MIGRAINES & HEADACHES COMMUNITY
Ocular Migraine or Temporal lobe epilepsy

Ocular Migraine or Temporal lobe epilepsy

Can anyone tell me how to tell the difference between an ocular migraine and temporal lobe epilepsy? I have been diagnosed with both. Before tegretol medication I had frequent one sided headaches which were not relieved by other migraine headache medication.
However I'm confused how to interpret the visuals...
Visuals being - zig-zag with blind spot/s, dark shimmering spots, geometric patterns, items getting bigger/smaller, seeing double, blurred vision, ...and usually but not always accompanied by some intense emotion then slurred words or difficulty putting sentences together, and the need for sleep.
Oh yeah and there is no pain / headache after the visuals. I also have (separately) auditory hallucinations but assume they must be due to the TLE as I've never heard of auditory migraine?? Unless I can stand corrected! Thanks in advance x I have also posted this in the epilepsy forum!
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Hi,
How are you? Ocular migraines usually present with  visual symptoms such as flashes of light, zigzagging patterns, blind spots and even shimmering spots or stars. On the other hand, temporal lobe epilepsy presents with olfactory, auditory and gustatory illusions and hallucinations.  Psychic phenomena such as feeling of déjà vu  and autonomic phenomena including changes in heart rate and sweating may also be seen with TLE. Take car and do keep us posted.
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