Epilepsy With Severe Abdominal Pain

Eschle, Daniel; Siegel, Adrian M.; Wieser, Heinz‐Gregor

doi:10.4065/77.12.1358

Cited by 10 publications

(6 citation statements)

References 12 publications

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Section: Discussionunclassified

“…[5][6][7] Her karın ağ-rısı atağı sırasında santral bulgu gelişmeyebilir. [6] Bu nedenle karın ağrısı ve diğer gastrointestinal bulgular tek başına bu hastalığın varlığını ayırıcı tanıda düşündürmelidir. Ancak bu semptomlara eşlik eden santral bulgu varlığında direkt kafa grafisi, kontrassız beyin tomografisi, manyetik rezonans ve EEG gibi incelemelerle hastalar değerlendirilmelidir.…”

Section: Discussionunclassified

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Abdominal pain and confusion: a case report of abdominal epilepsy

Kuvandık¹

2015

Epilepsi

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ÖzetAbdominal epilepsi, karın ağrısı bulantı ve kusma gibi gastrointestinal semptomların, letarji ve konvülziyon gibi nörolojik bulguların sık gö-rüldüğü, tekrarlayıcı, az görülen bir durumdur. Genellikle çocukluk yaş grubunda görülmekle birlikte erişkinlerde de görülebilmektedir. Karın ağrısı yapan nedenlerin tanısal olarak ekarte edilmesinin ardından elektroensefalografi (EEG) ile değerlendirilerek tanı konmaktadır. Antiepileptiklerle semptomların düzelmesi tanıda önemlidir. On yedi yaşında kadın hasta aniden gelişen şuur bozukluğu nedeniyle acil servise getirildi. Hastanın genel durumu orta, şuuru konfüze, glaskow koma skalası (GKS): 11 (E: 2 M: 5 V: 4), tansiyonu 100/60 mmHg, nabzı 100/dk, solunumu 20/dk, ateşi 37.2 derece ve diğer fizik muayene bulguları doğaldı. Koma değerlendirmesine alınan hastanın ilk kan şekeri değeri 85 mg/dl ve serum amilaz, lipaz dahil acil kan parametreleri normaldi. Hastanın takipleri sırasında ikinci saatte şuuru tamamen açıldı. Karın ağrısı ayırıcı tanısı için istenilen incelemeleri de normaldi. Çekilen beyin tomografisinde anormallik saptanmazken EEG'sinde orta derecede aktif epileptiform anormalite ile uyumlu bulgular gösteren dalgalar tespit edildi. Levetirasetam tedavisi başlanan hastanın bir yıllık poliklinik kontrollerinde problem olmadı. Acil hekimleri karın ağrısı ve şuur bozukluğu olan hastalarda ayırıcı tanıda nadir görülen bir durum olan abdominal epilepsiyi düşünmelidir. Ayırıcı tanı amaçlı yapılan ilk incelemelerin ardından EEG ile hastalar değerlendirilmelidir.Anahtar sözcükler: Abdominal epilepsi; karın ağrısı; şuur bozukluğu. SummaryAbdominal epilepsy is a recurrent and rare condition characterized by gastrointestinal symptoms such as abdominal pain, nausea, vomiting and neurological findings such as lethargy and convulsion. Although usually seen in childhood, it can also be seen in adults. After ruling out more common causes of abdominal pain, it is diagnosed with electroencephalography (EEG). The improvement of symptoms with antiepileptics is important in diagnosis. A 17-year-old woman was admitted to the emergency department with sudden loss of consciousness. On admission, general condition of the patient was moderate. The patient had confusion, and her other vital signs were as follows: Glasgow Coma Scale (GCS) at 11 (E: 2M: 5V: 4); arterial blood pressure, 100/60 mmHg; heart rate, 100 beats/min; respiration rate, 20 breaths/min and temperature, 37.2°C. Other physical examination findings were normal. First serum glucose level was 85 mg/dL. Serum amylase, lipase and other laboratory test results were within normal limits. After two hours of monitoring, her consciousness was completely opened. For differential diagnosis of abdominal pain, control results were normal. There was not any abnormal findings in computed tomography (CT) scans of brain. In EEG recordings, moderately active epileptiform abnormalities were detected. Levetirasetam medication was initiated. There were no problems observed during the one-year treatment period. Abdominal epilepsy is a rare ...

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Section: Discussionunclassified

Abdominal pain and confusion: a case report of abdominal epilepsy

Kuvandık¹

2015

Epilepsi

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“…Mental retardation is not always present, Seizures may appear months or years after the onset of hemiparesis [8]. epileptic pain is perceived as a severe and sharp sensaMon (-like a knife, mostly in a periumbilical localization, and was of variable duration [9]. During an episode of pain, disorientation followed by exhaustion and sleep is suggestive of abdominal epilepsy.…”

Section: Page 27mentioning

confidence: 99%

Dyke Davidoff Masson Syndrome with Abdominal Epilepsy-Rare Presentation

2013

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Dyke Davidoff Masson Syndrome (DDMS) with abdominal epilepsy, is a rare clinical condition. It is characterized by severe abdominal pain with seizures, facial asymmetry, contralateral hemiparesis, and mental retardation. Diagnosis is made clinically coupled with radiological features which include cerebral hemiatrophy with homolateral hypertrophy of the skull and sinuses along with abnormal EEG and response to antiepileptic drugs. Here we report a case of DDMS with abdominal epilepsy in a 10 year old male child who presented with recurrent episodes of severe abdominal pain followed by seizures, hemiparesis and mental retardation. CT and MRI showed hemiatrophy of right cerebral hemisphere. DOI: http://dx.doi.org/10.3126/ajms.v3i2.6172 Asian Journal of Medical Sciences 3(2012) 25-28

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“…Häufig sind solche «umbilikalen Krisen» (wie sie auch genannt werden) mit Angst gekoppelt. Man nimmt an -und unsere diesbezügliche Fallbeobachtung [17] scheint dies zu bestätigen -, dass lokalisatorisch Mandelkern und Insula für diese Symptomatik die vordergründige Rolle spielen. Abbildung 5A illustriert eine «emotionelle Aura» (Angst) ausgelöst durch elektrische Stimulation des Mandelkerns mit starken vegetativen Symptomen: Anisokorie der Pupillen, Tachykardie, Unregelmässigkeiten der Atmung sowie Zunahme der Schweiss-Sekretion bzw.…”

Section: Elektrophysiologische Befunde Bei Epileptischen Auren Und Au...unclassified

Psychopathologie in der Epileptologie

2008

Swiss Arch Neurol Psychiatr

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Epilepsy With Severe Abdominal Pain

Cited by 10 publications

References 12 publications

Abdominal pain and confusion: a case report of abdominal epilepsy

Abdominal pain and confusion: a case report of abdominal epilepsy

Dyke Davidoff Masson Syndrome with Abdominal Epilepsy-Rare Presentation

Psychopathologie in der Epileptologie

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