title: Acute, localised paroxysmal pain as the initial manifestation of focal seizures: a case report and a brief review of the literature.
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.
authors.affiliation: National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK National Society for Epilepsy, Chalfont St. Peter, Buckinghamshire SL9 0RJ, UK Consultant in Rehabilitation Medicine and Neurology, The Queen Elizabeth Hospital, Birmingham B15 2TH, UK Consultant in Clinical Neurophysiology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK Department of Clinical & Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK.
authors.forename: Gavin
authors.initials: G
authors.lastname: Charlesworth
authors.forename: Imad
authors.initials: I
authors.lastname: Soryal
authors.forename: Shelagh
authors.initials: S
authors.lastname: Smith
authors.forename: Sanjay M
authors.initials: SM
authors.lastname: Sisodiya
mesh_terms: D000293:Adolescent; D004569:Electroencephalography / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D010146:Pain / Q000175:diagnosis*; D012640:Seizures / Q000175:diagnosis / Q000503:physiopathology*; D014741:Video Recording / Q000379:methods