Hemiplegic migraine is a rare and complex disease, characterized by migraine with a reversible motor aura. Hemiplegic migraine can be easily misdiagnosed at its first presentation with an atypical severe form of migraine, a stroke, multiple sclerosis, metabolic disorders, conversion disorder or an epilepsy. We present the case of a young 24-year-old male patient, who since the age of 4 years ha...

The association of epilepsy and migraine has been long recognized. Migraine and epilepsy are both chronic disorders with episodic attacks. Furthermore, headache may be a premonitory or postdromic symptom of seizures, and migraine headaches may cause seizures per se (migralepsy). Migraine and epilepsy are comorbid, sharing pathophysiological mechanisms and common clinical features. Several recen...

Migraine is a widespread disorder that affects about 18% of the people, in 2/3 of cases women (1). The concept that migraine could be related to some vascular diseases, such as myocardial infarction or a stroke, have grown over the years, mainly in migraine with aura (2–6). In the last decades, several studies have been carried out to understand if and what the linkage could be. Among these stu...

Migraine aura without headache should be considered as a diagnosis in anyone who has recurrent episodes of transient symptoms, especially those that are visual or neurological or involve vertigo. Visual and neurological symptoms due to migraine are not unusual and most commonly occur in older persons with a history of migraine headaches. Migraine aura without headache should be diagnosed only w...

Childhood migraine may present in a similar way to migraine in adults but non-headache and neurological symptoms (aura) may be more prominent than the headache. No formal classification of headaches specific to children exists. The International Classification of Headache Disorders (ICHD) from the International Headache Society (IHS) defines migraine and recognises the childhood variants in its...

The symptoms of migraine are non-specific and can be present in many other primary and secondary headache disorders, which are reviewed. Even experienced headache specialists may be challenged at times when diagnosing what appears to be first or worst, new type, migraine status, and chronic migraine.

According to the International Classification of Headache Disorders, second edition (ICHD-II), migraine is a common disabling primary headache disorder manifesting in attacks that last from 4 to 72 hours.1,2 Migraine headaches range from moderate to very severe3 and are sometimes debilitating.4 In the United States, episodic migraine affects 5 percent of boys5,6 and 7.7 percent of girls.7,8 Acc...

Migraine is a highly prevalent, disabling disorder, and has a remarkable feature, comorbidity with other neurological and psychiatric diseases. A relevant number of general population studies (mainly crosssectional, but also prospective) and clinical studies have unquestionably demonstrated the association between migraine and psychiatric disorders (axis 1 of the DSM) (1– 6), whilst the mechani...

The aim of this study was to explore the impact of mental illness among patients with migraine. We performed MedLine and PsycINFO searches from 1980 to 2008. Research has systematically documented a strong bidirectional association between migraine and psychiatric disorders. The relationship between migraine and psychopathology has often been clinically discussed rather than systematically stud...

Recent reports have focused on a possible association between migraine and Menière's disease; patients suffering from Menière's disease present a higher rate of migraine. In some cases, the clinical features of migraine-associated vertigo may mimic the presentation of Menière's disease. The present report focuses on two cases of females with recurrent episodes of rotational vertigo, fluctuating...