Symptom Migraine Epilepsy
 Vomiting   ±
 Nausea   ±
 Diarrhea ± -
 Headache   ±
Visual disturbancesa
 Colored circles -  
 Black and white lines   -
 Blindness ± ±
 Blurred vision    
 Visual triggering factors    
Other neurologic
 Olfactory ±  
 Vertigo   ±
 Confusion ±  
 Loss of consciousness ±b  
 Impaired consciousness ±  
 Loss of memory ±  
 Postevent lethargy    
 Depersonalization ±  
 Hemiparesis ±b  
 Hemisensory loss ±b  
 Aphasia ±b  

 + = present; - = absent; ± = can occur.
a More complex.
b Hemiplegic migraine.


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 (

Authored By: 
SD Silberstein
RB Lipton
Reviewed By: 
Steven C. Schachter MD
Wednesday, March 31, 2004