Background:
Ictal pain is a rare manifestation of focal seizures, with a frequency ranging from 0,2 to 2,8% in patients with epilepsy1. Classically, it is categorized according to its localization as cephalic, abdominal (visceral or pneumogastric) or unilateral somatosensory pain2. The last is usually striking and can be described as a burning, stabbing, prickling, throbbing, or tearing sensation. In most cases they are accompanied by other motor, sensory or behavioral features which can denote their ictal origin3. When it occurs in isolation, seizures are often misdiagnosed and patients can go through unnecessary diagnostic procedures and inadequate treatment. While most patients who present with paroxysmal headache or abdominal pain do not have an epileptic cause in their origin, the localization of paroxysmal pain on a limb is more suggestive of an underlying epileptic cause1.