PURPOSE: To draw attention to @entity158 which is a rare @entity410 symptom mostly causing wrong diagnosis and delayed treatment. We present nine @entity1 in whom @entity158 was a prominent initial or early ictal symptom. METHODS: We reviewed the records of 4736 @entity1 , and found nine @entity1 who had @entity158 as an aura or an early prominent symptom of their @entity410 . @entity410 semiology, EEG, and cranial imaging features were evaluated retrospectively. RESULTS: Age at @entity410 onset ranged from 6months to 50years, and the mean age during the study was 37.7  11.9years. @entity158 was predominantly peripherally localized in four @entity1 , whereas @entity158 was detected in three @entity1 , and @entity490 was detected in two @entity1 . Electroencephalography (EEG) revealed @entity302 on the temporoparietal and frontotemporal regions in three @entity1 each. Photosensitive generalized @entity302 discharges were detected in one and diffuse background slowing in the remaining two other @entity1 . Electroencephalography abnormalities were lateralized to the contralateral site of the @entity158 in four @entity1 with strictly localized @entity158 . Three @entity1 revealed no abnormality on the cranial MR imaging, whereas others showed different types of abnormality such as @entity3664 (n:1), mesial temporal lobe @entity194 (n:1), white and gray matter sequela lesions (n:1), diffuse @entity62 (n:1), chronic @entity9872 and @entity5219 (n:1), and perivascular space dilatation (n:1). CONCLUSION: @entity158 is a neglected, but important, semiologic symptom with localization and lateralization value in the @entity1 with @entity410 as well as temporal lobe origin. It occurs mainly as peripherally localized, cephalic, or @entity490 and is usually associated with a symptomatic etiology. Awareness of @entity158 is important to avoid misdiagnosis and delayed treatment.

Reappraisal of XXXX as a rare symptom of @entity410 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure', 'somatosensorial seizures of parietal', 'seizures', 'Seizure'] @entity3664 :: ('MESH:C548481', 'Disease') :: ['heterotopias'] @entity5219 :: ('MESH:D005911', 'Disease') :: ['gliosis'] @entity194 :: ('MESH:D001284', 'Disease') :: ['atrophy'] @entity302 :: ('MESH:D004827', 'Disease') :: ['epileptic', 'epileptic abnormalities'] @entity158 :: ('MESH:D010146', 'Disease') :: ['cephalic pain', 'Pain', 'epileptic pain', 'pain', 'Epileptic pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity62 :: ('MESH:D056784', 'Disease') :: ['white matter lesion'] @entity9872 :: ('MESH:D004678', 'Disease') :: ['encephalomalacia']
@entity158 :: (MESH:D010146,Disease) :: ['epileptic pain']
