Migraine and epilepsy frontiers, new challenges in its understanding: A case report
The relationship between migraine and epilepsy has been recognized since the 20th century. Currently, both pathologies share several characteristics, from molecular and electrophysiological mechanisms to their similarity in clinical symptoms and response to treatment. This is a case report of an 11-...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Brain Disorders |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666459324000556 |
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| author | Jorge Sinche-Flores |
| author_facet | Jorge Sinche-Flores |
| author_sort | Jorge Sinche-Flores |
| collection | DOAJ |
| description | The relationship between migraine and epilepsy has been recognized since the 20th century. Currently, both pathologies share several characteristics, from molecular and electrophysiological mechanisms to their similarity in clinical symptoms and response to treatment. This is a case report of an 11-year-old male patient who presented with focal epilepsy at the age of 8 years. One year later, he developed episodes of migraine without aura followed by seizures with a frequency of 1–2 times per month, with headache duration ranging from 10 min to 6 h. At age 11, he also presented other episodes in which the headache occurred after the epileptic event and other episodes in which the headache was present both before and after the epileptic seizure. An interictal EEG study and an EEG study during a migraine attack showed the presence of high-voltage theta activity and bilateral temporo-parieto-occipital spikes with a greater expression in the right cerebral hemisphere. To our knowledge, this is the first report of an atypical presentation of migraine without aura and epileptic seizure. This case opens new challenges in the search for understanding between both pathologies. |
| format | Article |
| id | doaj-art-f7f6537847fb4facaaf3d3a07a4213fd |
| institution | Kabale University |
| issn | 2666-4593 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain Disorders |
| spelling | doaj-art-f7f6537847fb4facaaf3d3a07a4213fd2024-12-04T05:13:58ZengElsevierBrain Disorders2666-45932024-12-0116100170Migraine and epilepsy frontiers, new challenges in its understanding: A case reportJorge Sinche-Flores0Department of Neurology, Dr. Segundo Rodolfo Perez Nieto Hospital, Grau Avenue Block 4, Moyobamba, PeruThe relationship between migraine and epilepsy has been recognized since the 20th century. Currently, both pathologies share several characteristics, from molecular and electrophysiological mechanisms to their similarity in clinical symptoms and response to treatment. This is a case report of an 11-year-old male patient who presented with focal epilepsy at the age of 8 years. One year later, he developed episodes of migraine without aura followed by seizures with a frequency of 1–2 times per month, with headache duration ranging from 10 min to 6 h. At age 11, he also presented other episodes in which the headache occurred after the epileptic event and other episodes in which the headache was present both before and after the epileptic seizure. An interictal EEG study and an EEG study during a migraine attack showed the presence of high-voltage theta activity and bilateral temporo-parieto-occipital spikes with a greater expression in the right cerebral hemisphere. To our knowledge, this is the first report of an atypical presentation of migraine without aura and epileptic seizure. This case opens new challenges in the search for understanding between both pathologies.http://www.sciencedirect.com/science/article/pii/S2666459324000556Migraine without auraEpileptic seizuresMigralepsyCortical spreading depression |
| spellingShingle | Jorge Sinche-Flores Migraine and epilepsy frontiers, new challenges in its understanding: A case report Brain Disorders Migraine without aura Epileptic seizures Migralepsy Cortical spreading depression |
| title | Migraine and epilepsy frontiers, new challenges in its understanding: A case report |
| title_full | Migraine and epilepsy frontiers, new challenges in its understanding: A case report |
| title_fullStr | Migraine and epilepsy frontiers, new challenges in its understanding: A case report |
| title_full_unstemmed | Migraine and epilepsy frontiers, new challenges in its understanding: A case report |
| title_short | Migraine and epilepsy frontiers, new challenges in its understanding: A case report |
| title_sort | migraine and epilepsy frontiers new challenges in its understanding a case report |
| topic | Migraine without aura Epileptic seizures Migralepsy Cortical spreading depression |
| url | http://www.sciencedirect.com/science/article/pii/S2666459324000556 |
| work_keys_str_mv | AT jorgesincheflores migraineandepilepsyfrontiersnewchallengesinitsunderstandingacasereport |