Reappraisal of epileptic pain as a rare symptom of seizures

Epilepsy & Behavior : E&B
Nevin Kuloğlu PazarcıAyşen Gökyiğit

Abstract

To draw attention to epileptic pain which is a rare seizure symptom mostly causing wrong diagnosis and delayed treatment. We present nine patients in whom pain was a prominent initial or early ictal symptom. We reviewed the records of 4736 patients, and found nine patients who had pain as an aura or an early prominent symptom of their seizures. Seizure semiology, EEG, and cranial imaging features were evaluated retrospectively. Age at seizure onset ranged from 6months to 50years, and the mean age during the study was 37.7±11.9years. Pain was predominantly peripherally localized in four patients, whereas cephalic pain was detected in three patients, and abdominal pain was detected in two patients. Electroencephalography (EEG) revealed epileptic abnormalities on the temporoparietal and frontotemporal regions in three patients each. Photosensitive generalized epileptic discharges were detected in one and diffuse background slowing in the remaining two other patients. Electroencephalography abnormalities were lateralized to the contralateral site of the pain in four patients with strictly localized pain. Three patients revealed no abnormality on the cranial MR imaging, whereas others showed different types of abnormality such as he...Continue Reading

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Dec 11, 2013·Italian Journal of Pediatrics·Caterina CerminaraPaolo Curatolo

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Citations

Mar 30, 2016·Seizure : the Journal of the British Epilepsy Association·Carlo Cianchetti
Jun 18, 2016·Epilepsy & Behavior : E&B·Ali A Asadi-PooyaMichael R Sperling
Sep 1, 2016·Epilepsy & Behavior Case Reports·Jessica J Falco-WalterPeter Heydemann
Apr 12, 2005·Epilepsy & Behavior : E&B·Betül Baykan, Soheyl Noachtar
Sep 12, 2019·Current Pain and Headache Reports·Sean T HwangScott J Stevens
Mar 28, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Carlo CianchettiVincenzo Guidetti
Dec 17, 2016·Clinical Case Reports·Bonaventura C T MpondoAzan A Nyundo
Jan 1, 2020·BMC Neurology·Ching Soong KhooSung Eun Kim
Feb 4, 2021·Journal of Pediatric Neurosciences·Sasikumar Sheetal, Sasikumar Amith Kumar

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