A rare but treatable cause of recurrent chest pain - Ictal chest pain.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968555 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2377 (Electronic) Linking ISSN: 14712377 NLM ISO Abbreviation: BMC Neurol Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Chest Pain/*complications ; Chest Pain/*drug therapy ; Epilepsy/*complications; Anticonvulsants/therapeutic use ; Electroencephalography ; Epilepsy/drug therapy ; Female ; Humans ; Middle Aged ; Monitoring, Physiologic
    • Abstract:
      Background: Chest pain as the primary manifestation of epilepsy is extremely rare and has only been reported once to date.
      Case Presentation: We herein describe a 47-year-old woman with recurrent chest pain for 3 years. The cause of her chest pain remained elusive despite extensive investigations including comprehensive cardiac work-up. She was referred to the neurology clinic for one episode of confusion. Video-electroencephalographic monitoring detected unequivocal ictal changes during her habitual chest pain events. She has remained chest pain (seizure) free with a single antiseizure drug.
      Conclusions: This case underlines the importance of epilepsy as a rare yet treatable cause of recurrent chest pain. Further studies are required to determine the pathophysiology of ictal chest pain.
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    • Contributed Indexing:
      Keywords: Chest pain; Epilepsy; Ictal chest pain; Video-electroencephalogram
    • Accession Number:
      0 (Anticonvulsants)
    • Publication Date:
      Date Created: 20200101 Date Completed: 20200316 Latest Revision: 20200316
    • Publication Date:
      20240104
    • Accession Number:
      PMC6936059
    • Accession Number:
      10.1186/s12883-019-1575-0
    • Accession Number:
      31888520