Partial epilepsy presenting as focal paroxysmal pain.

A 3-year old, previously well child developed paroxysms of left thigh pain. Evaluation was unremarkable except for interictal and postictal EEG epileptiform activity in the right parietal and posterior temporal regions. The painful spells were controlled with anticonvulsant medication. Episodes of paroxysmal, unexplained pain may rarely be the initial clinical manifestation of a partial seizure disorder.