Presentation
It is a form of temporal lobe epilepsy presenting with abdominal aura. [ncbi.nlm.nih.gov]
Based on the unusual history, clinical presentation and lab reults, of Mr.Neville, the differential diagnosis may be - 1. Abdominal Epilepsy 2. Cyclic Vomiting Syndrome 3. Zollinger - Ellison Syndrome 4. [bmj.com]
Entire Body System
- 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. [doi.org]
- Fatigue
Dizziness is not a disease but a symptom of but it may lead to fatigue, dizziness, It can cause an upset stomach, nausea, cold sweats, dizziness, and headache. Is sudden and very severe. [bionexgen-fp7.eu]
Those symptoms include: abdominal pain, usually sharp or cramping and lasting seconds to minutes nausea and/or vomiting fatigue, lethargy, or sleep following seizures altered level of consciousness, such as confusion or unresponsiveness convulsive seizures [webmd.com]
Symptoms that are linked to problems in CNS (central nervous system) such as altered consciousness or fatigue. The wave patterns in EEG are not normal. [seizures.dolyan.com]
Work on finding a balance between work and “play” to reduce mental strain and fatigue. [draxe.com]
- Severe Pain
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]
- Surgical Procedure
1133 Chapter 122a Multiple subpial transections 1138 Chapter 122b Nonresective surgical procedures and electricalor magnetic stimulation for epilepsy treatment mutiple hippocampal transection 1149 Chapter 122c Surgical disconnections of the epileptic [books.google.com]
Surgical procedures include temporal lobectomy, extratemporal resections, corpus callosotomy, placement of a vagus nerve stimulator, hemispherectomy, and multiple subpial transection See Treatment and Medication for more detail. [emedicine.medscape.com]
The batteries wear out after 5 to 10 years and need to be removed and replaced by a simple surgical procedure. VNS is FDA-approved for people with partial epilepsy and those whose seizures are not helped by medication. [stlukes-stl.com]
Gastrointestinal
- Abdominal Pain
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]
[…] 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 [doi.org]
- Vomiting
Case 3: A 46-year-old man with DM type I was admitted with a four-month history of recurring severe epigastric pain and vomiting. [ncbi.nlm.nih.gov]
During the postoperative follow-up, the patient again developed symptoms of abdominal pain and vomiting. A CT scan of the brain was performed, which was normal. [doi.org]
- Nausea
After taking anticonvulsants, the patient shows no or less symptoms such as abdominal pain or nausea. Symptoms that are linked to problems in CNS (central nervous system) such as altered consciousness or fatigue. [seizures.dolyan.com]
Abdominal symptoms included paroxysmal pain, nausea, bloating, and diarrhea. Nervous system manifestations included dizziness, headache, confusion, syncope and transient blindness. [ncbi.nlm.nih.gov]
- Recurrent Abdominal Pain
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]
[…] 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 [doi.org]
Keywords: Abdominal epilepsy, chronic recurrent abdominal pain, electroencephalogram How to cite this article: Kshirsagar V Y, Nagarsenkar S, Ahmed M, Colaco S, Wingkar K C. Abdominal epilepsy in chronic recurrent abdominal pain. [pediatricneurosciences.com]
- Severe Abdominal Pain
To recognize abdominal epilepsy in adults. Case report. 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. [ncbi.nlm.nih.gov]
Symptoms of Abdominal Epilepsy In abdominal epilepsy, the seizure activity occurring in the brain causes primarily abdominal symptoms. The predominant symptom is sudden, severe abdominal pain that is recurrent. [study.com]
Keywords Migraine Temporal Lobe Epilepsy Focal Epilepsy Severe Abdominal Pain Gastrointestinal Complaint Introduction Recurrent episodes of abdominal pain are common in children and adults. [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]
Psychiatrical
- Hunger
Nausea, excessive hunger, gassiness or uncontrollable pain is a sign of a seizure activity. Diagnosis of abdominal epilepsy can only be made when the root cause of the seizure activity are the abdominal symptoms, says an expert neurologist. [seizures.dolyan.com]
Discussion Epigastric sensations are frequent symptoms in patients with partial epilepsy and may include abdominal pain, nausea, vomiting and hunger, and have been reported to be the most common aura in temporal lobe epilepsy [ 3 – 5 ]. [ijponline.biomedcentral.com]
Urogenital
- Hematuria
Review of systems seeks concomitant GI symptoms such as gastroesophageal reflux, anorexia, bloating or “gas,” nausea, vomiting, jaundice, melena, hematuria, hematemesis, weight loss, and mucus or blood in the stool. [merckmanuals.com]
Neurologic
- Headache
Headache Relief and Migraine Treatment in NYC. [bionexgen-fp7.eu]
FREN Six children with paroxysmal headaches resulting from seizure disorders are reported. [books.google.com]
Nervous system manifestations included dizziness, headache, confusion, syncope and transient blindness. Each patient had specific electroencephalographic abnormalities of a temporal lobe seizure disorder. [ncbi.nlm.nih.gov]
- Lethargy
The important historical clues were pallor and cold sweating during the paroxysm, followed by lethargy and prolonged sleep. An abnormal electroencephalogram and a remarkable response to anticovulsants confirmed the diagnosis. [ncbi.nlm.nih.gov]
Those symptoms include: abdominal pain, usually sharp or cramping and lasting seconds to minutes nausea and/or vomiting fatigue, lethargy, or sleep following seizures altered level of consciousness, such as confusion or unresponsiveness convulsive seizures [webmd.com]
- Stupor
It is characterised by severe confusion, apathy or a “flat” mood, stupor or, at worst apparent dementia. Inconspicuous muscle spasms and greatly impaired balance and co–ordination are usually evident. [epilepsycentre.org.au]
Less sleeplessness, stupor and apathy after the fits and the debilitating effects of the attacks are more quickly recovered from. 5. The patients treated with Œnanthe are less irritable, less suspicious and less fault finding. 6. [homeoint.org]
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]
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]
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]
EEG
- Electroencephalogram Abnormal
The diagnosis of AE was dependent on recurrent abdominal symptoms, subtle central nervous system abnormalities, electroencephalogram abnormalities and response to anticonvulsant agents. RESULTS: The six patients were diagnosed with AE. [ncbi.nlm.nih.gov]
The diagnosis of AE was dependent on recurrent abdominal symptoms, subtle central nervous system abnormalities, electroencephalogram abnormalities and response to anticonvulsant agents. Results The six patients were diagnosed with AE. [link.springer.com]
Treatment
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]
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]
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]
All the children were started on AEDs and those with abnormal EEG showed 100% response to treatment while 27 (18%) children with normal EEG also responded to treatment. Twelve (8%) children did not have any improvement in symptoms. [pediatricneurosciences.com]
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]
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]
While the etiology of migraine headache has been widely accepted, the ability to expand these mechanisms to provide an explanation of abdominal migraine symptoms has been difficult to achieve. [dovepress.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]
Pathophysiology
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]
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]
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
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]
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
In some patients the best treatment is preventative drugs - like topiramate, which stabilises the brain's electrical activity. [dailymail.co.uk]
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]
Surgery can prevent seizures from spreading and worsening by isolating the area of the brain they impact. [draxe.com]