Symptomatic occipital epilepsy misdiagnosed as migraine.
Two young patients with symptomatic occipital lobe epilepsy due to discrete lesions of cysticercosis were misdiagnosed and treated for 2 years as migraine with visual aura. The patients suffered from frequent visual seizures often followed by migraine-like headache. Seizures manifested with colored and mainly circular elementary visual hallucinations of up to 1 minute duration. Headache, often severe and of long duration, was frequently associated with nausea, photophobia, and phonophobia. Both patients became seizure-free with appropriate treatment of the underlying disease and epileptic seizures.
Menon
Bindu
B
D000293:Adolescent; D003951:Diagnostic Errors; D004828:Epilepsies, Partial / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006212:Hallucinations / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D020325:Migraine with Aura / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed