Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

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

Charlesworth, Gavina,b; Soryal, Imadc; Smith, Shelaghb,d; Sisodiya, Sanjay M.b,e,*

doi: 10.1016/j.pain.2008.11.005
Clinical note
Buy
SDC

ABSTRACT 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.

aNational Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK

bNational Society for Epilepsy, Chalfont St. Peter, Buckinghamshire SL9 0RJ, UK

cConsultant in Rehabilitation Medicine and Neurology, The Queen Elizabeth Hospital, Birmingham B15 2TH, UK

dConsultant in Clinical Neurophysiology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK

eDepartment of Clinical & Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK

*Corresponding author. Tel.: +44 20 3108 0125.

E-mail address:s.sisodiya@ion.ucl.ac.uk

ARTICLE INFO

Article history:

Received January 25, 2008

Received in revised form November 5, 2008

Accepted November 10, 2008.

© 2009 Lippincott Williams & Wilkins, Inc.
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website