title: Epileptic Angina.
abstract: OBJECTIVE
  To investigate the probable ictal origin of unexplained episodic chest pain and if possible to lateralize and localize the epileptic focus.
  
  
  METHODS
  A 14 year old boy presented with episodic short lasting localized chest pain. His cardiac and other systemic work-up were normal. MRI brain did not reveal any structural pathology. Video telemetry was done for characterization of the paroxysms.
  
  
  RESULTS
  Interictal record showed left fronto-central epileptiform discharges. A left hemispheric, predominantly centroparietal ictal rhythm was identified. The possible localizations of this unusual semiology are somatosensory areas I and II, supplementary sensorimotor area, posterior insula and cingulate cortex. Patient responded remarkably to antiseizure drugs.
  
  
  CONCLUSIONS
  Pain is a rare manifestation of epilepsy observed in less than 1% of patients. When present, it is usually accompanied by other focal features. This rare occurrence of epileptic seizures masquerading as angina is a novel observation.
authors.affiliation: Department of Neurology, St Stephen's Hospital, Tis Hazari, New Delhi 110054, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Sureshbabu
authors.affiliation: Department of Neurology, Fortis Malar Hospital, Adayar Chennai, India.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Nayak
authors.affiliation: Department of Pathology, Metropolis Labs, Ernakulum, Kerala, India.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Peter
authors.affiliation: Department of Pathology, Metropolis Labs, Ernakulum, Kerala, India.
authors.forename: Chindripu
authors.initials: C
authors.lastname: Sobhana
authors.affiliation: Department of Neurology, St Stephen's Hospital, Tis Hazari, New Delhi 110054, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Mittal
keywords: Ictal pain; Insula; Parietal; Somatosensory aura