abdominal epilepsy--medical report

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1: Rev Gastroenterol Mex. 1994 Oct-Dec;59(4):297-300.

[Abdominal epilepsy in the adult]

[Article in Spanish]

Solana de Lope J, Alarcon Fernandez O, Aguilar Mendoza J, Beltran

Coronel J,

Barinagarrementeria F, Manauta J.

Servicio de Gastroenterologia, Hospital Espaanol de Mexico, Colonia

Granada,

Mexico, DF.

Abdominal epilepsy is a rare cause of abdominal pain. We report an

adult patient

with intermittent, paroxysmal epigastric abdominal pain, accompanied

by nausea,

vomiting, restlessness and anxiety. Physical examination was normal.

Blood

analysis disclosed only leucocytosis with neutrophilia. X ray

examinations,

ultrasound and CT abdominal scan, mesenteric arteriography and

exploratory

laparotomy did not show evidence of pathology. The

electroencephalogram (EEG)

showed bilateral theta slow activity during hyperventilation. We

started

treatment with carbamazepine and the patient remained asymptomatic

for nine

months. However he had a relapse because he did'nt take his medication

regularly. At that time the serum levels of carbamazepine were low.

The EEG

showed bursts of diffuse paroxysmal acute waves. Once therapeutic

serum levels

of carbamazepine were achieved the pain disappeared. He has remained

asymptomatic during the last twelve months, while taking his treatment

regularly.

Publication Types:

Case Reports

Review

Review of Reported Cases

PMID: 7709124 [PubMed - indexed for MEDLINE]