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Migraine with Visual Aura and Photosensitive Epileptic Seizures
Author(s) -
Donnet Anne,
Bartolomei F.
Publication year - 1997
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1157.1997.tb01487.x
Subject(s) - aura , migraine , cortical spreading depression , migraine with aura , epilepsy , visual hallucination , photic stimulation , psychology , electroencephalography , neuroscience , ictal , audiology , medicine , anesthesia , psychiatry , visual perception , perception
Summary: A relationship between epilepsy and migraine has long been postulated, but the nature of this interaction is still debated. We observed this association in a 23‐year old man with a history of migraine with visual aura who had seizures at age 15 years while watching television. Waking EEG was normal, but sleep recordings demonstrated posterior spike‐waves during sleep. During intermittent photic stimulation (IPS), a photoparoxysmal response occurred, maximum in occipital areas. Brain magnetic resonance imaging scan was normal. Seizures did not recur after 4‐year treatment with valproate. He is currently seizure‐free, but continues to have rare migraine with visual aura. The role of spreading depression or of a putative dopaminergic failure in occipital cortex is discussed.