Localized Ictal Pain as a Sole Manifestation of Post-stroke Seizure

J Korean Neurol Assoc > Volume 19(1); 2001 > Article

Journal of the Korean Neurological Association 2001;19(1): 49-51.

뇌졸중 후 발현한 국소통증발작

마효일, 유경호 ·이보람 ·이병철

한림대학교 의과대학 신경과학교실

Localized Ictal Pain as a Sole Manifestation of Post-stroke Seizure

Hyeo-Il Ma, M.D., Kyung-Ho Yu, M.D., Bo-Ram Lee, M.D., Byung-Chul Lee, M.D.

Department of Neurology, Hallym University College of Medicine

Abstract

A 57-year-old female was hospitalized for visual disturbance and right hemiparesis. MRI revealed cortical and sub-cortical infarcts in the left occipito-parietal area. One week later, she experienced paroxysmal electric shock like pain on the dorsum of her right hand. All analgesics failed to relieve her pain, but an antiepileptic drug eradicated the pain com-pletely. This unusual seizure could have been misdiagnosed as a thalamic or pseudothalamic pain syndrome had an ictal EEG not been performed. We report the post-stroke somatosensory seizure, only with unilateral ictal pain.J Korean Neurol Assoc 19(1):49~51, 2001Key Words : Ictal pain, Painful seizure, Stroke