J Korean Child Neurol Soc.  2006 Nov;14(2):337-341.

A Case of Abdominal Epilepsy Diagnosed by 24-hour Electroencephalogram Monitoring

• Youn YA
• Cho SY
• Lee KY
• Lee IG
• Lee JS

Abstract

Abdominal epilepsy is an infrequent syndrome which occurrs with gastrointestinal complaints caused by a seizure activity. It is characterized by paroxysmal onset of abdominal pain without visceral disorders, but comes along with the alteration of awareness during the attack and abnormal electroencephalogram(EEG) findings. Like other epilepsies, this abdominal epilepsy is improved with anticonvulsant medication. We present a 14 year-old boy who had recurrent episodes of abdominal pain for 2 months, accompanied by hyperventilation and alteration of awareness. His interictal EEG findings were normal, but 24 hour EEG monitoring showed multifocal spikes and generalized epileptiform discharges when abdominal pain developed. After the medication with valproate, he became free of symptoms and signs.

Keyword

Abdominal epilepsy; 24-hours EEG monitoring

MeSH Terms

Abdominal Pain
Adolescent
Electroencephalography*
Epilepsies, Partial*
Epilepsy
Humans
Hyperventilation
Male
Seizures
Valproic Acid
Valproic Acid