Bilateral painful epileptic seizures of the hands.

Secondary sensory seizures (SSS) are very rare epileptic seizures. A 14-year-old male patient with habitual painful seizures of the backs of both hands since the age of four is reported. The painful seizures were rarely followed by impairment of consciousness. Ictal EEG showed 4 to 6Hz rhythmic waves over the right anterior and mid-temporal area following complaints of pain. The absence of tumorous lesions on brain CT or MRI, childhood onset and the absence of combined seizures were characteristic features of this case compared with other patients reported to have SSS.