Migraine attack triggering a generalised seizure: Is this a case of migralepsy or ictal epileptic headache?

摘要

We describe the electro-clinical, neuroimaging and treatment features of a 23-year-old woman patient who suffered of migraine and epilepsy.The historical based hypothesis that migraine and epilepsy are related dates back to the 19th century. Although, it is rare that a migraine attack triggered an epileptic seizure (phenomenon called migralepsy), headache develops very frequently prior or after an epileptic seizure [1, 2]. Migraine and epilepsy are strongly associated, independent of seizure type, aetiology, age at onset or family history of epilepsy [1, 2]. Although the association between migraine and epilepsy is independent from the epilepsy syndrome and the risk of migraine is evident within every type of epilepsy, it is reasonable to think that this relationship can be even more common among female patients. In fact, migraine is often encountered in female patients compared to males [2].