Migralepsy: A call for a revision of the definition

Authors: Sances, Grazia¹; Guaschino, Elena¹; Perucca, Piero²; Allena, Marta¹; Ghiotto, Natascia³; Manni, Raffaele²

Source: Epilepsia, Volume 50, Number 11, November 2009 , pp. 2487-2496(10)

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Abstract:

Summary

Migralepsy is an ill-defined nosologic entity, with only a few cases described in the literature. In the 2004 International Classification for Headache Disorders (ICHD-II), the International Headache Society proposed that the following diagnostic criteria should be met: (1) migraine fulfilling criteria for 1.2 Migraine with aura (MA) and (2) a seizure fulfilling diagnostic criteria for one type of epileptic attack occurs during or within 1 h after a migraine aura. Herein, by presenting a case with symptoms suggestive of migralepsy and by reviewing all previous cases described in the literature, we discuss the challenges of differentiating this condition from epileptic seizures, as well as the inaccuracy of the current ICHD-II definition.

Keywords: Migralepsy; Migraine; Epilepsy

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1528-1167.2009.02265.x

Affiliations: 1: Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy 2: Unit of Sleep Medicine and Epilepsy, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy 3: Neurosonology Service, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy

Publication date: 2009-11-01