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. 2022 Oct;12(4):706-707.
doi: 10.1177/19418744221107502. Epub 2022 Jun 7.

Bilateral Painful Hand Seizures: An Atypical Somatotopic Syndrome

Joshua Koleske  1 , Jordan Y Amar  2 , Chris A Chou  3 , Arun S Varadhachary  2
Affiliations

Bilateral Painful Hand Seizures: An Atypical Somatotopic Syndrome

Joshua Koleske et al. Neurohospitalist. 2022 Oct.

Abstract

Painful Hand Seizures are a rarely reported form of secondary sensory seizures (SSS) characterized by painful, bilateral sensorimotor hand involvement and preserved consciousness. We report our case to aid neurologists in recognizing SSS as an atypical presentation of seizures.

Keywords: SII; painful hand seizures; secondary sensory seizures; somatosensory cortex.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(A) Axial Fluid attenuated inversion recovery (FLAIR) magnetic resonance image demonstrating T2-based hyperintensity in the left parietal lobe, consistent with post-surgical resection cavity. (B) Axial susceptibility-weighted image (SWI) demonstrating susceptibility artifact surrounding the resection cavity, consistent with residual blood products. (C) Contrasted coronal T1 image showing heterogeneous contrast enhancement of the resection cavity. (D) Sagittal view of the FLAIR hyperintensity, lying immediately superior to the lateral sulcus and caudal to the primary somatosensory cortex. (E) Somatotopic map of the secondary somatosensory cortex (SII; green region) in relation to the primary somatosensory cortex (SI; blue region), with bordering central sulcus (yellow margin), lateral sulcus (red margin), and superior parietal cortex (SPC; purple region).
See this image and copyright information in PMC

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