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Epileptic Angina()

PURPOSE: 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 di...

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Autores principales: Sureshbabu, Sachin, Nayak, Dinesh, Peter, Sudhir, Sobhana, Chindripu, Mittal, Gaurav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377006/
https://www.ncbi.nlm.nih.gov/pubmed/28393015
http://dx.doi.org/10.1016/j.ebcr.2017.02.001
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author Sureshbabu, Sachin
Nayak, Dinesh
Peter, Sudhir
Sobhana, Chindripu
Mittal, Gaurav
author_facet Sureshbabu, Sachin
Nayak, Dinesh
Peter, Sudhir
Sobhana, Chindripu
Mittal, Gaurav
author_sort Sureshbabu, Sachin
collection PubMed
description PURPOSE: 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. CONCLUSION: 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.
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spelling pubmed-53770062017-04-07 Epileptic Angina() Sureshbabu, Sachin Nayak, Dinesh Peter, Sudhir Sobhana, Chindripu Mittal, Gaurav Epilepsy Behav Case Rep Case Report PURPOSE: 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. CONCLUSION: 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. Elsevier 2017-02-21 /pmc/articles/PMC5377006/ /pubmed/28393015 http://dx.doi.org/10.1016/j.ebcr.2017.02.001 Text en © 2017 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sureshbabu, Sachin
Nayak, Dinesh
Peter, Sudhir
Sobhana, Chindripu
Mittal, Gaurav
Epileptic Angina()
title Epileptic Angina()
title_full Epileptic Angina()
title_fullStr Epileptic Angina()
title_full_unstemmed Epileptic Angina()
title_short Epileptic Angina()
title_sort epileptic angina()
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377006/
https://www.ncbi.nlm.nih.gov/pubmed/28393015
http://dx.doi.org/10.1016/j.ebcr.2017.02.001
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