Neonatal eating epilepsy: 50-year follow-up

Sillanpää, Matti; Schmidt, Dieter

doi:10.1016/j.seizure.2014.03.009

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…Triggering factors in reflex seizures are most commonly extrinsic sensory stimuli such as flashing lights or startling noises [49]. Other documented triggers of reflex seizures include visual [50], olfactory [51] proprioceptive [52] or somatosensory stimuli [53] as well as thinking [54], music [55,56], eating [57,58], exercise [59], reading [60,61], hot water [62][63][64][65], startle [66] and even rare triggers such as orgasms [67,68] and answering telephones [69] have recently be added to the list. Extrinsic triggers remain the most common type.…”

Section: Reflex Seizures: the Model Of Photosensitivitymentioning

confidence: 99%

Do reflex seizures and spontaneous seizures form a continuum? – Triggering factors and possible common mechanisms

Irmen

Wehner

Lemieux

2015

Seizure

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Recent changes in the understanding and classification of reflex seizures have fuelled a debate on triggering mechanisms of seizures and their conceptual organization. Previous studies and patient reports have listed extrinsic and intrinsic triggers, albeit their multifactorial and dynamic nature is poorly understood. This paper aims to review literature on extrinsic and intrinsic seizure triggers and to discuss common mechanisms among them. Among self-reported seizure triggers, emotional stress is most frequently named. Reflex seizures are typically associated with extrinsic sensory triggers; however, intrinsic cognitive or proprioceptive triggers have also been assessed. The identification of a trigger underlying a seizure may be more difficult if it is intrinsic and complex, and if triggering mechanisms are multifactorial. Therefore, since observability of triggers varies and triggers are also found in non-reflex seizures, the present concept of reflex seizures may be questioned. We suggest the possibility of a conceptual continuum between reflex and spontaneous seizures rather than a dichotomy and discuss evidence to the notion that to some extent most seizures might be triggered.

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Section: Reflex Seizures: the Model Of Photosensitivitymentioning

confidence: 99%

Do reflex seizures and spontaneous seizures form a continuum? – Triggering factors and possible common mechanisms

Irmen

Wehner

Lemieux

2015

Seizure

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“…However, familial clustering of a shared genetic background could not be excluded [ 5 ]. Out of Sri Lanka, EE is very rare and more prevalent among young adults, even if neonatal cases have been described [ 9 ]. EE usually starts in the second-third decade of life, with a male predominance (Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

“…(41.6%), focal/bilateral sclerosis or gliosis na von Stülpnagel et al, 2019 [ 2 ] 8 6.9 y 4 M; 4 F biting; eating; chewing; oral sensory stimuli normal SYNGAP1 mutations Jagtap et al, 2016 [ 4 ] 47 14.3 ± 9.8 y 41 M; 6 F eating; eating rice made food; oral sensory stimuli + 16 pts. (34%), mainly PC lesions na Yacubian et al, 2014 [ 30 ] 3 15 y 3 F eating (independently of type of food) normal probably genetic due to familial clustering, but tested negative Sillanpää et al, 2014 [ 9 ] 1 0 y F breast feeding normal na Patel et al, 2013 [ 31 ] 6 11.3 ± 2.16 y 3 M; 3 F eating; eating rice made food; “thinking of eating” + 5 pts. (83.3%), perysilvian F lobe and high F lesions na Kokes et al, 2013 [ 32 ] 6 20.3 y 4 M; 2 F chewing; swallowing; oral sensory stimuli + 4 pts.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic eating epilepsy: two novel pediatric patients and review of literature

et al. 2021

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Eating epilepsy (EE) is a form of reflex epilepsy in which seizures are triggered by eating. It is a rare condition but a high prevalence has been reported in Sri Lanka. In EE, the ictal semiology includes focal seizures with or without secondary generalization or generalized seizures. Some cases are idiopathic while focal structural changes on imaging, if present, are often confined to the temporal lobe or perisylvian region. On the other hand, some cases support the hypothesis of a genetic aetiology. The prognosis of EE is extremely variable due to the different nature of the underlying disorder. We describe two patients with symptomatic eating epilepsy, a 13-year-old boy with a bilateral perisylvian polymicrogyria and a 2-year-old boy with a genetic cause. The presence of structural lesions or the dysfunction of specific cortical regions in the context of a germline genetic alteration might lead to a hyperexcitation fostering the epileptogenesis. We review the available literature to clarify the aetiopathogenesis and the mechanisms underlying EE to improve the diagnosis and the management of these rare conditions.

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“…According to data from the literature, age at seizure onset varies between eight and fifty-five years [11,12] but authentical cases of eating epilepsy have been described in newborns [13]. Seizures occur predominantly at the onset of meals when patients begin to masticate food.…”

Section: Discussionmentioning

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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Neonatal eating epilepsy: 50-year follow-up

Abstract: Neonatal eating epilepsy may be a suitable diagnosis if convulsive seizures are precipitated by feeding or eating. Polygraphic recording will help ascertain the diagnosis. Antiepileptic therapy is likely to abolish seizures.

Cited by 5 publications

References 32 publications

Do reflex seizures and spontaneous seizures form a continuum? – Triggering factors and possible common mechanisms

Do reflex seizures and spontaneous seizures form a continuum? – Triggering factors and possible common mechanisms

Symptomatic eating epilepsy: two novel pediatric patients and review of literature

Eating Epilepsy: An Under-Recognized Form of Reflex Epilepsy

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