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univadis
IHS Diagnosis ICD-10
7.6.1 Hemicrania epileptica [G40.x or G41.x to specify seizure type] G44.82  

Diagnostic criteria:

  1. Headache lasting seconds to minutes, with features of migraine, fulfilling criteria C and D
  2. The patient is having a partial epileptic seizure
  3. Headache develops synchronously with the seizure and is ipsilateral to the ictal discharge
  4. Headache resolves immediately after the seizure

Comment:

Synchronous ipsilateral headache with migrainous features occurring as an ictal manifestation of the seizure discharge is recognised, albeit rare. Diagnosis requires the simultaneous onset of headache with electroencephalographically-demonstrated ictal discharge.

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