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Pearls & Oy-sters: Hemicrania epileptica: Unfolding the mystery of an unremitting migraine

Sheikh et al.1 described a typical migraine persisting for 3 days and resolving after antiepileptic treatment as hemicrania epileptica (HE). EEG recording showed focal status epilepticus and transient brain MRI abnormalities attributed to ongoing seizure. This condition is rare and the proposed criteria for HE bring about the temporal relationship between onset and cessation of migraine with ictal EEG discharges. While migraine and occipital seizures are sometimes difficult to differentiate solely on …