Migralepsy
Migralepsy | |
---|---|
Specialty | Neurology |
Migralepsy is a rare condition in which a
Signs and symptoms
General symptoms of migralepsy are:[5]
- Flashes of light
- Geometric or animate forms
- Visual hallucinations
- Vomiting
- Headache
- Blindness
- Loss of consciousness
- Convulsions
Cause
The connection between migraines and epileptic seizures is currently being researched and not much is known. Patients have been shown to have had migraines long before developing epileptic symptoms, creating the possibility of severe cases of migraines creating epilepsy.[6][7] However, not every migraine may be accompanied by a seizure and sometimes the seizures happen without any migraine involvement. Due to this, finding the origin of migralepsy is difficult and enveloped somewhere in the overlap between both conditions. Some patients have shown that their relatives had migraines as well and even some from migralepsy, forming the possibility that migralepsy is genetic in origin and forms only rarely as both, generally resulting in only one condition or the other.[8][9][10]
Diagnosis
Because epileptic seizures may occur with a side effect that resembles migraine aura, it is complicated to diagnose whether a patient is having a normal epileptic episode or if it is a true migraine that is then being followed by a seizure, which would be a true sign of migralepsy. Many neurological symptoms can only be expressed by the patient, who can confuse different feelings, especially when the symptoms of a migraine are extremely similar to that of a seizure. Thus, many physicians are reluctant to consider migralepsy to be a true condition, considering its rarity, and those that do believe in it are prone to over-diagnose it, leading to more problems in terms of finding the truth of the condition.[11][12][13]
However, it has been found that
Treatment
Since migralepsy is, for all intents and purposes, a combination of migraines and epilepsy, the medication for the conditions supplied individually can be combined jointly in order to lessen the effects of both. It is also helpful that many
References
- ^ "Migraine Variants" - eMedicine
- ^ "Epilepsy: A Comprehensive Textbook, Volume 1" - Google Books
- S2CID 45270770.
- PMID 20112041.
- PMID 18090566.
- ^ "Pathomechanisms of persistent aura" - Migraine Aura Foundation Archived 2010-12-19 at the Wayback Machine
- ^ a b "Migraine, Epilepsy, and Migralepsy: Myths and Realities" - UC Davis Department of Neurology
- ISBN 0-8493-3695-3. Retrieved February 4, 2012.
- ^ "Epilepsy Migraine - More than just a headache" - .docstoc
- S2CID 9846083.
- ISBN 978-1-84628-643-8. Retrieved February 4, 2012.
- ISBN 0-86196-577-9. Retrieved February 4, 2012.
- ^ "Migralepsy" and the Significance of Differentiating Occipital Seizures from Migraine - InterScience
- ^ "The EEG: Differential diagnosis of migraine and epilepsy" - Epilepsy.com
External links
- Sances, Grazia; Guaschino, Elena; Perucca, Piero; Allena, Marta; Ghiotto, Natascia; Manni, Raffaele (2009). "Migralepsy: A call for a revision of the definition". Epilepsia. 50 (11): 2487–96. S2CID 38540011.
- "Migraine and Epilepsy: Epidemiologic connections" - Epilepsy.com
- Barre, M; Hamelin, S; Minotti, L; Kahane, P; Vercueil, L (2008). "Aura visuelle migraineuse et crise épileptique : La migralepsie revisitée" [Epileptic seizure and migraine visual aura: revisiting migralepsy]. PMID 18405775.
- Simone, R.; Ranieri, A.; Marano, E.; Beneduce, L.; Ripa, P.; Bilo, L.; Meo, R.; Bonavita, V. (2007). "Migraine and epilepsy: Clinical and pathophysiological relations". Neurological Sciences. 28: S150–5. S2CID 28524622.