Greulich W
Neurologische Universitätsklinik, Knappschaftskrankenhaus, Bochum-Langendreer.
Fortschr Neurol Psychiatr. 1988 Feb;56(2):44-7. doi: 10.1055/s-2007-1001216.
Even though the pathogenesis of migraine is entirely different from that of epilepsy, pointers towards their combined occurrence are frequent. Besides purely coincidental combinations, a variety of reasons is held responsible for this side-by-side occurrence. So far, cerebral meningiomas have been rarely reported for discussion. The following article reports on two cases showing that they, too, can cause the combined incidence of migraine and epilepsy. A woman of 60 years of age and a male patient aged 35 years presented with familial affliction and with a long-standing classical anamnesis of migraine. Epileptic attacks followed with varying latency. After cerebral meningiomas had been removed by surgery, the recurrence of both migraine-like and epileptic attacks ceased completely.
尽管偏头痛的发病机制与癫痫完全不同,但它们同时出现的情况却屡见不鲜。除了纯粹的巧合组合外,这种并存现象还有多种原因。到目前为止,脑膜瘤导致两者并存的情况鲜有报道。以下文章报告了两例病例,表明脑膜瘤也可引发偏头痛和癫痫的并存。一名60岁女性和一名35岁男性患者均有家族病史,且有长期典型的偏头痛病史。癫痫发作在不同潜伏期后出现。手术切除脑膜瘤后,偏头痛样发作和癫痫发作均完全停止复发。