Paroxysmal pain as sole manifestation of seizures.
A developmentally normal 4-year-old white female who presented with pain in the right hand as the only manifestation of epilepsy is reported. Two years later, she developed complex partial seizures following right-hand pain. Computed tomography and magnetic resonance imaging were unremarkable. Prolonged ambulatory electroencephalography (EEG) as well as video-EEGs with ictal pain episodes failed to reveal abnormalities. Only a full night video-EEG performed after antiepileptic drug withdrawal demonstrated 2 right-hand pain episodes followed by a complex partial seizure with ictal epileptiform activity on the scalp EEG in the left parasagittal area, rapidly generalized and interictal discharges in the C3-P3 area. This patient had a very unusual presentation of epilepsy.
Lancman
M E
ME
Department of Neurology, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27157.
Asconapé
J J
JJ
Penry
K T
KT
Brotherton
T
T
D000927:Anticonvulsants / Q000627:therapeutic use; D002675:Child, Preschool; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D017029:Epilepsy, Complex Partial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006225:Hand; D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000209:etiology*
D000927:Anticonvulsants