Abdominal epilepsy, an uncommon cause of chronic and recurrent abdominal pain: a case report

Mpondo, Bonaventura C. T.; Mwasada, Godfrey; Nyundo, Azan

doi:10.1002/ccr3.711

Cited by 15 publications

(11 citation statements)

References 13 publications

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“…AE is a rare disorder and considering the vague nature of its symptoms, it is usually unconsidered and often misdiagnosed or missed from being diagnosed. It commonly occurs in the pediatric age group, but there is also documentation of its occurrence in adults [6]. It is characterized by otherwise unexplained, paroxysmal GI complaints, symptoms of a CNS disturbance, an abnormal EEG report with findings specific for a seizure disorder and improvement with anticonvulsant medication [3].…”

Section: Discussionmentioning

confidence: 99%

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Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain

Balabhadra¹,

Malipeddi²,

Ali³

et al. 2020

Cureus

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Abdominal epilepsy (AE) is a very rare diagnosis; it is considered to be a category of temporal lobe epilepsies and is more commonly a diagnosis of exclusion. Demographic presentation of AE is usually in the pediatric age group. However, there is recorded documentation of its occurrence even in adults. AE can present with unexplained, relentless, and recurrent gastrointestinal symptoms such as paroxysmal pain, nausea, bloating, and diarrhoea that improve with antiepileptic therapy. It is commonly linked with electroencephalography (EEG) changes in the temporal lobes along with symptoms that reflect the involvement of the central nervous system (CNS) such as altered consciousness, confusion, and lethargy. Due to the vague nature of these symptoms, there is a high chance of misdiagnosing a patient. We present the case of a 20-year-old man with AE who was misdiagnosed with psychogenic abdominal pain after undergoing multiple investigations with various hospital departments.

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Section: Discussionmentioning

confidence: 99%

“…Duration of the symptoms may be used to differentiate the two entities; the duration is longer in abdominal migraine than in AE. The EEG is usually abnormal in AE and may be used to confirm the diagnosis of AE [6].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain

Balabhadra¹,

Malipeddi²,

Ali³

et al. 2020

Cureus

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“…It commonly occurs in the pediatric age group, but there is also documentation of its occurrence in adults. 4 Although many mechanisms have been outlined, the cause of AE still remain unclear. Some possible etiologies have been described, such as cortical malformations, cerebral astrocytoma, febrile seizures, neuroendocrine dysfunction and prematurity.…”

Section: Discussionmentioning

confidence: 99%

Abdominal epilepsy presenting as recurrent intractable vomiting

Kumar¹,

Kurian²,

Gladson³

et al. 2020

Int J Adv Med

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Abdominal pain is a symptom associated with both serious and non serious medical issues, is a frequent complaint in childhood. Abdominal epilepsy (AE) is a rare cause of chronic recurrent abdominal pain. AE is usually seen in paediatric group, but there is recorded documentation even in adults. AE is almost always a diagnosis of exclusion. We herein report a case of a 13 years old female patient with h/o recurrent bouts of abdominal pain with vomiting, all routine investigations and imaging modalities were normal. Since all common causes were ruled out, an EEG was taken which showed epileptiform discharges. She was started on anti-epileptic drugs (AEDs), which resulted in symptomatic relief and EEG taken one month after initiation of treatment turned out to be normal.

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“…Abdominal pain is due to temporal lobe epilepsy and seizure activity, central nervous system dysfunction, and abnormal electroencephalogram and responds to anticonvulsants. According to the literature, the most frequent symptoms of the digestive system include abdominal pain, nausea, and vomiting, and the most common neurological symptoms associated with it are lethargy and dizziness (4).…”

Section: Discussionmentioning

confidence: 99%

Recurrent Abdominal Pain as a Manifestation of Temporal Lobe Epilepsy: A Case Report

Mirzaee

Akbari

2019

Mod Care J

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Introduction: As a rare cause of abdominal pain, abdominal epilepsy is relatively common among children and very rare among adults. Its manifestations are mainly gastrointestinal. This report aimed to introduce a young girl with flank pain, nausea, and fever who was diagnosed with abdominal epilepsy. Case Presentation: The case was a nineteen-year-old girl who referred to hospital with flank pain, nausea, and fever. She was initially admitted to the infection disease service, diagnosed with pyelonephritis, and received antibiotics. Gastroenterology and neurology consultations were also requested due to respectively abdominal pain and long-term use of neuroleptics. Because of short-term abdominal pains which recurred every few days since twelve years ago and were occasionally associated with confusion, the diagnosis of abdominal epilepsy was considered in neurologic assessments. Further assessment through electroencephalography confirmed the diagnosis of abdominal epilepsy. Finally, treatment with anticonvulsants relieved abdominal pain and the patient was discharged. Conclusions: Local convulsion may occasionally be manifested by periodical recurrent abdominal pain. Thus, patients with vague recurrent abdominal pain should be assessed for abdominal epilepsy.

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Abdominal epilepsy, an uncommon cause of chronic and recurrent abdominal pain: a case report

Cited by 15 publications

References 13 publications

Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain

Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain

Abdominal epilepsy presenting as recurrent intractable vomiting

Recurrent Abdominal Pain as a Manifestation of Temporal Lobe Epilepsy: A Case Report

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