Eating Seizure; Case Report

Abstract

ÖzetYemek yeme epilepsisi refleks epilepsilerin nadir formlarından biri olup, spesifik uyaranlar ile tetiklenir. Kesin patolojik mekanizması tam olarak bilinmemektedir. Son derece nadir gözlenen bu nöbet tipinin genetik, etnik faktörler ve bazı yiyecek ve/veya yemek alışkanlıkları ile ilişkili olduğu vurgulanmaktadır. Bu yazıda, ilk kez 69 yaşında yemek yeme sırasında sık bayılma yakınması ile acile başvuran bir hasta su- SummaryEating-induced seizures are an uncommon presentation of reflex epilepsy, a condition characterized by seizures provoked by specific stimuli. Exact pathogenic mechanism of eating epilepsy is still unknown. Various etiology related to eating epilepsy such as genetic factors, ethnicity, and specific food and eating habits. Here we present a 69-year-old men with eating epilepsy presented to the emergency department with syncope after eating during last two weeks. His complaints start with eating especially solid foods. His neurologic examination and metabolic evaluation was normal. We revealed video-Electroencephalography (video-EEG) monitorization with provocation test. Ictal period was recorded on video-monitorization and active epileptic focus was detected at right central temporal anterior-posterior temporal and temporoparietal side and ischemic lesions was found on periventricular and sentrum semiovale regions on MRI. Carbamazepine treatment started but since the patient could not tolerate high doses, then levetiracetam was added on. The seizures were controlled by polytherapy.