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曾有人提出过偏头痛与癫痫发作的关系,但较少注意到在发作类型方面二者之间的关系。本文报道19例儿童具有偏头痛并伴有复杂性症状学的部分性发作(复杂性发作)的患者,以阐明二者间的关系。 19例中,男7例,女12例,平均发病年龄10.5岁(6～15)岁,偏头痛的平均发病年龄7岁(3～15岁),癫痫发作的平均年龄为10岁(3～12岁),6例患者痫性发作先于偏头痛(6个月至9年),19例中普通型偏头痛者14例,普通型兼基底动脉型1例,普通型兼典型性者1例,偏瘫型1型,典型性偏头痛2例。复杂性发作中,精神运动性发作者3例,情感障碍性发作3例,精神感觉性发作6例,复合性发作3例,认识障碍性发作5例。在11名患者中,发作伴随猝倒、尿失禁、局灶性运动性发作或全身
The relationship between migraine and seizures has been proposed, but less attention has been paid to the relationship between the types of attacks. In this paper, we report the relationship between migraine and migraine with partial seizures (complicated seizures) in patients with complex symptoms. In 19 cases, there were 7 males and 12 females with an average age of onset of 10.5 years (6-15 years), migraine with an average age of 7 years (range 3-15 years) and seizures of 10 years (range 3 ~ 12 years old). Six patients had epileptic seizures prior to migraine (range, 6 months to 9 years). Of the 19 patients, 14 had general migraine, 1 had common and basilar artery type, and 1 had general and typical type 1 For example, hemiplegia type 1, typical migraine in 2 cases. Among the complex episodes, 3 were psychomotor seizures, 3 were affective disorders, 6 were psychosensory seizures, 3 were composite seizures, and 5 were episodic disorientations. In 11 patients, the episode was accompanied by cataplexy, incontinence, focal motility episodes, or generalized