Kelley et al. confirmed the higher prevalence of migraine in children with epilepsy.1 The authors expanded upon our hypothesis2 by assuming that migraine would be more prevalent in patients with intractable epilepsy. In our opinion, this was not shown. In patients with intractable seizures, the focus is primarily on seizures vs headache complaints. Children with benign epilepsy with centrotemporal spikes and juvenile myoclonic epilepsy are most prevalent in this study and because these types of epilepsy are relatively benign, these patients are more likely to complain of headache. Considering that headache occurs after epilepsy onset and often in the same year confirms our hypothesis.2
- © 2013 American Academy of Neurology
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