Edit concept Question Editor Create issue ticket

Abdominal Epilepsy

Abdominal Epilepsies


Presentation

  • In our series, we found that the most common presenting symptoms were paroxysmal abdominal pain and vomiting.[ncbi.nlm.nih.gov]
  • It is a form of temporal lobe epilepsy presenting with abdominal aura.[ncbi.nlm.nih.gov]
  • A 10-year-old child presented with recurrent abdominal pain. Abdominal epilepsy was suspected as conventional criteria for the diagnosis were met, including an apparent therapeutic response to anticonvulsant medication.[ncbi.nlm.nih.gov]
  • Epilepsy presenting with abdominal aura is known as abdominal epilepsy.[doi.org]
Asymptomatic
  • In the past 14 months of follow‐up, he has been asymptomatic. Figure 4 EEG record showing left temporal dysrhythmia in the form of slowing.[ncbi.nlm.nih.gov]
  • The patient started treatment with oxcarbazepine and remained asymptomatic for 6 months. He again had a relapse of his symptoms.[dx.doi.org]
  • There is no uniform consensus on the management of asymptomatic intra-abdominal foreign bodies. However, the general opinion is that all intra-abdominal foreign bodies, once diagnosed, should be removed at the earliest possible opportunity.[doi.org]
Severe Pain
  • However, she occasionally experienced severe pain in the epigastric region, associated with vomiting and a peculiar sensation which permeated throughout the same area. This was invariably followed by loss of consciousness for 2 to 5 minutes.[doi.org]
Localized Pain
  • Localized pain, as an isolated phenomenon not associated with somatic convulsive seizures or with other motor, sensory or psychic variants of epilepsy would rarely be considered a form of epilepsy even though its occurrence was episodic and paroxysmal[doi.org]
  • PubMed Google Scholar Siegel AM, Williamson PD, Roberts DW: Localized pain associated with seizures originating in the parietal lobe. Epilepsia. 1999, 40 (7): 845-855. 10.1111/j.1528-1157.1999.tb00790.x.[ijponline.biomedcentral.com]
Sighing
  • […] highly recommend that anyone who has experienced abdominal insults or surgery observe their breathing patterns and relearn effortless breathing/diaphragmatically breathing instead of shallow, rapid chest breathing often punctuated with breath holding and sighs[peperperspective.com]
Abdominal Pain
  • […] is characterised by paroxystic episodes of abdominal pain, diverse abdominal complaints, definite EEG abnormalities and favourable response to the introduction of epilepsy drugs. 1 We describe four patients, with recurrent abdominal pain, without obvious[dx.doi.org]
  • Abdominal epilepsy is one of the rare but easily treatable cause of abdominal pain. In conclusion, abdominal epilepsy should be suspected in children with recurrent abdominal pain.[ncbi.nlm.nih.gov]
  • Abdominal epilepsy is an uncommon cause of recurrent abdominal pain. 1, 2 It is characterised by paroxystic episodes of abdominal pain, diverse abdominal complaints, definite EEG abnormalities and favourable response to the introduction of epilepsy drugs[ncbi.nlm.nih.gov]
Recurrent Abdominal Pain
  • Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report Sangit Ranjan Dutta, Indrajit Hazarika, Bhabani Prasad Chakravarty Department of Medicine, Gauhati Medical College and Hospital, Bhangagarh, Guwahati, Assam, India Correspondence[dx.doi.org]
  • Seven months later the patient developed recurrent abdominal pain, a gait disorder, and atrophy of the right thigh and calf. Magnetic resonance imaging of the spine revealed a thoracic syringomyelia.[ncbi.nlm.nih.gov]
  • This condition must be considered in a child with undiagnosed recurrent abdominal pain. Full text Full text is available as a scanned copy of the original print version.[ncbi.nlm.nih.gov]
Severe Abdominal Pain
  • Case 1: A 21-year-old woman with DM type I presented with a 2-month history involving four episodes of severe abdominal pain and vomiting, each of which lasted four to five days. She had a recurrence every two weeks.[ncbi.nlm.nih.gov]
  • The predominant symptom is sudden, severe abdominal pain that is recurrent. It can be accompanied by other abdominal complaints such as nausea, vomiting, or diarrhea.[study.com]
  • In conclusion, our patient showed recurrent attacks of severe abdominal pain as the only manifestation of epileptic seizure.[ijponline.biomedcentral.com]
  • She had first suffered from an attack of severe abdominal pain 2 years previously, while standing in the bus terminus. Shortly afterwards, she vomited and fell down unconscious and remained so for 2 to 5 minutes.[doi.org]
Chronic Abdominal Pain
  • Chronic abdominal pain in childhood: diagnosis and management. Am Fam Physician. 1999;59:1823–30. Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.[aafp.org]
  • Context: Recurrent chronic abdominal pain is a common problem encountered by pediatricians. Variety of investigations are done to come to a diagnosis but a cause is rarely found.[pediatricneurosciences.com]
  • Perhaps 10% of patients have an occult physiologic illness (see Table: Physiologic Causes of Chronic Abdominal Pain ); the remainder have a functional process.[merckmanuals.com]
Fecal Incontinence
  • Indicators like pupillary dilation, depressed corneal reflexes, the presence of Babinski responses, autonomic cardiorespiratory changes, tongue biting and urinary/fecal incontinence are more probable with epilepsy and are not usually manifested in psychogenic[epilepsysco.org]
Blister
  • Small blisters on novartis otrivin nasal always headache during pregnancy shoulders sore nausea bumps that treats sinus. Today I want to share with you the latest studies about migraine and dark chocolate.[bionexgen-fp7.eu]
  • These skin reactions cause rash, mouth sores, peeling and blistering skin, and other severe symptoms. People of Asian ancestry have a 10 times greater risk for skin reactions than other ethnicities.[stlukes-stl.com]
Fidgeting
  • The automatisms of the mesiobasal temporal lobe seizures are typically less violent and are usually oro-alimentary (lip-smacking, chewing, swallowing) or gestural (fumbling, fidgeting, repetitive motor actions, undressing, sexually directed actions, walking[doi.org]
Alteration of Consciousness
  • Epileptiform EEG abnormalities, loss or alteration of consciousness, and a good response to antiepileptic drugs are other features that can lead to a diagnosis of focal epilepsy with ictal abdominal pain [ 2, 3 ].[ijponline.biomedcentral.com]
Neglect
  • Page viii - The subject of headache and related clinical problems in children has been relatively neglected in the medical literature. ‎ Page 123 - A female, act. 42 years, a year after a fall in which she struck the back of her head... ‎[books.google.com]

Workup

  • After exclusion of more common etiologies for the presenting complaints, workup should proceed with an electroencephalogram. Where the diagnosis is seriously considered, neurological consultation should be considered.[ncbi.nlm.nih.gov]
  • The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort.[books.google.com]
  • After exclusion of more common etiologies for the presenting complaints, workup should proceed with an electroencephalogram. When associated with anatomical abnormality abdominal epilepsy is difficult to control with medication alone.[abdominalepilepsy.blogspot.com]
  • We studied 150 children with chronic recurrent abdominal pain and after exclusion of more common etiologies for the presenting complaints; workup proceeded with an EEG.[pediatricneurosciences.com]
  • Routine workup for all patients should include EEG and MRI of the brain; most of the time, the results will be normal.[emedicine.medscape.com]
Electroencephalogram Abnormal
  • It is characterized by paroxysmal episodes of abdominal pain, a variety of other abdominal complaints, electroencephalogram abnormalities, and response to anti-epileptic agents. We described the clinical profile of six patients with AE.[ncbi.nlm.nih.gov]
Focal Spikes
  • Figure 2 EEG record showing focal spike and wave discharges with phase reversal from right temporal. He has remained asymptomatic during the past 18 months of follow‐up, receiving regular drugs.[ncbi.nlm.nih.gov]
Epileptiform Activity
  • activity, maximum on photic stimulation Valproic acid Seizure free Siegel AM et al. 8 1 F Crampy periumbilical pain Occasional generalized seizures Few seconds Right parietal focus NR NR Mitchell WG et al. 9 6 M Vomiting Bad smell, fatigue 20-40 seconds[ijponline.biomedcentral.com]
Normal Interictal EEG
  • Physical and neurological examinations were normal. Interictal EEG during wakefulness and sleep displayed bilateral spikes and diphasic sharp-waves localized over the temporal leads with a marked increase in frequency during drowsiness.[ijponline.biomedcentral.com]

Treatment

  • A provisional diagnosis of migraine was made and she started treatment with tab Ergotamine, but the symptoms persisted. The treatment regimen was altered and she was treated with tab Flunarizine, but no improvement was noted.[ncbi.nlm.nih.gov]
  • In the known cases of abdominal epilepsy, treatment with epilepsy drugs has usually significantly reduced abdominal symptoms. That's not proof that the abdominal symptoms were caused by seizures, though. Epilepsy drugs act on nerves in general.[webmd.com]
  • Other epilepsy treatments may be considered as for other forms of epilepsy in cases which are difficult to control. Each patient is different and should discuss their treatment options with their own treating physicians.[nervous-system-diseases.com]
  • Treatment typically begins with anticonvulsant medication, and resolution of symptoms with therapy helps to confirm the diagnosis.[ncbi.nlm.nih.gov]
  • Onset of treatment with sodium valproate was followed by a significant reduction of seizures. Abdominal epilepsy should be suspected in adolescents or adults with paroxysmal episodes of abdominal pain associated with migraine-like symptoms.[ncbi.nlm.nih.gov]

Prognosis

  • To date, little research has been conducted into the prognosis of children with LGS. It is clear, however, that prognosis varies from child to child. Generally, this syndrome is permanent.[epilepsycentre.org.au]
  • The prognosis of childhood abdominal migraine.[dovepress.com]
  • Prognosis The prognosis for epilepsy depends on various factors. In general, people whose epilepsy is well-controlled by medications have an excellent prognosis and many experience short- and even long-term remission from seizures.[stlukes-stl.com]
  • The events appear very frightening for carers but have a good prognosis. When reflex anoxic seizures are very frequent, atropine or cardiac pacing may be considered.[epilepsydiagnosis.org]

Etiology

  • After exclusion of more common etiologies for the presenting complaints, workup should proceed with an electroencephalogram. Where the diagnosis is seriously considered, neurological consultation should be considered.[ncbi.nlm.nih.gov]
  • A developmental brain disorder should be considered as a possible etiology.[ncbi.nlm.nih.gov]
  • Abdominal pain, in etiology sometimes difficult to be defined, is a frequent complaint in childhood. Abdominal epilepsy is a rare cause of abdominal pain. In this article, we report on 5 year old girl patient with abdominal epilepsy.[ncbi.nlm.nih.gov]
  • After exclusion of more common etiologies for the presenting complaints, workup should proceed with an electroencephalogram. When associated with anatomical abnormality abdominal epilepsy is difficult to control with medication alone.[abdominalepilepsy.blogspot.com]
  • We studied 150 children with chronic recurrent abdominal pain and after exclusion of more common etiologies for the presenting complaints; workup proceeded with an EEG.[pediatricneurosciences.com]

Epidemiology

  • Thus major advances in headache epidemiology may be expected to occur when migraine is defined by a laboratory finding'. ‎[books.google.com]
  • After analysis of the determining elements in this case, the epidemiology, pathophysiology, diagnostic work-up, therapy, and differential diagnosis of digestive epilepsy are discussed.[ncbi.nlm.nih.gov]
  • This includes an introduction to the concept of pain, epidemiology, and natural history of the disease process and coping strategies including stress reduction.[dovepress.com]
Sex distribution
Age distribution

Pathophysiology

  • While a causal relationship between seizure activity and the GI symptoms has not been proven, the GI symptoms cannot be explained by other pathophysiological mechanisms, and are seen to improve upon anticonvulsant treatment.[en.wikipedia.org]
  • Many experts say that this is main aspect they had to understand between temporal lobe seizure activity and pathophysiology.[seizures.dolyan.com]
  • That is the difference between pathophysiology and temporal lobe seizure activity. The pathophysiology of abdominal epilepsy remains unclear. Temporal lobe seizure activity usually arises in or involves the amygdala.[abdominalepilepsy.blogspot.com]
  • After analysis of the determining elements in this case, the epidemiology, pathophysiology, diagnostic work-up, therapy, and differential diagnosis of digestive epilepsy are discussed.[ncbi.nlm.nih.gov]
  • Pathophysiology Despite significant progress in defining abdominal migraine in the literature over the past century, there has been little development of our understanding of its pathophysiology.[dovepress.com]

Prevention

  • As stated above, because the symptoms are related to seizure activity in the brain, prevention of the seizures with antiepilepsy medications may help to control the abdominal symptoms.[nervous-system-diseases.com]
  • Gibbs 1999 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with HIV: Part I. Prevention of Exposure Newer Intranasal Migraine Medications Craig D. Logemann; Lynn M.[aafp.org]
  • As stated above, because the symptoms are related to seizure activity in the brain, prevention of the seizures with antiepilepsy medications may help to control the abdominal symptoms. Dilantin (phenytoin) is often used.[webdicine.com]
  • TriVita ay Sublingual B-12 Vitamin Supplements – TriVita Sublingual B12 B6 and Folic acid and nutritional products vitamin shopping natural diet supplements antioxidant products and information Mild stroke symptoms can be prevented.[bionexgen-fp7.eu]
  • Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. ‎[books.google.es]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!