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10.1016/j.ebcr.2017.02.001

http://scihub22266oqcxt.onion/10.1016/j.ebcr.2017.02.001
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C5377006!5377006!28393015
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suck abstract from ncbi

pmid28393015      Epilepsy+Behav+Case+Rep 2017 ; 7 (ä): 49-53
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  • Epileptic Angina? #MMPMID28393015
  • Sureshbabu S; Nayak D; Peter S; Sobhana C; Mittal G
  • Epilepsy Behav Case Rep 2017[]; 7 (ä): 49-53 PMID28393015show ga
  • 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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