Migralepsy: A call for a revision of the definition
Grazia Sances
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorElena Guaschino
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorPiero Perucca
Unit of Sleep Medicine and Epilepsy, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorMarta Allena
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorNatascia Ghiotto
Neurosonology Service, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorRaffaele Manni
Unit of Sleep Medicine and Epilepsy, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorGrazia Sances
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorElena Guaschino
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorPiero Perucca
Unit of Sleep Medicine and Epilepsy, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorMarta Allena
Headache Unit, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorNatascia Ghiotto
Neurosonology Service, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorRaffaele Manni
Unit of Sleep Medicine and Epilepsy, IRCCS “C. Mondino Institute of Neurology” Foundation, Pavia, Italy
Search for more papers by this authorSummary
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.
Supporting Information
Table S1. The Visual Aura Rating Scale (VARS) score in our patient.
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