas on clinical histories from his patients, and he concluded that in extremely rare instances one may develop while the other goes on. In modern times, patient testimonies of the problem of differentiating migraine from epilepsy are given in health-chat Websites. It shows clearly that distinction between the two conditions is still problematic and that migralepsy is either nonexisting or extremely rare as Gowers noticed.
Migralepsy; clinical and electroencephalography findings in children
Experimental Biomedical Research, 2019
Migralepsy is a clinical entity that occasionally represents a diagnostic problem. An apparent history and clinical manifestation of migraine may mask the epileptic attack accompanying migralepsy. The aim of this study is to present our experience with clinical and electroencephalography (EEG) findings and treatment of our patients diagnosed with childhood migralepsy disease. Methods: We documented six patients who were initially followed-up with a diagnosis of migraine, subsequently observed to have epileptic seizures, and then diagnosed with migralepsy. Result: Our patients became asymptomatic by giving good responses to antiepileptic therapy based on clinical and electroencephalography (EEG) findings. Conclusions: This case series shows that EEG recording can be useful in all stages of migraine for long-term, safe monitoring. Identifying patients with possible migralepsy will enable them to receive antiepileptic treatment.
Epilepsy, Migraine, and EEG Abnormalities in Children: A Review and Hypothesis
Headache: The Journal of Head and Face Pain, 1982
The relationship between migraine and epilepsy is reviewed. Recurrent paroxysmal episodes in children and their relationship to electroencephalographic abnormalities is discussed. Relevant literature concerning the 14 and 6/second positive spike pattern is also surveyed. The electroencephalographic data from a group of 116 pediatric headache patients was conpared to a group of 93 children previously diagnosed with seizure disorders. In the headache group, the 14 and 6/second positive spike abnormality was seen in 40.7% of the abnormal recordings, either by itself or with other abnormalities, and in 12.2% of all EEGs performed. This pattern was found in 6.5% of all abnormal EEGs and in 4.3% of all EEGs performed in the seizure group. It is hypothesized that the 14 and 6/second positive spike pattern is a marker for autonomic hyper-reactivity and is most readily found in children under 16 years of age. The use of the electroencephalogram in the pediatric headache work-up is emphasized to differentiate the "Seizure Equivalent" headache disorder from migraine. Anticonvulsant medication is the appropriate treatment for the "Seizure Equivalent" headache disorder.
From migralepsy to ictal epileptic headache: the story so far
Neurological Sciences, 2013
In the last few years several cases of headache as sole manifestation of an epileptic seizure have been reported and the term ''ictal epileptic headache'' has been recently proposed to identify an EEG-recorded epileptic seizure with migraine/headache-like features. Among the potential practical implications arising from these clinical observations, there is the urgent need for a revision of both International Classifications of Epilepsy and Headache disorders. We discuss these topics and provide additional comments about the physiopathological links between epilepsy and migraine.
The Epilepsy Case Of Childhood In A Patient Admitted Because Of Headache To The Primary Care
Benign partial epilepsy of childhood is well-developed, idiopathic syndromes which are occurring in normal children with psychomotor development. No pathological findings are found in laboratory and neuroimaging studies. These syndromes are related to age and attacks tend to end spontaneously around adolescence. In EEG, special morphology localized spikes and spike waves with an increase in sleep are observed. The most typical and widely known form is benign childhood epilepsy with centrotemporal spikes (BCECTS). Panayiotopoulos syndrome and idiopathic childhood paroxysms occipital epilepsy of Gastaut are also included in this group. In this case, a 3-year-old patient who applied with a complaint of headache, had no pathological findings in her laboratory and investigations, had pathology in his EEG (the sharp slow wave complexes in the fronto-temporal region of the right hemisphere were noteworthy during the entire trache) was taken and a decreased in complaints with carbamazepine treatment was described. Childhood epilepsy should be kept in mind in patients who applied with childhood migraine-like headaches and do not benefit from classic headache treatments.
Relationship between migraine and abnormal EEG findings in children
Iranian journal of child neurology, 2012
Migraine is a disabling illness that causes absence from school and affects the quality of life. It has been stated that headache may represent an epileptic event. EEG abnormality is a prominent finding in children with migraine. The aim of this study was to evaluate EEG abnormalities in children with migraine. Two-hundred twenty-eight children were enrolled into the study. Evaluation and following of cases was performed by one physician, paraclinical tests were used to increase the accuracy. The study was conducted under the supervision of pediatric neurology masters and the selected cases were from different parts of the country. Comparing EEG abnormalities in different types of migraine revealed that there is an association between them. There was also a significant difference between EEG abnormalities in different types of aura. Migraine type was associated with the patient's age. Sleep disorders were more common in patients with a positive family history of seizure. Our stu...