Support information on page: Migraine & Epilepsy > Clinical Features
|Symptom ||Migraine ||Epilepsy|
|Premonitory ||Common ||Often|
|Duration of aura ||15-60 mins ||Brief, often less than 1 min|
|Automatisms ||Unusual ||Frequent for complex partial seizures|
|Gastrointestinal aura ||Abdominal pain rare; nausea common ||"Butterflies" (rising epigastric sensation)|
|Visual disturbances ||See text of Phases and Differential diagnosis: clinical features |
|Paresthesias ||Common (5-60 mins) ||Common (seconds to minutes)|
|Altered consciousness ||Usually responsive ||Often unresponsive|
|Olfactory aura ||Very uncommon ||More common|
|Aphasia ||Common ||Common|
|Déjà vu ||Rare ||Common|
Adapted from: Silberstein, SD, and Lipton RB. Headache and epilepsy. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;239-254.
With permission from Elsevier (www.elsevier.com).
Reviewed April 2004 by Steven C. Schachter, MD, epilepsy.com Editorial Board.