Neurology Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

migraine headache vs. seizure headache

My 10 year old was diagnosed with Complex Partial seizures with 2nd generalization 2 years ago.  EEG and MRI were mildly abnormal.  SHe was fairly well controlled on depakote for a time , but have recently begun adding lamictal to try and regain control of frequent simple partial seizures.  Her symptoms consist of becoming very pale, nausea or stomach ache, extreme weakness and fatigue and a left eyelid droop.  She remains conscious.  SHe has recently been adding headaches to the mix.

My question concerns the headaches she has begun having.  Her dr. says when a h/a occurs with these other symptoms it is a migraine, not a seizure.  I am reluctant to accept that, as she looks the same to me-seizure like, whether she has a h/a or not.  How do we sort this out?

Thank you
4 Responses
Avatar universal
Dear Barb:

Sorry to hear about your daughter's epilepsy.  Migraine headaches can be associated with epilepsy.  They can either come before or after the seizure event.  These types of headaches are temporally related to the seizure event and for the most part do not occur without the seizure event.  Migraine headaches, are not associated with the seizure itself, in otherwords, the migraine event is not produced by the epileptiform discharges on the EEG (the exceptions would be benign focal discharges of childhood-which you daughter does not have, and benign occipital lobe epilepsy-which begins younger age group children).  The occurrance of migraine and epilepsy for most of the population who have both are separate entities.  There co-incidence is purely happenstance.  Migraines usually last longer, are not as frequent, have other signs that distinguish them such as photo or phonophobia, vascular quality (pounding), location (usually frontal or temporal) in pain, and nausea.  Interestingly, depakote has been shown to be an effective medication for migraine headaches.  Obviously, not too effective for your daughter.  

I would try and see if you could distinquish the migraines from her seizures by the differences in headache qualities, frequency of both, and the co-incidence of both together.  If there are still too many alike things, then she might have seizures which are producing her migraines.  One could also treat her with non=epilepsy medication and see if the migraines do not resolve.

I hope I helped alittle.


CCF Neuro MD
Avatar universal
hello i got into a bad accident when i was very young. as a result i sufferd very excruciating head pain. i dont know if they
were seizure headaches or migraine headaches. it was pain that would make me cry.i think getting your daughters brain activity
monitored might tell you something.
Avatar universal
A related discussion, Severe headache seizures was started.
Avatar universal
A related discussion, help whats wrong with me was started.
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease