Саратовский научно-медицинский ЖУРНАЛ

Мигрень и эпилепсия: коморбидность и проблемы диагностики

Год: 2019, том 15 Номер: №1 Страницы: 154-158
Рубрика: Неврология Тип статьи: Обзор
Авторы: Калинин В.А., Повереннова И.Е., Якунина А.В., Мякинина А.Э.
Организация: ФГБОУ ВО Самарский ГМУ Минздрава России
Резюме:

В статье представлен анализ опубликованных данных по коморбидности мигрени и эпилепсии, который базируется на результатах эпидемиологических и генетических исследований. Клинические проявления двух заболеваний во многом схожи, что создает порой значительные диагностические сложности. Дифференциальная диагностика основана на тщательном анализе клинических проявлений, данных электроэнцефалографии и нейровизуализации. Генетические формы эпилепсии часто сопровождаются мигренозными головными болями. Единство отдельных патофизиологических механизмов эпилепсии и мигрени создает условия для коморбидности и определяет направления диагностики и лечения обоих заболеваний. Тем не менее остается ряд вопросов, требующих уточнения с целью оптимизации диагностики и лечения.

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