국소통증으로 발현된 뇌졸중후 간질
Post-stroke Epilepsy Presenting as Focal Paroxysmal Pain
전동철, 박춘강, 이규용, 이영주, 김주한,
소속 상세정보
전동철 ( Jun Dong-Chul )
한양대학교 의과대학 신경과학교실
박춘강 ( Park Choon-Gang )
한양대학교 의과대학 신경과학교실
이규용 ( Lee Kyu-Yong )
한양대학교 의과대학 신경과학교실
이영주 ( Lee Yong-Joo )
한양대학교 의과대학 신경과학교실
김주한 ( Kim Ju-Han )
한양대학교 의과대학 신경과학교실
KMID : 0877220010050020195
Abstract
Post-stroke epilepsy presenting as paroxysmal pain is rare. In most cases, the characteristic pain nature responsible for this kind of post-stroke epilepsy is associated with lesion of somatosensory areas. In this case, however, the precental motor cortex was responsible lesion site. A 60-year-old male with right frontal cortical and subcortical infarction complained paroxysmal shock like painful sensation on left lower extremity. This sensory symptom began after 2 weeks of stroke, and all analgesics failed to relieve the pain. EEG revealed sharp and slow wave at right frontotemporal region. Antiepileptic drug medication dramatically reduced the pain. In addition, epileptiform discharge disappeared after antiepileptic medication. In this paper, we report a post-stroke epilepsy presenting as focal paroxysmal pain associated with involvement of precental motor cortices.
키워드
뇌졸중후 간질; 통증 발작; Focal paroxysmal pain; Post-stroke epilepsy;
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