Is It Migralepsy? Still Don't Know

Belcastro, Vincenzo; Striano, Pasquale; Parisi, Pasquale

doi:10.1111/head.12696

Cited by 9 publications

(2 citation statements)

References 8 publications

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“…On the other hand, migraine attacks may be associated with EEG slowing but not with epileptiform discharges. Thus, patients with suspected migraine-triggered epilepsy should be studied carefully with EEG-video monitoring as the clinical findings of visual aura that precede both conditions can be ambiguous ( 14 ). Unfortunately, ICDH-3 diagnostic criteria do not include EEG evaluation ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Migralepsy: The Two-Faced Janus of Neurology

et al. 2021

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We report three cases of pediatric patients suffering from migraine aura triggered seizures. This entity, also called migralepsy, still does not have a unique definition today. Migraine and epilepsy are both episodic neurological disorders with periods of interictal well-being; this is indicative of similar pathophysiological mechanisms, such as increased neuronal excitation and ion channel dysfunction. The purpose of this paper is to discuss the clinical and instrumental features of migralepsy through the description of three clinical cases in which the symptoms of the usual migraine aura developed into a generalized tonic–clonic or focal seizure.

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Section: Discussionmentioning

confidence: 99%

Case Report: Migralepsy: The Two-Faced Janus of Neurology

et al. 2021

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“…В 1960 г. В. Леннокс и М. Леннокс впервые описали случай «мигралепсии» у пациентки с офтальмической мигренью (в настоящее время используется термин «мигрень с аурой»), у которой после зрительной ауры возникала типичная мигренозная головная боль (ГБ), а затем эпилептический приступ с характерными проявлениями [4]. Понятие мигралепсии широко использовалось в литературе вплоть до начала XXI в. После активной дискуссии в литературе термин «мигралепсия» был подвергнут критике, как не отражающий истинные патофизиологические механизмы ГБ, возникающей в связи с эпилептическим приступом, и его дальнейшее использование было сочтено некорректным [5][6][7][8].…”

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Headache and epilepsy: prevalence and clinical variants

Осипова

Артеменко

Shmidt

et al. 2023

RJTAO

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Headache, which is often present in patients with epilepsy, can occur outside of epileptic seizures as well as have a temporary connection with them – occur immediately before, during or after an attack. Clinical types of headache in epilepsy are considered in the International Classification of Headache, but not in the classification of epileptic seizures and types of epilepsy. Meanwhile, the presence of concomitant headache and its clinical phenotype should be taken into account when choosing treatment tactics in patients with epilepsy. The article presents data on the prevalence of different types of headache in patients with epilepsy and a modern classification of cephalalgia depending on the temporal relationship with an epileptic attack. Diagnostic criteria for four clinical variants of cephalgia are given: interictal, preictal, ictal and postictal. The comorbid relationship between epilepsy and migraine is considered in more detail, including the pathophysiological mechanisms underlying the combination of these paroxysmal conditions.

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Headache and Epilepsy

Watemberg

Guidetti

2017

Headache and Comorbidities in Childhood and Adolescence

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Is It Migralepsy? Still Don't Know

Cited by 9 publications

References 8 publications

Case Report: Migralepsy: The Two-Faced Janus of Neurology

Case Report: Migralepsy: The Two-Faced Janus of Neurology

Headache and epilepsy: prevalence and clinical variants

Headache and Epilepsy

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