Abdominal epilepsy

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Abdominal epilepsy is a very rare gastrointestinal disorder caused by epileptiform convulsive activity . While a causal relationship between seizure activity and gastrointestinal symptoms has not yet been proven, they cannot be explained by other pathophysiological mechanisms and show improvement after anticonvulsant treatment. Abdominal epilepsy can be a rare cause of persistent abdominal pain. It has been described as a type of temporal lobe epilepsy . Response to anticonvulsants may aid the diagnosis.

Incidence

While there are no reliable estimates of the incidence , abdominal epilepsy is classified as very rare. Most of the published medical literature dealing with abdominal epilepsy is in the form of case reports . A review article published in 2005 found a total of 36 reported cases in the medical literature.

history

Trousseau is usually credited with first describing this condition in 1868 in a boy with convulsive gastrointestinal symptoms that culminated in tonic-clonic epileptic seizures. The first report of abdominal epilepsy supported by EEG recordings was published in an article by Matthew T. Moore in 1944 , followed by other case reports from the same group.

literature

  1. ↑ SR Dutta, I. Hazarika, BP Chakravarty: Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report . In: Good . tape 56 , no. 3 , March 2007, p. 439–441 , doi : 10.1136 / gut.2006.094250 , PMID 17339252 , PMC 1856820 (free full text) - (English).
  2. ↑ D. Eschle, AM Siegel, HG Wieser: Epilepsy with severe abdominal pain . In: Mayo Clin. Proc . tape 77 , no. December 12 , 2002, pp. 1358-1360 , doi : 10.4065 / 77.12.1358 , PMID 12479525 (English).
  3. ↑ a b N. T. Zinkin, MA Peppercorn: Abdominal epilepsy . In: Best Pract Res Clin Gastroenterol . tape 19 , no. 2 , April 2005, p. 263-274 , doi : 10.1016 / j.bpg.2004.10.001 , PMID 15833692 (English).
  4. ↑ M. Leven Village: Chronic abdominal pain and abdominal epilepsy . In: Am Fam Physician . tape 61 , no. 1 , January 2000, p. 50 , PMID 10643951 (English, aafp.org ).
  5. ^ MA Peppercorn, AG Herzog: The spectrum of abdominal epilepsy in adults . In: Am. J. Gastroenterol . tape 84 , no. 10 , October 1989, p. 1294-1296 , PMID 2801681 (English).
  6. ↑ N. Topno, MS Gopasetty, ABL Kudva: Abdominal epilepsy and foreign body in the abdomen - dilemma in diagnosis of abdominal pain . In: Yonsei Med J. . tape 46 , no. 6 , December 2005, p. 870–873 , doi : 10.3349 / ymj.2005.46.6.870 , PMID 16385668 , PMC 2810606 (free full text) - (English, eymj.org [PDF]).
  7. ↑ PD Singhi, S. Kaur: Abdominal epilepsy misdiagnosed as psychogenic pain . In: Postgrad Med J . tape 64 , no. 750 , April 1988, pp. 281–282 , doi : 10.1136 / pgmj.64.750.281 , PMID 3186570 , PMC 2428499 (free full text) - (English).
  8. ^ Matthew T. Moore: Paroxysmal abdominal pain. A form of focal symptomatic epilepsy . In: Journal of the American Medical Association . tape 124 , no. 9 , February 26, 1944, p. 561-563 , doi : 10.1001 / jama.1944.02850090017005 (English).
  9. ^ Matthew T. Moore: Abdominal epilepsy versus "abdominal migraine" . In: Annals of Internal Medicine . tape 33 , no. 1 , July 1950, p. 122-133 , PMID 15426097 (English).