Abdominal epilepsy presenting as recurrent intractable vomiting

Authors

  • Sreevidya V. Kumar Department of Neurology, Thiruvalla Medical Mission Hospital, Thiruvalla, Kerala, India
  • Abraham Kurian Department of Medicine, Thiruvalla Medical Mission Hospital, Thiruvalla, Kerala, India
  • Nikhil Gladson Department of Neurology, Thiruvalla Medical Mission Hospital, Thiruvalla, Kerala, India
  • . Latha Mission Hospital, Thiruvalla, Kerala, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20205486

Keywords:

Abdominal pain, Abdominal epilepsy, EEG, AEDs

Abstract

Abdominal pain is a symptom associated with both serious and non serious medical issues, is a frequent complaint in childhood. Abdominal epilepsy (AE) is a rare cause of chronic recurrent abdominal pain. AE is usually seen in paediatric group, but there is recorded documentation even in adults. AE is almost always a diagnosis of exclusion. We herein report a case of a 13 years old female patient with h/o recurrent bouts of abdominal pain with vomiting, all routine investigations and imaging modalities were normal. Since all common causes were ruled out, an EEG was taken which showed epileptiform discharges. She was started on anti-epileptic drugs (AEDs), which resulted in symptomatic relief and EEG taken one month after initiation of treatment turned out to be normal.

Author Biography

Sreevidya V. Kumar, Department of Neurology, Thiruvalla Medical Mission Hospital, Thiruvalla, Kerala, India

Junior Resident, Department of Neurology.

References

Kshirsagar VY, Nagarsenkar S, Ahmed M, Colaco S, Wingkar KC. Abdominal Epilepsy in chronic recurrent abdominal pain. J Pediatric neurosci. 2012;7:163-166.

Singhi PD, Kaur S. Abdominal epilepsy misdiagnosed as psychogenic pain. Postgrad Med J. 1988;64:281-82.

Zinkin NT, Peppercorn MA. The spectrum of Abdominal epilepsy in adults. Best Pract Res Clin Gastroenterol. Abdominal epilepsy. 2005;19:263-44.

Mpondo BCT, Mwasada G, Nyundo AA. Abdominal epilepsy, an uncommon cause of chronic andrecurrent abdominal ap in: a case report. Clin case rep.2016;4:117-19.

Peppercorn M A, Herzog A G. The spectrum of abdominal epilepsy in adults. Am J Gastroenterol. 1989;84:1294-96.

Franzon RC, Lopes CF, Schmutzler KM. Recurrent abdominal pain: when should an epileptic seizure be suspected? Arq Neuropsiquiatr. 2002;60:628-30.

Singhi PD, Kaur S. Abdominal epilepsy misdiagnosed as psychogenic pain.. Postgrad Med J.1988;64:281-82.

Zarling EJ. Abdominal epilepsy: an unusual cause of recurrent abdominal pain. Am J Gastroenterol. 1984;79:687-88.

Benbadis SR. Epileptic Seizures and syndromes. In: Neurologic clinics. Wyllie (editor) Saundas, Philadelphia. 2001;254-55.

Dutta SR, Hazarika I, Chakravarty BP. Abdominal epilepsy, an uncommon cause of reccurent abdominalpain: a brief raport. Gut. 2007;56:439-41.

Downloads

Published

2020-12-22

Issue

Section

Case Reports