We report an adult with acute unilateral pain as isolated manifestation of acute symptomatic focal non-convulsive status epilepticus. Pain is rarely a manifestation of epileptic seizures. Traditionally, painful seizures have been thought to originate in either the parietal or temporal lobes, but their localising value is debatable. Recent functional neuroimaging studies and electrophysiological findings obtained by using intracerebral recordings have shown the involvement of the insular cortex along with several other brain structures in the processing of painful inputs, comprising a more widespread anatomo-functional network. Despite their rarity as a distinct clinical entity, especially in adults, painful somatosensory seizures can be disabling and misdiagnosis or delayed diagnosis is common; it is therefore essential to consider epilepsy as a possible cause of paroxysmal pain to ensure proper assessment and appropriate treatment.

Ictal pain in focal non-convulsive status epilepticus / Casciato, Sara; Morano, Alessandra; Fattouch, Jinane; Fanella, Martina; Albini, Mariarita; Giallonardo, Anna Teresa; Di Bonaventura, Carlo. - In: PRACTICAL NEUROLOGY. - ISSN 1474-7758. - ELETTRONICO. - 17:5(2017), pp. 400-402. [10.1136/practneurol-2017-001623]

Ictal pain in focal non-convulsive status epilepticus

Casciato, Sara;Morano, Alessandra;Fattouch, Jinane;Fanella, Martina;Albini, Mariarita;Giallonardo, Anna Teresa;Di Bonaventura, Carlo
2017

Abstract

We report an adult with acute unilateral pain as isolated manifestation of acute symptomatic focal non-convulsive status epilepticus. Pain is rarely a manifestation of epileptic seizures. Traditionally, painful seizures have been thought to originate in either the parietal or temporal lobes, but their localising value is debatable. Recent functional neuroimaging studies and electrophysiological findings obtained by using intracerebral recordings have shown the involvement of the insular cortex along with several other brain structures in the processing of painful inputs, comprising a more widespread anatomo-functional network. Despite their rarity as a distinct clinical entity, especially in adults, painful somatosensory seizures can be disabling and misdiagnosis or delayed diagnosis is common; it is therefore essential to consider epilepsy as a possible cause of paroxysmal pain to ensure proper assessment and appropriate treatment.
2017
NCSE; Video-EEG; epilepsy; ictal pain; painful seizures; Neurology (clinical)
01 Pubblicazione su rivista::01a Articolo in rivista
Ictal pain in focal non-convulsive status epilepticus / Casciato, Sara; Morano, Alessandra; Fattouch, Jinane; Fanella, Martina; Albini, Mariarita; Giallonardo, Anna Teresa; Di Bonaventura, Carlo. - In: PRACTICAL NEUROLOGY. - ISSN 1474-7758. - ELETTRONICO. - 17:5(2017), pp. 400-402. [10.1136/practneurol-2017-001623]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1080479
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