Acute, localised paroxysmal pain as the initial manifestation of focal seizures: A case report and a brief review of the literature

被引:13
作者
Charlesworth, Gavin [1 ,2 ]
Soryal, Imad [3 ]
Smith, Shelagh [1 ,2 ]
Sisodiya, Sanjay M. [1 ,4 ]
机构
[1] Natl Soc Epilepsy, Gerrards Cross SL9 0RJ, Bucks, England
[2] Natl Hosp Neurol & Neurosurg, London WC1N 3BG, England
[3] Queen Elizabeth Hosp, Birmingham B15 2TH, W Midlands, England
[4] Inst Neurol, UCL, Dept Clin & Expt Epilepsy, London WC1N 3BG, England
关键词
Epilepsy; Facial pain; Painful seizures; Cortical pain processing; Focal seizures; Somatosensory seizures; ELECTRICAL-STIMULATION; EPILEPTIC SEIZURES; CEREBRAL-CORTEX; BRADYCARDIA;
D O I
10.1016/j.pain.2008.11.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Pain is a rare manifestation of epileptic seizures. Yet, despite its rarity as a clinical entity, the pain associated with such seizures can be both severe and disabling. It thus remains important to consider epilepsy in the differential diagnosis of unexplained paroxysmal pain. By way of illustration, we present here a report of acute localised paroxysmal pain as the initial manifestation of focal epilepsy with EEG abnormalities in an otherwise neurodevelopmentally normal child. A brief discussion of the literature on epileptic pain then follows. (C) 2008 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:300 / 305
页数:6
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