Does epileptic pain really exist?

Painful seizures do exist, but are usually caused by uncontrolled muscle contractions that produce pain. Heretofore, no cases of seizures of the pain system have been reported. We will present a case of chest wall pain with episodic, severe exacerbation of the localized pain associated with focal muscle contractions. The episodes of severe pain could be provoked by stimulation of the internal capsule, producing repeated episodes of pain/muscle activity. The symptoms could be stopped by intravenous diazepam and reduced by periventricular grey stimulation.