■偏头痛和癫痫之间的复杂关系经常被描述为代表临床和电图“边界”。“这两种情况具有共同的临床表现,如阵发性和慢性性质,以及符号学,尤其是视觉现象。
■我们旨在回顾有关偏头痛和癫痫重叠现象的现有文献。
■我们搜索了PubMed的相关文献,并对偏头痛和癫痫进行了叙述性综述。
■偏头痛和癫痫有着复杂的病理生理关系。头痛疾病的国际分类,第三版(ICHD-3)对偏头痛先兆引发的癫痫发作(第1.4.4分章)和癫痫发作引起的头痛(第7.6分章)做出了诊断规定,后者进一步归类为7.6.1癫痫性头痛,和7.6.2发作后头痛。神经系统疾病,如某些信道病和癫痫综合征在其表型谱内表现出这两种疾病,表明共同的遗传和分子基础。可能会出现诊断混乱,尤其是在枕骨癫痫和偏头痛的视觉先兆之间。抗癫痫药物可有效治疗与癫痫相关的偏头痛。
偏头痛和癫痫具有多种临床特征,并且具有交织的遗传和分子基础,这可能有助于共同的发病机制。脑电图在某些情况下可用作诊断工具。
UNASSIGNED: The complex relationship between migraine and epilepsy has frequently been described to represent a clinical and electrographic \"borderland.\" These two conditions share clinical expressions such as paroxysmal and chronic nature, as well as semiology, particularly visual phenomenon.
UNASSIGNED: We aimed to review the current literature on the overlapping phenomena of migraine and epilepsy.
UNASSIGNED: We searched the PubMed for relevant literature and conducted a narrative review on migraine and epilepsy.
UNASSIGNED: Migraine and epilepsy share a complex and pathophysiologically intriguing relationship. The International Classification of Headache Disorders, 3rd edition (ICHD-3) makes diagnostic provisions for migraine aura-triggered seizures (Subchapter 1.4.4) and headache attributed to epileptic seizure (Subchapter 7.6), the latter being further categorized as 7.6.1 Ictal epileptic headache, and 7.6.2 post-ictal headache. Neurological conditions such as certain channelopathies and epilepsy syndromes exhibit both conditions within their phenotypic spectrum, suggesting shared genetic and molecular underpinnings. Diagnostic confusion may arise, particularly between occipital epilepsy and the visual aura of migraine. Antiseizure medications may be effective for the treatment of migraines that occur in concert with epilepsy.
UNASSIGNED: Migraine and epilepsy share several clinical features and have intertwined genetic and molecular underpinnings, which may contribute to common pathogenesis. Electroencephalography may be useful as a diagnostic tool in selected cases.