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For those who have had temporal lobe seizures but no positive eeg during a seizure event, here's some interesting information.
Many people with epilepsy also suffer from migraines. But I was surprised to read that many episodes that seem like Temporal Lobe siezures can actually be Migraines. That includes visual, smell, and audio hallucinations, Deja or Jamais Vu, psychic/religious experiences, altered consciousness, speech problems like aphasia, Alice in Wonderland Syndrome, and many, many more.
There doesn't have to be a headache. There are "silent migraines" that have an aura, but no pain.
Some migraines even have altered consciousness, where a person looks conscious, but isn't. (sound familiar? like maybe the same as a complex partial seizure?)
http://www.cjem-online.ca/v6/n6/p451
http://www.netplaces.com/migraines/beyond-migraine-comorbidities/epilepsy.htm
http://www.medindia.net/education/familymedicine/EvaluationofHeadache-Clinicalmanifestations.htm
To make it even more confusing there can also be an overlap between epilepsy and migraines, making it hard to tell what's what. A positive eeg during an episode is one of the only ways to be totally sure. Another is by differential diagnosis criteria.
If you've had multiple temporal lobe siezures with no positive EEG during an episode, migraine with aura is worth considering. And a very good headache neuro is needed to help determine which of your episodes are seizures, and which are migraine.
According to the Migraine Aura Foundation:
Here's more on migraine types. Check them out. See if anything looks familiar.
http://emedicine.medscape.com/article/1142731-overview
http://en.wikipedia.org/wiki/Familial_hemiplegic_migraine
Many people with epilepsy also suffer from migraines. But I was surprised to read that many episodes that seem like Temporal Lobe siezures can actually be Migraines. That includes visual, smell, and audio hallucinations, Deja or Jamais Vu, psychic/religious experiences, altered consciousness, speech problems like aphasia, Alice in Wonderland Syndrome, and many, many more.
There doesn't have to be a headache. There are "silent migraines" that have an aura, but no pain.
Some migraines even have altered consciousness, where a person looks conscious, but isn't. (sound familiar? like maybe the same as a complex partial seizure?)
http://www.cjem-online.ca/v6/n6/p451
http://www.netplaces.com/migraines/beyond-migraine-comorbidities/epilepsy.htm
http://www.medindia.net/education/familymedicine/EvaluationofHeadache-Clinicalmanifestations.htm
To make it even more confusing there can also be an overlap between epilepsy and migraines, making it hard to tell what's what. A positive eeg during an episode is one of the only ways to be totally sure. Another is by differential diagnosis criteria.
If you've had multiple temporal lobe siezures with no positive EEG during an episode, migraine with aura is worth considering. And a very good headache neuro is needed to help determine which of your episodes are seizures, and which are migraine.
According to the Migraine Aura Foundation:
Transitory aura symptoms
Auditory aura symptoms
Body image distu...
Size of the body
Mass of the body
Shape of the body
Position of body in space
Depersonalization and der...
Dreaming disturb...
Perception of the pain of nocturnal migraine attacks during dreams
Unusual powerful, vivid or weird dreams associated with migraine headaches
Nightmares associated with migraine headaches
Recurring dreams as migraine aura experiences
Migraine aura symptoms experienced whilst dreaming
Other disturbances of dreaming associated with migraine
Felt presences
Forced reminiscence
Gustatory aura symptoms
Language symptoms
Motor symptoms
Olfactory aura symptoms
Other disturbances of hig...
Paramnesias
Déjà vu
Jamais vu
Sleepwalking
Somatosensory symptoms
Speech symptoms
Synaesthesia
Time perception disturban...
Visual hallucina...
Random form dimension
Line form dimension
Curve form dimension
Web form dimension
Lattice form dimension
Tunnel form dimension
Spiral form dimension
Kaleidoscope form dimension
Complex visual hallucinations
Visual illusions
Autokinesis
Cinematographic vision
Corona phenomenon
Diplopia
Dysmetropsia
Facial metamorphopsia
Illusory visual splitting
Metamorphopsia
Mosaic illusion
Polyopia
Tilted vision, inverted vision and other forms of illusory rotation
Visual perseveration
Visual loss
Persistent aura symptoms
Psychological experience
Here's more on migraine types. Check them out. See if anything looks familiar.
http://emedicine.medscape.com/article/1142731-overview
http://en.wikipedia.org/wiki/Familial_hemiplegic_migraine
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