Vagus nerve stimulation might have a unique effect in reflex eating seizures

Cukiert, Arthur; Mariani, Pedro Paulo; Burattini, José Augusto; Cukiert, Cristine Mella; Forster, Cássio; Baise, Carla; Argentoni-Baldochi, Meire; Mello, Valeria Antakli

doi:10.1111/j.1528-1167.2009.02278.x

Cited by 23 publications

(24 citation statements)

References 10 publications

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“…Bunun dışında farklı tedavi seçenekleri uygulayan çalışmalar da olmuştur. [8] Örne-ğin, Cukiert ve ark. [8] bu olgularda vagal sinir stimülasyonu uygulamışlar ve olgularında %70-95 oranında nöbet kontrolü sağladıklarını bildirmişlerdir.…”

Section: Discussionunclassified

“…[8] Örne-ğin, Cukiert ve ark. [8] bu olgularda vagal sinir stimülasyonu uygulamışlar ve olgularında %70-95 oranında nöbet kontrolü sağladıklarını bildirmişlerdir. Yiyeceğin içeriğine göre tetiklenen nöbetlerin daha çok temporal lobtan köken aldığı ve temporal lobektemi sonrası hastaların ¾'ünde nö-betlerin kontrol altına alındığı bildirilmiştir.…”

Section: Discussionunclassified

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Eating Seizure; Case Report

Aslan¹,

Bozdemir²,

Sezer³

et al. 2011

Epilepsi

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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.

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Section: Discussionunclassified

Eating Seizure; Case Report

Aslan¹,

Bozdemir²,

Sezer³

et al. 2011

Epilepsi

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“…[2,7] Nevertheless, the majority of authors postulate that multiple precipitating factors are involved in the process, or the complete sequence of eating a meal is required to provoke a seizure. [4,5] In our case, the seizures started following chewing, swallowing or drinking. Masticatory movements of the jaw, tongue action, or swallowing may have been the triggering factors.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that the unilateral vagus nerve bilaterally modulates the ascending activity at the brain stem level, after going through the tractussolitarius complex. [4] In addition to all these mechanisms, Blauwblomme et al [11] identified overlaps between the gustatory cortex, involving insular, parietal, and frontal regions, and a frontoinsulo-hippocampal epileptogenic network. This epileptogenic network theory may support the mechanism of EE after frontal meningioma resection in our patient.…”

Section: Discussionmentioning

confidence: 99%

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Eating Epilepsy After Resection Of Frontal Menengioma: A Case Report

Arslan¹,

Yılmaz²,

Mülayim³

et al. 2013

Epilepsi

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ÖzetYemek yeme epilepsisi refleks epilepsinin nadir bir tipidir. Yemeyle tetiklenen nöbetler genellikle lokalizasyon ilişkilidir ve sıklıkla kompleks parsiyel tiptedir. Daha az sıklıkta, bu nöbetler sekonder jeneralize olan ya da olmayan basit parsiyel tiptedir. Bu yazıda, frontal menengioma ameliyatı sonrası gelişen, yemek yeme epilepsisi olan 38 yaşında kadın hasta sunuldu. Hasta, üç yıldır hiçbir antiepileptik tedaviye yanıt vermeyen sekonder jeneralize nöbetlerden yakınıyordu. Refleks ve refleks olmayan nöbetleri mevcuttu. Ancak çoğu nöbeti yemek yeme veya su içme ile tetikleniyordu. Bu olgu yemek yeme epilepsisinin sekonder jeneralize tonik klonik nöbetlerle giden nadir görülen bir formudur.Anahtar sözcükler: Yemek yeme epilepsisi; frontal meningioma rezeksiyonu; jeneralize tonik klonik nöbetler. SummaryEating epilepsy (EE) is a rare type of reflex epilepsy. Eating-induced seizures are, in general, localization-related, and most commonly of the complex partial type. Less frequently, these seizures are of the simple partial type with or without secondary generalization. Here, we report a case of a 38-year-old female patient with EE after frontal meningioma resection. She had suffered from secondary generalized seizures unresponsive to any antiepileptic therapy for 3 years. She had both reflex and non-reflex seizures. However, most of the seizures were triggered by food or water deglutition. This was an unusual case of EE with secondary generalized tonic-clonic seizures.

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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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Vagus nerve stimulation might have a unique effect in reflex eating seizures

Cited by 23 publications

References 10 publications

Eating Seizure; Case Report

Eating Seizure; Case Report

Eating Epilepsy After Resection Of Frontal Menengioma: A Case Report

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

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