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Migraine and Epilepsy in the Pediatric Population

  • Childhood and Adolescent Headache (S Evers, Section Editor)
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Abstract

Individually, childhood epilepsy and migraine are two of the most common conditions seen in pediatric neurology. What complicates matters is that there can be marked similarities between migraine and epilepsy as well as a variety of underlying conditions that predispose children to both seizures and headache. Thus, separating epilepsy from migraine may not be easy, but can be done with a detailed history as well as timely use of ancillary testing. Once children have been diagnosed with epilepsy, migraine, or both, treatment options become essential in attempts to manage these common, yet often disabling, neurological conditions. Acute interventions tend to be condition specific while preventative options may overlap for migraine and epilepsy. In the following review, we will discuss the epidemiology of childhood epilepsy and headache, the association between them, as well as how to differentiate epilepsy from migraine. Treatment strategies will follow before concluding with a discussion on prognosis.

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Conflict of Interest

Dr. Christopher B. Oakley served as a consultant for the British Medical Journal and received honoraria from Southwest Florida Pediatric Conference. Dr. Oakley had travel/accommodations expenses covered or reimbursed by Southwest Florida Pediatric Conference and All Children’s Hospital-Tampa/St. Petersburg, Florida.

Dr. Eric H. Kossoff served as a consultant for Atkins Nutritionals, Inc.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Departments of Neurology and Pediatrics, Johns Hopkins University School of Medicine, 200 North Wolfe Street, Suite 2158, Baltimore, MD, 21287, USA

    Christopher B. Oakley & Eric H. Kossoff

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  1. Christopher B. Oakley
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Correspondence to Christopher B. Oakley.

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This article is part of the Topical Collection on Childhood and Adolescent Headache

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Oakley, C.B., Kossoff, E.H. Migraine and Epilepsy in the Pediatric Population. Curr Pain Headache Rep 18, 402 (2014). https://doi.org/10.1007/s11916-013-0402-3

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