Ictal pain: occurrence, clinical features, and underlying etiologies
被引:13
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作者:
Asadi-Pooya, Ali A.
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Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USAThomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USA
Asadi-Pooya, Ali A.
[1
]
Asadollahi, Marjan
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Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USAThomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USA
Asadollahi, Marjan
[1
]
Sperling, Michael R.
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Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USAThomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USA
Sperling, Michael R.
[1
]
机构:
[1] Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, Philadelphia, PA USA
Purpose: We analyzed a series of patients with ictal pain to estimate its occurrence and characterize the underlying etiologies. Methods: We retrospectively reviewed all the long-term video-EEG reports from Jefferson Comprehensive Epilepsy Center over a 12-year period (2004-2015) for the occurrence of the term "pain" in the text body. All the extracted reports were reviewed, and patients with at least one documented episode of ictal pain in the epilepsy monitoring unit (EMU) were included in the study. Results: During the study period, 5133 patients were investigated in our EMU. Forty-six patients (0.9%) had at least one documented episode of ictal pain. Twenty-four patients (0.5%) had psychogenic nonepileptic seizures (PNES), 10 patients (0.2%) had epilepsy, 11 patients (0.2%) had migraine, and one woman had a cardiac problem. Pain location was in the upper or lower extremities (with or without other locations) in 80% of the patients with epilepsy, 33% of the patients with PNES (p = 0.01), and none of the patients with migraine. Conclusion: Ictal pain is a rare finding among patients evaluated in EMUS. Psychogenic nonepileptic seizures are the most common cause, but ictal pain is not specific for this diagnosis. Location of the ictal pain in a limb may help differentiate an epileptic cause from others. (C) 2016 Elsevier Inc. All rights reserved.
机构:
Western Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Western Univ, Schulich Sch Med & Dent, Dept Biochem, London, ON, CanadaWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Hegele, Robert A.
Berberich, Amanda J.
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Western Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Western Univ, Schulich Sch Med & Dent, Dept Biochem, London, ON, CanadaWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Berberich, Amanda J.
Ban, Matthew R.
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Western Univ, Robarts Res Inst, London, ON, CanadaWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Ban, Matthew R.
Wang, Jian
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Western Univ, Robarts Res Inst, London, ON, CanadaWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Wang, Jian
Digenio, Andres
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Akcea Therapeut, Cambridge, MA USAWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Digenio, Andres
Alexander, Veronica J.
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Ionis Pharmaceut, Carlsbad, CA USAWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Alexander, Veronica J.
D'Erasmo, Laura
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Sapienza Univ Rome, Dept Internal Med & Allied Sci, Rome, ItalyWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
D'Erasmo, Laura
Arca, Marcell
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Sapienza Univ Rome, Dept Internal Med & Allied Sci, Rome, ItalyWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Arca, Marcell
Jones, Alan
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Heart England NHS Fdn Trust, Dept Clin Biochem & Immunol, Birmingham, W Midlands, EnglandWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Jones, Alan
Bruckert, Eric
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Hop La Pitie Salpetriere, Inst & IHU Cardiometab ICAN E3M, Endocrinol Metab & Prevent Cardiovasc, Paris, FranceWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Bruckert, Eric
Stroes, Erik S.
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Acad Med Ctr, Dept Vasc Med, Amsterdam, NetherlandsWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Stroes, Erik S.
Bergeron, Jean
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Univ Laval, Ctr Hosp Univ Quebec, Dept Med, Quebec City, PQ, Canada
Univ Laval, Ctr Hosp Univ Quebec, Dept Biol Med, Quebec City, PQ, CanadaWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
Bergeron, Jean
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Civeira, Fernando
Witztum, Joseph L.
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Univ Calif San Diego, La Jolla, CA 92093 USAWestern Univ, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
机构:
Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, 901 Walnut St,Suite 435, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, 901 Walnut St,Suite 435, Philadelphia, PA 19107 USA
Asadi-Pooya, Ali A.
Fletman, Elizabeth W.
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机构:
Thomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, 901 Walnut St,Suite 435, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Neurol, Jefferson Comprehens Epilepsy Ctr, 901 Walnut St,Suite 435, Philadelphia, PA 19107 USA