From SanoLabs, the makers of the Sam app

Migraine and epilepsy: two records, two reports

Sam runs migraine and epilepsy as two programs: you log migraine attacks and seizures separately and bring one report each to neurology.

  • Migraine
  • Epilepsy

Why the two often occur together

Migraine and epilepsy occur together more often.

  • 52%

    more common: migraine in people with epilepsy

  • 79%

    more common: epilepsy in people with migraine

  • 10

    population studies in the meta-analysis

The authors point out that few studies identified the conditions using validated criteria. The figures describe how often the two occur together, not why.

Sources: Keezer et al., European Journal of Neurology 2015 (meta-analysis of ten population studies).

What you log in each program

Migraine

  • Start, strength and duration of each attack
  • Aura and symptoms such as nausea
  • A note, right in the entry
  • MIDAS questionnaire monthly

Epilepsy

  • Time and type of seizure, using ILAE names
  • Consciousness, injury, witnesses
  • Suspected trigger and a note
  • Medication with reminder, NDDI-E monthly

In both: sleep and HRV from Apple Health as plain numbers next to new entries for today, when Apple Health has values.

What your doctor gets to see

Each program creates its own doctor's report as a PDF.

  • 1 month
  • 3 months
  • 6 months
  • 12 months
  • Whole record
Doctor report: migraine

Migraine days in the period16

Migraines over 4 hours13

A summary of your own entries. Your doctor interprets it.

Sample viewYour migraine diary as a doctor report
Doctor report: epilepsy

Seizures in the period4

Days since the last logged seizure23

Scheduled doses taken27 of 28

A summary of your own entries. Your doctor interprets it.

Sample viewYour seizure log as a doctor report

Example values, not real data. Your report is based on your own entries.

How it works with migraine and epilepsy

  1. Set up both programsYou confirm for each program that a doctor has diagnosed the condition.
  2. Log each event where you place itThe epilepsy program has a "not sure" seizure type for unclear cases.
  3. Bring both reports to neurologyOne PDF per program, and you pick the period for each report.

Common questions

Is there a link between migraine and epilepsy?+

Studies describe the two occurring together, even though their methods have weaknesses (figures above). They do not say why. What it means for you is something to discuss in the neurology office.

Migraine or epilepsy: can Sam tell which it was?+

No. Sam diagnoses nothing and does not classify an attack. You log what you experienced in the matching program. Whether it was an epileptic seizure is for neurology to say.

What does Sam show next to my entries?+

For new entries made today, sleep from the night before and HRV, when Apple Health has values for them. The epilepsy program adds resting heart rate. Sam does not interpret them.

Can I show both diaries to neurology?+

Yes, as two doctor reports. The migraine report counts migraine days, the epilepsy report counts seizures by type and the days since the last logged seizure.

What should I do in an emergency or during a seizure?+

For acute or serious symptoms, call your local emergency number, or have someone nearby do it. A diary does not replace that. For non-urgent concerns, contact your doctor or local out-of-hours service.

Two neurological records in one place

Start with the program that belongs to your next neurology appointment.

Sam is a wellness companion, not a medical device. It does not diagnose or treat any condition and does not replace a doctor. The figures on this page describe how often conditions occur together and say nothing about your case. If you have acute symptoms, call your local emergency number; for non-urgent concerns, contact your doctor.