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Migraines And Epilepsies — A Relationship?
Published 1966 · Medicine
Since Gowers (15) situated migraines in his borderland of epilepsy there have been very different opinions with regard to a possible relationship between the two diseases. These opinions are: (1) The two diseases have nothing in common. If, however, both occur in one individual or one family it is random coincidence. (2) Epilepsies sometimes appear under the mask of migrainous attacks. It is mainly up to the EEG to decide whether it is a migraine or a “masked epilepsy” or an “epileptic equivalent”. (3) There exist close relationships between epilepsy and migraines. Fluent transitions from one disorder towards the other, as well as appearance of both manifestations in one person or family are therefore frequent. Still it is very important for the life of an individual whether we diagnose him as a patient suffering from “migraine” or from “epilepsy”. Besides the therapeutical consequences the social ones are grave enough. The scientific part as well is of considerable importance for our pathophysiological concept of the two diseases. Therefore, it may be justified to treat the question once more, considering both, our own material of migrainous patients that we have been following up now since more than eight years, and the respective data in literature. I should like to begin with the description of a case where a great number of the related problems appear. It will be followed by a general discussion.