“Eating” epilepsy revisited- an electro-clinico-radiological study

Jagtap, Sujit; Menon, Ramshekhar; Cherian, Ajith; Baheti, Neeraj N; Radhakrishnan, Ashalatha; Thomas, Sanjeev V

doi:10.1016/j.jocn.2015.10.049

Cited by 19 publications

(84 citation statements)

References 19 publications

(30 reference statements)

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“…Eating is defined by the act of prehending food followed by chewing and swallowing 13 . A clear definition of “eating epilepsy” cannot be found in the medical literature and previous studies in humans have included a range of epileptic seizures associated with eating, drinking, and food‐related stimuli 9,10 . Terminology used is inconsistent and terms such as eating‐related epilepsy have been suggested 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Terminology used is inconsistent and terms such as eating‐related epilepsy have been suggested 14 . More than 50% of seizures occurring during eating or within 30 minutes after a meal are some of the inclusion criteria used in the small number of studies describing large‐case series in humans 10,15,16 …”

Section: Discussionmentioning

confidence: 99%

“…None of the dogs in our study were reported to have other STE‐affected dogs in their pedigrees, but only 5 owners were in contact with the breeder or had knowledge of related dogs. There are far fewer reports of STE with structural etiology, but they represent 34% of patients with refractory eating epilepsy 10 . Reported pathologies include congenital malformations, vascular abnormalities, postinfective lesions, mesial temporal sclerosis, gliotic pathology associated with postperinatal or post‐radiotherapy sequelae, and 2 neoplasms: an astrocytoma and a glioblastoma 10,22‐27 .…”

Section: Discussionmentioning

confidence: 99%

“…The estimated prevalence is only 1 per 1000 to 2000 of all human patients with epilepsy, 9 and 7 per 1000 patients with epilepsy refractory to medical management 10 . It is a unique form of epilepsy frequently classified as reflex with discrete electroencephalographic and clinical signs, and pathophysiological mechanisms 10,11 that has not been reported previously in dogs. The purpose of our study was to document the occurrence of STE in dogs, describe their clinical features and their response to treatment.…”

Section: Introductionmentioning

confidence: 99%

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Epileptic seizures triggered by eating in dogs

Brocal¹,

Lowrie²,

Wamsley

et al. 2020

Veterinary Internal Medicne

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Background: Seizures triggered by eating (STE) behavior are very rare in humans and have not been documented previously in dogs.Objectives: To document the occurrence of STE in dogs and describe their clinical features.Animals: Ten client-owned dogs with STE diagnosed at 5 European referral centers.Methods: A call for suspected cases of STE was made online. This call was followed by a retrospective review of medical records, combined with a questionnaire to be completed by both the owner and the board-certified neurologist who made the diagnosis. Cases were included if >50% of the seizures that occurred were related to eating and if a minimum diagnostic evaluation for seizures had been performed.Results: Four cases only had STE and 6 cases had both STE and spontaneous seizures. Four of the dogs were retrievers. The most common seizure type was focal epileptic seizures evolving to become generalized. Nine dogs were diagnosed with idiopathic epilepsy. One dog had a presumptive diagnosis of glioma involving the margins of the parietal, temporal, and frontal cortex (the perisylvian region), an area known to have a key role in eating-associated epilepsy in people. Treatment strategies included a combination of pharmacological management and eating habit changes. Conclusions and Clinical Importance: We have identified a form of reflex epilepsy in dogs, with STE behavior. Further studies are warranted to improve the characterization and management of STE. K E Y W O R D S drinking, food, reflex, seizures, stimuli

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epileptic seizures triggered by eating in dogs

Brocal¹,

Lowrie²,

Wamsley

et al. 2020

Veterinary Internal Medicne

View full text Add to dashboard Cite

show abstract

“…Eating epilepsy is one of the rare forms of reflex epilepsy. Indeed, patients with seizures exclusively or predominantly triggered by eating account for 0.5-1/1.000 of all epileptic patients [3], except in Sri Lanka, where it is as high as 148 per 1000 epilepsies [4][5][6]. Given the important nutritional and psychological complications this entity may generate, its recognition seems to be of great practical interest.…”

Section: Introductionmentioning

confidence: 99%

Eating Epilepsy: An Under-Recognized Form of Reflex Epilepsy

Oubaiche¹

2017

J Neurol Neurosurg

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Eating epilepsy is one of the rare forms of reflex epilepsy with less than a hundred cases reported worldwide. The exact pathogenesis still remains unknown and most cases reported in literature are drug resistant. We report the first Algerian case of eating epilepsy presenting with partial complex seizures. Clinical examination was normal. Interictal EEG recording showed asymmetric background activity of lower amplitude and isolated epileptiform activity over the right frontotemporal region. Cerebral MRI revealed right opercular atrophy and treatment with Carbamazepine was successful. Eating epilepsy is often an under-recognized entity whereas its diagnosis is relatively easy. The prognosis varies from one individual to another, but early treatment can improve the quality of life of these patients.

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Eating‐induced seizures: A semiological sign of the right temporal pole

Tena‐Cucala,

Sala‐Padró,

Jaraba

et al. 2023

Epileptic Disorders

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ObjectiveEating‐induced seizures (EIS) are a rare form of reflex seizures. The objective of this study was to report a series of cases of EIS involving patients admitted to our epilepsy unit, and to analyze the clinical characteristics, etiology, and treatment response of this type of infrequent seizure.MethodsWe performed a single‐center retrospective analysis of all consecutive patients diagnosed with epilepsy with eating‐induced seizures between 2008 and 2020.ResultsWe included eight patients (six women) with mean age 54.75 years (range: 40–79), and mean age at epilepsy onset 30.75 years (range: 9–58 years). EIS were triggered during a meal in 5/8 (at dinner 1/8, at breakfast in 1/8, and without time preference in 3/8), by a certain flavor in 1/8, by eating different textures or drinking soft drinks in 1/8, and by slicing food in 1/8. All patients suffered nonreflex seizures and 3/8 other types of reflex seizures. In 6/8 of patients, EIS originated in the right hemisphere. In 5/8, the EIS progressed to impaired awareness with oromandibular automatisms. In 6/8, the epilepsy was drug‐resistant. Temporopolar encephalocele was the most frequent etiology, in 4/8. Three of the eight underwent surgical treatment, with Engel IA 1 year in 3/3. Three of the eight were treated with vagal stimulation therapy, with McHugh A 1 year in 2/3.SignificanceIn our series, eating‐induced seizures were observed in patients with focal epilepsy. It was frequently drug‐resistant and started predominantly in the right hemisphere, due to temporal pole involvement in half of the patients.

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“Eating” epilepsy revisited- an electro-clinico-radiological study

Cited by 19 publications

References 19 publications

Epileptic seizures triggered by eating in dogs

Epileptic seizures triggered by eating in dogs

Eating Epilepsy: An Under-Recognized Form of Reflex Epilepsy

Eating‐induced seizures: A semiological sign of the right temporal pole

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