Will a patient experiencing seizures respond to painful stimuli?

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Last updated: February 9, 2025View editorial policy

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From the Research

Response to Painful Stimuli in Seizure Patients

  • The response of patients experiencing seizures to painful stimuli can vary depending on the type and origin of the seizure [(1,2,3)].
  • A study on partial seizures found that some patients responded to stimuli during the seizure, but their ability to recall the stimuli was impaired 1.
  • Research on painful seizures suggests that they are a rare but distinct clinical presentation of epilepsy, and the response to painful stimuli may be influenced by the underlying pathophysiology and anatomic networks involved [(4,3)].
  • The nociceptive threshold of patients with epilepsy has been found to differ from that of healthy subjects, with some patients having a higher threshold for pain 2.
  • Reflex seizures, which are evoked by specific stimuli, can also affect the response to painful stimuli, and may be precipitated by various triggers including somatosensory stimulation 5.

References

Research

Painful epileptic seizures.

Brain : a journal of neurology, 1983

Research

Painful Seizures: a Review of Epileptic Ictal Pain.

Current pain and headache reports, 2019

Research

Reflex seizures and reflex epilepsy.

American journal of electroneurodiagnostic technology, 2006

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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