abdominal epilepsy

i had patient with 7 years old with recurrent abdominal pain since 15d on left hypochondrium not refered to other site ,no associated symptoms(dysuria, bleeding per rectum,diarrhia, fever, headech), vomitting occur at 1st with the pain but improved after 3 days, vital sign are good , conscious, alert, pain frequency about 3 times , modert severity interference with activity not improved except mother holding her , psycholigical ellement had sister cose to her was married since 15 days. all investigation was don ( urine anqlysis, stool analysisi , abdominal u\s , CBC, liver funtion , urea. creatinine, occult blood on stool, blood sugar, CRP all are free but when we did EEG we discovered subcortical focus so we suspect on abdominal epilepsy so i'll ask about more information about abdominal epilepsy and how to deal with it and protocols in managment of recurrent abdominal pail


This discussion is related to Abdominal epilepsy.

[Dr Vinod]

Symptoms of abdominal epilepsy – Abdominal epilepsy is an uncommon syndrome in which there are gastrointestinal disturbances, e.g.

abdominal pain,
the “aura” as it is common in certain types of epilepsy,
nausea,
bloating, and
diarrhea with nervous system manifestations such as headache, dullness, confusion, and partial or complete loss of consciousness with interruption of awareness of oneself and ones surroundings,

in combination with epileptiform seizure activity seen on EEG tracing.

Once the diagnosis of abdominal epilepsy is confirmed, treatment can commence as with other forms of epilepsy. Treatment usually starts with anti-seizure drugs and if surgery is required then the neurosurgeon along with gastroenterologist are the best persons to decide about it.
Take care!