Article
Clinical Neurology
Giorgia Sforza, Claudia Ruscitto, Romina Moavero, Fabiana Ursitti, Michela Ada Noris Ferilli, Samuela Tarantino, Martina Balestri, Federico Vigevano, Massimiliano Valeriani, Laura Papetti
Summary: Migralepsy, or migraine aura triggered seizures, lacks a unique definition. Migraine and epilepsy are both episodic neurological disorders with possibly similar pathophysiological mechanisms.
FRONTIERS IN NEUROLOGY
(2021)
Review
Neurosciences
Divyani Garg, Manjari Tripathi
Summary: Migraine and epilepsy exhibit a complex and pathophysiologically intriguing relationship, including shared clinical features and intertwined genetic and molecular underpinnings. The ICHD-3 provides diagnostic provisions for these two conditions, while neurological diseases may present both migraine and epilepsy, necessitating attention to diagnostic confusion and treatment approaches.
Article
Clinical Neurology
Arife Cimen Atalar, Aynur Ozge, Bengi Gul Turk, Esme Ekizoglu, Duygu Kurt Gok, Betul Baykan, Semih Ayta, Fusun Ferda Erdogan, Seher Naz Yeni, Bahar Tasdelen, Sibel K. Velioglu
Summary: In this study, the diagnostic gaps in the diagnosis of comorbid migraine without aura (MwoA) in patients with idiopathic/genetic epilepsy (I/GE) were disclosed using a zone concept. Longer headache duration, throbbing pain, increase of pain by physical activity, photophobia and/or phonophobia, presence of vertigo/dizziness, osmophobia, and higher VAS scores were found to be the main associated factors for the comorbid MwoA diagnosis in patients with I/GEs.
FRONTIERS IN NEUROLOGY
(2023)
Article
Behavioral Sciences
Harshad Chovatiya, Krushan Yajnik, Soaham Desai
Summary: This study evaluated the prevalence and types of headaches in patients with epilepsy, and found that headaches have an impact on the mental health and quality of life of these patients.
EPILEPSY & BEHAVIOR
(2023)
Article
Medicine, Research & Experimental
Katharina Schiller, Markus Rauchenzauner, Tamir Avidgor, Sana Hannan, Carlo Lorenzen, Manuela Kaml, Gerald Walser, Iris Unterberger, Vera Filippi, Gregor Broessner, Gerhard Luef
Summary: This study examined the distribution of different primary headache disorders in a large cohort of patients with diagnosed epilepsy. The most common headache types in epilepsy patients were migraine and tension-type headache. Female epilepsy patients reported headaches significantly more often than male patients. Monotherapy in antiepileptic drugs (AEDs) might have a beneficial effect on the frequency of headache compared to polytherapy.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2023)
Article
Obstetrics & Gynecology
Benedetta Pasquini, Viola Seravalli, Silvia Vannuccini, Francesco La Torre, Pierangelo Geppetti, Luigi Iannone, Silvia Benemei, Felice Petraglia
Summary: In women with endometriosis, many experience headache, and about 53.4% of them are diagnosed with migraine. Among these, 18.6% have pure menstrual migraine, 45.7% have menstrually related migraine, and 35.7% have non-menstrual migraine. Patients with endometriosis and migraine are more likely to have dysmenorrhea and dysuria compared to those without migraine.
REPRODUCTIVE BIOMEDICINE ONLINE
(2023)
Article
Clinical Neurology
L. Vercueil
Summary: Migralepsy, a clinical event caused by the comorbidity of epilepsy and migraine, has been subject to criticism but also gained international recognition.
REVUE NEUROLOGIQUE
(2022)
Article
Clinical Neurology
Genevieve Demarquay, Emilie Sala, Ahmed Adham, Jean-Philippe Camdessanche, Philippe Convers, Laure Mazzola
Summary: This case report describes a 16-year-old girl with a 5-year history of severe bilateral frontotemporal headaches. Right hippocampal sclerosis was found on head magnetic resonance imaging. The diagnosis of pure ictal epileptic headache was confirmed by video-electroencephalographic monitoring. The patient underwent a right anterior temporal lobectomy and remained seizure-free and headache-free for 10 years.
Article
Anesthesiology
Hsiangkuo Yuan, Samantha Strutner, Clara Yuh, Suwarna Anand, Gaurav Chauhan, Anand Prem, Shalini Shah, Nathaniel M. Schuster
Summary: With headache being a common complaint, accurately diagnosing and treating specific headache disorders requires understanding and differentiating various headache characteristics. This article discusses several myths about common headache disorders and provides a discussion based on the International Classification of Headache Disorders and the latest studies. Understanding the intricacies of headache diagnoses helps providers provide better care for patients.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Medicine, General & Internal
Elena R. R. Lebedeva, Natalia M. M. Gurary, Jes Olesen
Summary: This paper describes a special case of MI and analyzes previously published case reports. A diagnostic recommendation for migrainous infarction was developed based on an analysis of 35 previously published articles. It can improve the quality of diagnosis when used together with the diagnostic criteria of the ICHD.
Article
Clinical Neurology
Morris Levin
Summary: Proper diagnosis is crucial for successful management of headache disorders, with a need to distinguish secondary causes from primary headache disorders and classify headache types in clinical work and research.
SEMINARS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Chiara Scoppola, Giorgio Magli, Marta Conti, Maria Fadda, Giovanni M. Luzzu, Delia M. Simula, Alessandra Carta, Stefano Sotgiu, Susanna Casellato
Summary: This case report describes a girl with GLUT1-DS, presenting with a mild phenotype and hemiplegic migraine due to a CACNA1A mutation. Genetic testing played a crucial role in confirming the diagnosis and guiding the specific pharmacotherapy in this patient.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Anam Hareem, Mahsa Pahlavanzadeh, Nicholas E. Calvo, Sanaz Monjazeb, Chinekwu Anyanwu
Summary: Migraine and epilepsy are common chronic neurological disorders with similar presentation of paroxysmal attacks. This case report describes a male patient with a history of migraine who presented with new onset symptoms and visual disturbances. Through EEG examination, the clinical symptoms were confirmed to be caused by epileptic seizures. The article also discusses the confusion in diagnostic criteria for migraines, epilepsy, and related syndromes.
FRONTIERS IN NEUROLOGY
(2022)
Review
Neurosciences
Daniela D'Agnano, Salvatore Lo Cascio, Edvige Correnti, Vincenzo Raieli, Vittorio Sciruicchio
Summary: Since the first descriptions of visual hallucinations in migraine and occipital lobe epilepsy, recognizing epileptic seizures of the occipital lobe has become a challenge due to the similarities with migraine symptoms. Detailed clinical examination of visual impairment can help differentiate the two diseases, especially in children where overlaps are common. Understanding the distinctive features of visual aura in migraine and visual hallucinations in occipital epilepsy can provide insights into the underlying mechanisms of these conditions.
Article
Clinical Neurology
Richard B. Lipton, Robert A. Nicholson, Michael L. Reed, Andre B. Araujo, Dena H. Jaffe, Douglas E. Faries, Dawn C. Buse, Robert E. Shapiro, Sait Ashina, M. Janelle Cambron-Mellott, John C. Rowland, Eric M. Pearlman
Summary: The OVERCOME (US) 2018 study revealed slow but steady progress in the diagnosis and preventive treatment of migraines, but many patients still have unmet needs in terms of consulting, diagnosis, and treatment. Additionally, there are varying unmet needs within the category of episodic migraines.