2012, Number 5
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Rev Mex Neuroci 2012; 13 (5)
Migralepsy in adults pertaining to a referral hospital from Mexico
González-Gómez RI, Plascencia-Álvarez NI, Valdés-Maya L, Núñez-Orozco L
Language: Spanish
References: 16
Page: 271-274
PDF size: 163.40 Kb.
ABSTRACT
Introduction: Migralepsy is an entity characterized by a
seizure that occurs during or one hour after an episode
of migraneous aura. It os not known the frequency of
migralepsy in Mexicans.
Objective: To describe the
frequency of cases of headache that precede or occurs
after a seizure in patients with epilepsy from a referral
center, and among them, those patients that meet strict
criteria for migralepsy.
Methods: A descriptive,
retrospective, cross-sectional study was performed by
review of clinical records of patients with epilepsy who
were evaluated at the Centro Médico Nacional 20 de
Noviembre del ISSSTE, from 2006 to 2011. Migralepsy was
defined according to International Classification of
Headache Disorders version II criteria.
Results: A total
of 60 patients (55% men) with epilepsy were studied, most
of them (92%) were older than 21 years. Form the total
patients evaluated for epileptic seizures, 62% (37 patients)
referred having headaches before or after seizures.
However, 13 patients (22% from total , or 35% from those
with headache and seizures) met strict criteria for
migralepsy.
Conclusion: More tan a third of epileptic
patients with pericritic headche could met criteria for
migralepsy. The importance of the correct distinction of these
cases lyes on the potential benefit from the use of
antiepileptic drugs with antimigrain effect.
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