Sheetal Sasikumar, Amith Kumar Sasikumar
Department of Neurology, Pushpagiri Institute of Medical Sciences and Research, Thiruvalla, Kerala, India.
J Pediatr Neurosci. 2020 Jul-Sep;15(3):311-313. doi: 10.4103/jpn.JPN_22_20. Epub 2020 Nov 6.
Pain is a recognized, but rare manifestation of epileptic seizures. Pain associated with seizures can be severe and disabling. Ictal pain is usually associated with paresthesia, thermal sensations, or somatognostic disturbance. If localized, paroxysmal pain is the sole manifestation, seizure may be often overlooked as a cause for pain, leading to unnecessary investigations and erroneous treatment, resulting in the prolongation of suffering. We hereby report the case of a 6-year-old boy, whose initial manifestation was multiple episodes of localized, intense, disabling paroxysms of pain over multiple body sites. He was diagnosed to have focal unaware seizures, and was started on antiepileptic drugs, leading to complete resolution of symptoms.
疼痛是癫痫发作的一种已被认知但较为罕见的表现形式。与癫痫发作相关的疼痛可能很严重且使人丧失能力。发作期疼痛通常与感觉异常、热感或躯体认知障碍有关。如果局部阵发性疼痛是唯一表现，癫痫发作常可能被忽视是疼痛的原因，从而导致不必要的检查和错误的治疗，致使痛苦延长。我们在此报告一名6岁男孩的病例，其最初表现为多个身体部位多次出现局部性、剧烈、使人丧失能力的阵发性疼痛。他被诊断为局灶性意识不清发作，并开始使用抗癫痫药物治疗，症状完全缓解。
