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Hi, thanks for the question and I am very glad to help you with your health concerns.
To consider you have migralepsy you should have both migraine and epilepsy, and the epilepsy attack should follow the migraine attack, usually within an hour after the onset of the migraine attack. You may be a case of migraine disorder but I am not sure whether epilepsy has been confirmed in your case so far or not. To consider migralepsy one should have first migraine attacks and this followed by a confirmed epilepsy attack but I am not sure whether you fulfil this definition criteria.
Also another point I wanted to stress is – if you are having migralepsy then Topamax should have helped for both migraine attacks as well as for the epilepsy attacks. But in your case the initial migraine like symptoms got better with Topamax but new symptoms started later – and since you are already on seizure med Topamax it will be difficult to explain why epilepsy started after seizure med was started. So this is less likely migralepsy. However as discussed in some of your other questions you need a prolonged eeg recording like video eeg (or an ambulatory eeg), if that is not helpful then you need an invasive or intracranial eeg monitoring with using subdural grids, strips and possibly some depth electrodes too.
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Hi, you are very welcome! And I am very sorry I couldn't reply earlier as I was away from the computer and just returned. And I am very glad to be of help! Here is my just answer link if you have future questions and need to reach me again:
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