Psychogenic basilar migraine
Report of four cases
Abstract
We discuss four patients with the clinical diagnosis of basilar migraine and suspected coexisting epilepsy who were referred to our epilepsy center. Their symptoms suggested episodic dysfunction in the distribution of the basilar artery, followed by pulsating headache with nausea. Verbal unresponsiveness and sensory symptoms occurred in all four patients; two also had focal paresis or jerking movements. Diagnostic studies excluded other disorders with similar symptoms. None of the patients improved with antimigraine or antiepileptic drugs. Provocation tests with suggestion elicited typical events in three patients and aura and headache in one patient. There were no EEG or ECG abnormalities during spontaneous or provoked episodes. Two patients improved with psychiatric treatment. Conversion disorder or malingering should be considered in patients whose symptoms of basilar migraine are atypical or refractory to treatment.
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Copyright 1995 by the American Academy of Neurology.
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Published online: July 1, 1995
Published in print: July 1995
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- Transient loss of consciousness and syncope, Neurologic Aspects of Systemic Disease Part I, (169-191), (2014).https://doi.org/10.1016/B978-0-7020-4086-3.00013-8
- Migraine associated with conversion symptoms (Babinski's migraine): Evaluation of a series of 43 cases, Neurología (English Edition), 27, 3, (125-135), (2012).https://doi.org/10.1016/j.nrleng.2012.04.001
- Jaqueca asociada a trastorno de conversión (jaqueca de Babinski). Análisis de una serie de 43 casos, Neurología, 27, 3, (125-135), (2012).https://doi.org/10.1016/j.nrl.2011.05.006
- Basilar-Type Migraine with Coma: Case Reports and Literature Review: Table 1, Pain Medicine, 12, 4, (654-656), (2011).https://doi.org/10.1111/j.1526-4637.2011.01080.x
- Functional/Psychogenic Neurological Symptoms and Headache, Headache: The Journal of Head and Face Pain, 51, 5, (781-788), (2011).https://doi.org/10.1111/j.1526-4610.2011.01896.x
- Electroencephalography in Migraine: A Review with Focus on Quantitative Electroencephalography and the Migraine Vs. Epilepsy Relationship, Cephalalgia, 23, 1_suppl, (5-11), (2003).https://doi.org/10.1046/j.1468-2982.2003.00570.x
- Headaches and other pain symptoms among patients with psychogenic non-epileptic seizures, Seizure, 8, 7, (424-426), (1999).https://doi.org/10.1053/seiz.1999.0334
- Migräne, Die Kopfschmerzen, (141-368), (1997).https://doi.org/10.1007/978-3-662-06657-7_5
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