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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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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. |
format | Online Article Text |
id | pubmed-5377006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT sureshbabusachin epilepticangina AT nayakdinesh epilepticangina AT petersudhir epilepticangina AT sobhanachindripu epilepticangina AT mittalgaurav epilepticangina |