John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

Focal epilepsy with paroxysmal pain due to somatic injury Volume 19, numéro 2, June 2017

Vidéo

  • Focal epilepsy with paroxysmal pain due to somatic injury

Illustrations

  • Figure 1
  • Figure 2
Auteurs
1 Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University
2 Comprehensive Epilepsy Center of Beijing, Xuanwu Hospital, Capital Medical University, China
* Correspondence: Guojun Zhang 45 Changchun Street, Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, 100053 Beijing, China
  • Mots-clés : seizure, pain, peripheral injury, epilepsy
  • DOI : 10.1684/epd.2017.0918
  • Page(s) : 207-11
  • Année de parution : 2017

We present two cases with paroxysmal pain that developed after a somatic injury to the trunk. The main characteristic of the episodes was paroxysmal severe pain, mainly located in the original region of somatic injury, with ipsilateral tonic or dystonic behaviour. The clinical characteristics supported a diagnosis of focal epilepsy. Both scalp EEG and MEG findings suggested epileptic activities on the contralateral central cortex. The focal seizures had a good response to antiepileptic drugs. It is hypothesized that peripheral somatic injuries can modify cortical excitability and lead to plastic changes in the sensory/motor cortex, ultimately resulting in focal seizures. We provide additional evidence for the phenomenon that a peripheral somatic injury could induce focal epilepsy. [Published with video sequence on www.epilepticdisorders.com]