TITLE:
Temporal Epilepsy Causing Recurrent Abdominal Pain in Adults
AUTHORS:
Hassan Al-Hail, Stacy Schantz Wilkins, Boulenouar Mesroua, Gayane Melikyan, Nabil Azar, Naim Haddad, Basim Uthman, Maria Siddiqi, Ameer Jan, Rana Babur, Abdulraheem Alrabi, Dirk Deleu, Gonzalo Alarcón
KEYWORDS:
Focal Epilepsy, Abdominal Epilepsy, Temporal Lobe Epilepsy, Ictal
JOURNAL NAME:
World Journal of Neuroscience,
Vol.8 No.2,
May
11,
2018
ABSTRACT: Abdominal epilepsy is often unrecognised as an epilepsy condition, particularly in adults. We present a rare adult patient who suffers daily episodes of abdominal pinching pain described lasting for 30 seconds, often evolving to loss of consciousness. Scalp EEG-video monitoring showed interictal left temporal slowing and frequent left temporal epileptiform discharges. Three stereotypical complex partial seizures consistent with her habitual attacks were recorded. Two seizures showed a left temporal onset and whereas the third one appeared to start on the right temporal lobe. In patients with paroxysms of abdominal pain, nausea or vomiting, abdominal epilepsy should be considered after exclusion of the most common aetiologies for gastrointestinal conditions.