| Abstract [eng] |
Introduction. The high prevalence of epilepsy and migraine, their frequent comorbidity and the burden they cause make the study of these disorders and their possible links (migralepsy) relevant for improving the quality of life of patients. Aim. To describe two clinical cases meeting the diagnostic criteria for migralepsy and to review the literature on the epidemiology, comorbidities, and differential diagnostic challenges of migraine and epilepsy. Case report. Two clinical cases were described in which patients had migraine with aura that progressed into epileptic seizures. Literature review. The condition in which the symptoms of epilepsy follow the onset of a migraine aura is called migralepsy. Epidemiological studies describe a high population prevalence of migraine and epilepsy and their comorbidity. For a correct diagnosis of migralepsy, it is important to know that the onset of epilepsy follows a migraine with aura. The differential diagnosis of migraine and epilepsy is complicated by the similarity of the characteristic symptoms and the possible atypical presentation. The term, definition and existence of migralepsy have been subject to criticism and controversy due to the low number of published cases and misdiagnoses documented in older studies. The importance of electroencephalographic evaluations of patients with migraine and epilepsy is emphasised. Conclusion. The existence of migralepsy is considered controversial. It is recommended that the definition and diagnostic criteria of migralepsy be clarified in order to ensure a correct diagnosis in clinical practice. Because of the high prevalence of epilepsy and migraine, the comorbidity of these disorders and the burden they cause, a further analysis of these disorders remains relevant. The similar or atypical symptoms of migraine and epilepsy complicate the differential diagnosis of these disorders, and the use of electroencephalography is important for the diagnosis of migralepsy. |
