Acute paroxysmal praecordial pain as a somatosensory elementary partial onset of epileptic seizure.
It presents a 60-year-old female patient with acute paroxysmal intensive pain attacks in the praecordial area that spread to the left hand and were associated with mild transient left hemiparesis, progressing to a myoclonic focal seizure in the region of left abdomen. The diagnostic procedure was interrupted several times by intensive pain attacks, but excluded acute thoracic pathological process, whilst a brain scan found a large, partially necrotic tumour with incipient bleeding and severe oedema subcortically in the right parietal lobe. We are describing a clinical presentation of symptomatic, simple focal, somatosensory epileptic seizure with dominance of intensive pain that progress in myoclonic, somatomotor focal seizure and Todd's Palsy as the first sign of glioblastoma bleeding.
Medical Rehabilitation Hospital Varaždinske Toplice, Varaždinske Toplice, Croatia. dvmatkovic@yahoo.com
Dragica
D
Vrabec-Matković
Duška
D
Sklebar
Ivan
I
Sklebar
Mislav
M
Klobučić
Renata
R
Ivanac Janković
D015746:Abdominal Pain / Q000209:etiology; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis*; D002637:Chest Pain / Q000209:etiology; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005909:Glioblastoma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010296:Parietal Lobe; D014057:Tomography, X-Ray Computed