[Migraine with multiple visual symptoms and out-of-body experience may mimic epilepsy].
Rinsho shinkeigaku = Clinical neurology August 30, 2021 Kyoko Hosokawa, Kiyohide Usami, Shunsuke Kajikawa et al. 1 citation
An 18-year-old man experienced visual symptoms—a diagonal line shifting his upper visual field right and lower left, rippled distortion, and moving black spots—followed by an out-of-body experience (OBE) where he felt he saw his own body from behind his left shoulder, then headache attacks. Brain MRI showed suspected bilateral occipital atrophy; EEG revealed intermittent irregular delta in the bilateral occipital area without epileptiform discharges. He was diagnosed with migraine with multiple visual auras and OBE. A small dose of valproic acid was well tolerated and effective. OBE rarely occurs in migraine and should be distinguished from epilepsy.