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- Title
Two Patients With Visual Aura - Migraine, Epilepsy, or Migralepsy?
- Authors
Hartl, Elisabeth; Rémi, Jan; Noachtar, Soheyl
- Abstract
Background The concept of migralepsy refers to visual migraine auras that seemingly evolve into epileptic seizures. It was discussed controversially ever since and scientific proof for this entity is scarce. Methods We report two patients with visual aura fulfilling the diagnostic criteria for migralepsy. In both patients, habitual attacks were recorded during long-term video electroencephalography ( EEG) monitoring. Case results Both patients demonstrated unilateral occipital EEG seizure patterns during their long-lasting visual aura, which eventually evolved into versive seizures. Conclusion Here, we prove the epileptic origin of the visual auras, which have been misdiagnosed as migraine or migralepsy before. Additional evaluation should be considered in patients with visual aura and hints for an epileptic origin as occipital lobe epilepsy might be missed in patients diagnosed with migraine. Based on our patients, we suggest to challenge the concept of migralepsy in current classifications.
- Subjects
ANTICONVULSANTS; DIAGNOSIS of epilepsy; EPILEPSY surgery; TREATMENT of epilepsy; MIGRAINE diagnosis; SEIZURES (Medicine); DIFFERENTIAL diagnosis; ELECTROENCEPHALOGRAPHY; EPILEPSY; HEADACHE; MAGNETIC resonance imaging; NEUROSURGERY; SPASMS; VIDEO recording; VISION disorders; HYPERACUSIS
- Publication
Headache: The Journal of Head & Face Pain, 2015, Vol 55, Issue 8, p1148
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1111/head.12615