Department of Neuroscience, Neurology Clinic, Sant'Anna Hospital, Como, Italy.
J Headache Pain. 2011 Jun;12(3):289-94. doi: 10.1007/s10194-011-0318-4. Epub 2011 Mar 1.
Despite the fact that migraine and epilepsy are among the commoner brain diseases and that comorbidity of these conditions is well known, only few reports of migralepsy and hemicrania epileptica (HE) have been published according to the current ICHD-II criteria. Particularly, ICHD-II describes "migraine-triggered seizure" (i.e., migralepsy) among complications of migraine at "1.5.5" (as a rare event in which a seizure happens during migrainous aura), while hemicrania epileptica (coded at "7.6.1") and post-ictal headache (coded at "7.6.2") are described among headaches attributed to epileptic seizure. However, to date neither the International Headache Society nor the International League against Epilepsy mention that headache/migraine may be the sole ictal epileptic manifestation. Based on the current knowledge, migralepsy is highly unlikely to exist as such. We, therefore, propose to delete this term until clear evidence its existence is provided. Moreover, we herein propose a revision of terminology and classification criteria to properly represent the migraine/headache relationships. We suggest the term "ictal epileptic headache" in cases in which headache/migraine is the sole ictal epileptic manifestation.
尽管偏头痛和癫痫是常见的脑部疾病，且这些疾病的合并症是众所周知的，但根据目前的 ICHD-II 标准，仅有少数关于偏头痛性癫痫和偏头痛性癫痫（HE）的报告。特别是，ICHD-II 在“1.5.5”中描述了偏头痛的并发症中的“偏头痛诱发的癫痫发作”（即偏头痛性癫痫）（即癫痫发作发生在偏头痛先兆期间的罕见事件），而偏头痛性癫痫（编码为“7.6.1”）和癫痫发作后头痛（编码为“7.6.2”）则被描述为归因于癫痫发作的头痛。然而，迄今为止，国际头痛协会和国际抗癫痫联盟都没有提到头痛/偏头痛可能是唯一的癫痫发作表现。根据目前的知识，偏头痛性癫痫不太可能存在。因此，我们建议删除该术语，直到提供明确证据证明其存在。此外，我们在此提出术语和分类标准的修订，以正确表示偏头痛/头痛之间的关系。我们建议在头痛/偏头痛是唯一的癫痫发作表现的情况下使用“癫痫发作性头痛”一词。
