Epilepsy and migraines can occur on the same patient.  I know this is true because I have both.  There are studies that have been done to prove this also.  Tension headaches are less intense than migraines.  A study estimates that one out of three people with epilepsy will have migraines.

To diagnose migraine headaches, your doctor will confirm migraine headaches with this information:

  1. You can answer yes to at least two of the following questions:
    • Does the headache appear just on one side?
    • Does the headache pulse?
    • Is the pain moderate or severe?
    • Does routine physical activity aggravate the pain, or is the pain so bad you have to avoid that activity?
  2. You have a headache with one or both of the following:
    • nausea or vomiting
    • sensitivity to light, sound, or odors
  3. You’ve had at least five of these headaches lasting four to 72 hours.
  4. The headaches aren’t caused by another disease or condition.


To help avoid migraines:

  • Avoid skipping meals.
  • Eat meals regularly.
  • Establish a regular sleep schedule.
  • Make sure you get enough sleep.
  • Take steps to avoid too much stress.
  • Limit your caffeine intake.
  • Make sure that you get enough exercise.
  • Lose weight if you’re overweight or obese.


Medication for patients with both epilepsy and migraines are divalproex sodium, gabapentin, and topiramate.  Eectroencephalogram (EEG) predicts epilepsy better than migraines.  Women are more likely than men to have migraines.