Seizures in Migraine: Warning of an Underlying Cerebral Infarction?
Article first published online: 22 JUN 2005
Headache: The Journal of Head and Face Pain
Volume 27, Issue 9, pages 500–502, October 1987
How to Cite
Shuaib, A. and Lee, M. A. (1987), Seizures in Migraine: Warning of an Underlying Cerebral Infarction?. Headache: The Journal of Head and Face Pain, 27: 500–502. doi: 10.1111/j.1526-4610.1987.hed2709500.x
- Issue published online: 22 JUN 2005
- Article first published online: 22 JUN 2005
- Accepted for Publication: August 31, 1987
- Cited By
Reports of an association between migraine and seizures have existed for a long time. A syndrome of basilar artery migraine, seizures and abnormal EEG's has also been published. We now report four patients with seizures and migraine in whom we feel the seizures were secondary to cerebral infarctions. Migraine was of the classical type in all patients and the auras were predominantly visual, Neurological symptoms associated with the cerebral infarctions were mild or transient and could have easily been dismissed as “complex migraine”. CT scans showed cerebral infarctions involving the occipital cortex in all four cases. Two-dimensional echocardiography revealed mitral valve prolapse (MVP) in two cases and a bicuspid aortic valve in one case. In two cases, both with MVP, there were more than one cerebral infarctions.
Seizures may be an early warning of cerebral infarctions in patients with migraine and should alert the physician towards such a possibility.