Uca, Kozak, 2015 [19]

Longitudinal study

n = 1

- a 35 year old male with a 4 year medical history of cluster headaches, pain attacks 3 - 5 times a day upon admittance to the hospital. No personal or family history of depression or any psychiatric illness, and no drug abuse.

3 - 4 months

General health examination

Ophthalmologic examination

Systemic examination

Blood count test

Blood pressure test

EEG

Serum electrolytes test

Biochemistry test

Brain MRI

Methylprednisolone

Subcutaneous sumatriptan

Valproate

Had pain attacks 3 - 5 times a day lasting 0.5 - 1 hours for 3 - 4 weeks

Pain localized in the left orbital and periorbital region

Distorted perceptions of speed, color, and size 2 - 5 minutes before the migraines and headaches (AIWS)

After 3 months of treatment with Valproate, the patient showed clinical improvement, and complete loss of headaches (meaning a loss of associated AIWS symptoms as well). No more visual hallucinations were presented

The patient specifically had AIWS symptoms preceding his migraine attacks, and these symptoms only lasted 2 - 5 minutes

It is a case study, meaning the results cannot be generalized

Türkiye

Hamed, 2010 [20]

Longitudinal study

n = 1

- 22 year old Egyptian male who had a history of migraines and abdominal colic attacks. Patient has had colic attacks for 12 years, and he has a family history of migraines and severe/ hemicranial headaches which can induce vomiting. The patient had developed hallucinations and distortions in size perception since age 17

About 8 months

Blood, urine, and stool analysis

Abdominal imaging

Endoscopic examinations

Anti-epileptics (Valproate)

Carbamazepine

EEG

Colchicine

Brain MRI

VEP and TMS

Eletriptan

Intense, prolonged attacks in abdominal colic

Diarrhea

Nausea

Abdominal flushing

Pallor

Decreased appetite, weight loss

Teleopsia (everything looked farther and smaller) and peliopsia (larger and closer)

Visual and auditory hallucinations and distortions of perception

Severe headaches and migraine

Treatment has been effective, and the patient’s symptoms of migraine and abdominal colic have decreased, but he will have to stay on Valproate medication for likely the rest of his life to keep it that way

The patient had abdominal colic attacks, which is rare and uncommon, meaning there are no other case studies to compare this to

This is a case study, meaning the results cannot be generalized

Egypt