Painful Focal Sensory Seizure Arising from the Primary Somatosensory Cortex

Yazawa, Shogo; Ikeda, Akio; Sawamoto, Nobukatsu; Terada, Kiyohito; Fukuyama, Hidenao; Tanaka, Mire; Shibasaki, Hiroshi

doi:10.2169/internalmedicine.42.875

Cited by 8 publications

(2 citation statements)

References 20 publications

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“…Patients with parietal lobe seizures manifest symptoms in a wide variety of ways and not solely with simple sensory phenomena [6] . Reports in the literature as to the semiology of parietal seizures vary greatly, including the following: staring, tonic posturing, motor weakness, sensory changes, eye deviation [7] , and rarely, focal pain [8] .…”

Section: Discussionmentioning

confidence: 99%

‘Tickling’ seizures originating in the left frontoparietal region

Falco-Walter

Stein

McNulty

et al. 2016

Epilepsy & Behavior Case Reports

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We report a 10-year-old boy with mild developmental delay and epilepsy with new events of right back tickling and emotional upset. These initially appeared behavioral, causing postulation of habit behaviors or psychogenic nonepileptic seizures. Several ictal and interictal EEGs were unrevealing. Continuous EEG revealed only poorly localized frontal ictal activity. Given that his clinical symptoms suggested a parietal localization, double-density EEG electrodes were placed to better localize the epileptogenic and symptomatogenic zones. These revealed evolution of left greater than right frontoparietal discharges consistent with seizures at the time of the attacks. Medical management has significantly reduced the patient's seizures.

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Section: Discussionmentioning

confidence: 99%

‘Tickling’ seizures originating in the left frontoparietal region

Falco-Walter

Stein

McNulty

et al. 2016

Epilepsy & Behavior Case Reports

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“…69,70 The S1 receives nociceptive/pain information from second-order neurons along well-defined nociceptive pathways viz., spino-thalamo-cortical tract. 71 Numerous studies including electrophysiological, [72][73][74] anatomical, 70 brain imaging, 67,68 and clinical observation 75 support this. Furthermore, SI activation is seen in response to C and A-delta fibers 76,77 as well as to A-beta fibers by mechanical stimulations.…”

Section: Technologymentioning

confidence: 94%

Machines, mathematics, and modules: the potential to provide real-time metrics for pain under anesthesia

Peng,

Karunakaran,

Green

et al. 2024

Neurophoton.

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The brain-based assessments under anesthesia have provided the ability to evaluate pain/nociception during surgery and the potential to prevent long-term evolution of chronic pain. Prior studies have shown that the functional near-infrared spectroscopy (fNIRS)-measured changes in cortical regions such as the primary somatosensory and the polar frontal cortices show consistent response to evoked and ongoing pain in awake, sedated, and anesthetized patients. We take this basic approach and integrate it into a potential framework that could provide real-time measures of pain/nociception during the peri-surgical period. This application could have significant implications for providing analgesia during surgery, a practice that currently lacks quantitative evidence to guide patient tailored pain management. Through a simple readout of "pain" or "no pain," the proposed system could diminish or eliminate levels of intraoperative, early post-operative, and potentially, the transition to chronic post-surgical pain. The system, when validated, could also be applied to measures of analgesic efficacy in the clinic.

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Pain Management in Neurocritical Care

Petzold

Girbes

2013

Neurocrit Care

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The core challenge of pain management in neurocritical care is to keep the patient comfortable without masking or overlooking any neurological deterioration. Clearly in patients with a neurological problem there is a conflict of clinical judgement and adequate pain relief. Here we review the presentation, assessment, and development of pain in the clinical spectrum of patients with associated neurological problems seen in a general intensive care setting. Many conditions predispose to the development of chronic pain. There is evidence that swift and targeted pain management may improve the outcome. Importantly pain management is multidisciplinary. The available non-invasive, pharmacological, and invasive treatment strategies are discussed.

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Painful Focal Sensory Seizure Arising from the Primary Somatosensory Cortex

Cited by 8 publications

References 20 publications

‘Tickling’ seizures originating in the left frontoparietal region

‘Tickling’ seizures originating in the left frontoparietal region

Machines, mathematics, and modules: the potential to provide real-time metrics for pain under anesthesia

Pain Management in Neurocritical Care

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