title: [Pain phenomenon in the structure of a seizure as a symptom of subcortical epilepsy].
abstract: A long-term dynamic study of epilepsy permitted one to distinguish a group of patients (21), who had undergone cortical surgical operations in the sensomotor area. In this group of patients the epileptical seizures were not only arrested, but preserved their previous structure. In all observations, the attack included pain which had a nociceptive character, a disagreeable emotional shading, was exceptionally intensive, diffuse, spreaded along a wide body area, was localized in the deep tissues and migrated intermittently during the seizure, respective to the somatotopic representation in the brain. The anatomo-physiological data suggest that such painful sensations are due to the irritation of the nonspecific thalamus nuclei and first of all, the medium center. This assumption is supported by the clinico-physiological studies of some authors, as well as by the negative results of surgical operations in this group of patients, despite the removal of the assumed epileptical focus in the cortex. The studies indicate that the main epileptical focus lies in the subcortical structures and particularly in the nonspecific thalamic nuclei.
mesh_terms: D000293:Adolescent; D000328:Adult; D004827:Epilepsy / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009044:Motor Cortex / Q000601:surgery; D010146:Pain; D013003:Somatosensory Cortex / Q000601:surgery; D013787:Thalamic Nuclei / Q000601:surgery
vernacular_title: Bolevoĭ fenomen v strukture pripadka kak proiavlenie podkorkovoĭ épilepsii.