Possible interference between migrainous and epileptic mechanisms in intercalated attacks. Case report.

Abstract:

:The possibility that epileptic seizures and classic migraine episodes may occur in the same patient is discussed. The probable relationship between the neurophysiological mechanisms which underlie both types of attacks has not yet been agreed upon. The case of a young man who suffered from classic migraine and who presented two convulsive epileptic attacks, preceded by visual aura is described. The EEG showed an epileptogenic occipito-temporal focus which corresponded to the region of the scotoma origin. A possible connection between scotoma in migraine and epileptic discharge is discussed. It is proposed that spreading depression, as the basis of the migraine prodomata, was preceded by a moment of intense neuronal excitation which changed the epileptic intercritical activity into a critical one.

journal_name

Eur Neurol

journal_title

European neurology

authors

Manzoni GC,Terzano MG,Mancia D

doi

10.1159/000115066

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

124-20

issue

2

eissn

0014-3022

issn

1421-9913

journal_volume

18

pub_type

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