DIFFERENTIAL DIAGNOSIS OF VISUAL AURA IN MIGRAINE AND EPILEPSY
https://doi.org/10.18705/2311-4495-2016-3-6-32-39
Abstract
The objective of this work is comparative clinical analysis of the visual aura in patients with migraine with aura and symptomatic occipital epilepsy which is based on our own data and literature review.
Design and methods. We have analyzed the published data and have given the results of our study. The study is based on clinical observation of 2 groups of patients: 99 patients with migraine and 155 patients with epilepsy. We have used clinical-neurological method and interviewing.
Results. It was detected the frequency of migraine with aura-17% and occipital epilepsy -3.2%. The characteristics of the visual aura in migraine and epilepsy were showed. Conclusion. Sometimes differential diagnosis of occipital epilepsy from migraine with aura can be difficult, especially when there is no tonic or clonic motor manifestations. However, visual aura of migraine is different from aura in occipital epilepsy by visual images, dynamics and distribution of visual phenomena in the field of view, the duration of the aura and the time of occurrence of the subsequent headache.
About the Authors
S. V. NesterovaRussian Federation
Svetlana V. Nesterova - PhD student.
Saint Petersburg
G. V. Odintsova
Russian Federation
Galina V. Odintsova - PhD. senior researcher of the department of neurosurgery № 2 for children.
Akkuratova str. 2, Saint Petersburg, 197341, e-mail: ajo@mail.ru
N. E. Ivanova
Russian Federation
Nataliya E. Ivanova - Dr. Med Sc., professor, head of scientific-organizational department.
Akkuratova str. 2, Saint Petersburg, 197341
References
1. Vejn AM, Vorob’eva OV. Universal cerebral mechanisms in the pathogenesis of paroxysmal disorders. Journal of neurology and psychiatry. 1999; 12:8-12. In Russian [Вейн А. М., Воробьева О. В. Универсальные церебральные механизмы в патогенезе пароксизмальных состояний. Журнал неврологии и психиатрии. 1999; 12:8-12].
2. Eriksen MK., Thomsen LL., Olesen J. The Visual Aura Rating Scale (VARS) for migraine aura diagnosis. Cephalalgia. 2005; 25 (10): 801-810.
3. Nesterova SV. Epidemiology of the age of migraine debut. VI Baltic Congress on child neurology, the Congress proceedings. 2016; 247-249. In Russian [Нестерова С. В. Эпидемиология возраста дебюта мигрени. VI Балтийский конгресс по детской неврологии, сборник тезисов конгресса. 2016; 247-249].
4. Odintsova GV, Chugunova AA. Clinical polymorphism as an indicator of physical well-being in the assessment of reproductive health in women with epilepsy. Scientific research: from theory to practice, proceedings of the VI Intern. scientific.-pract. Conf. 2015; 5(6):66-69. In Russian [Одинцова Г. В., Чугунова А. А. Клинический полиморфизм как показатель физического благополучия в оценке репродуктивного здоровья при женской эпилепсии. Научные исследования: от теории к практике, материалы VI Междунар. науч.-практ. конф. 2015; 5(6):66-69].
5. Odintsova G, Koroleva N, Chugunova A et al. Reproductive health problems in women’s epilepsy. Giornale Italiano di Ostetricia e Ginecologia. 2013; 35 (1): 298-299.
6. Panayiotopoulos CP. The Epilepsies: Seizures, Syndromes and Management. Oxfordshire (UK): Bladon Medical Publishing, 2005: 416-429.
7. Williamson PD. Seizures with origin in the occipital and parietal lobes. In: Wolf P., ed. Epileptic seizures and syndromes. London: John Libbey, 1994: 383-390.
8. Sacks OW. Migraine. New York: Vintage; Rev Exp edition, 1999. p. 364.
9. Dictionary of psychology, 2000. In Russian [Психологический словарь, 2000]. http://dic.academic.ru/dic.nsf/psihologic/199/ (10 October 2016).
10. Kotov AS. Co morbidity of migraine and epilepsy. Polyclinic. 2012; 4(1):35-39. In Russian [Котов А. С. Коморбидность мигрени и эпилепсии. Поликлиника. 2012; 4(1):35-39].
11. http://www.setchatka-glaza.ru/fotopsiya-prichinysimptomy-lechenie/ (10 October 2016).
12. http://proglaza.ru/simptoms/fosfeny.html (11 October 2016).
13. Efremova IN. Migraine with aura: clinical and neurophysiological features. Author. diss. ... candidate of medical sciences: Moscow, 2004. In Russian [Ефремова И. Н. Мигрень с аурой: клинико-нейрофизиологические особенности. Автореф. дисс. ... канд. мед. наук: Москва, 2004].
14. Azimova YuEh, Tabeeva GR. Migraine and epilepsy. Epilepsy and paroxysmal states. 2009; 1(1): 21-25. In Russian [Азимова Ю. Э., Табеева Г. Р. Мигрень и эпилепсия. Эпилепсия и пароксизмальные состояния. 2009; 1(1): 21-25].
Review
For citations:
Nesterova S.V., Odintsova G.V., Ivanova N.E. DIFFERENTIAL DIAGNOSIS OF VISUAL AURA IN MIGRAINE AND EPILEPSY. Translational Medicine. 2016;3(6):32-39. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-6-32-39