Recurrent abdominal pain: when an epileptic seizure should be suspected?

Arquivos de Neuro-Psiquiatria

Renata C. Franzon¹  Camila F. Lopes¹  Kátia M.r. Schmutzler¹  Maria Isabel R. Morais¹  Marilisa M. Guerreiro¹ 

[1] ,Universidade Estadual de Campinas Faculdade de Ciências Medicas Departamento de NeurologiaCampinas SP

关键词: partial seizures;    temporal lobe tumor;    basilar migraine;    abdominal pain;    symptomatic epilepsy;    crises parciais;    tumor do lobo temporal;    migrânea basilar;    dor abdominal;    epilepsia sintomática;   

DOI  :  10.1590/S0004-282X2002000400021

来源: SciELO

【 摘 要 】

Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE). AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since the age of 4. The pain was followed by cry, fear and occasionally secondary generalization. MRI showed tumor in the left temporal region. As a differential diagnosis, we report a 10 year-old boy who had long episodes of abdominal pain accompanied by blurring of vision, vertigo, gait ataxia, dysarthria, acroparesthesias and vomiting. He received the diagnosis of basilar migraine. In our opinion, AE is part of a large group (partial epilepsies) and does not require a special classification. Pediatric neurologists must be aware of these two entities that may cause abdominal pain.

【 授权许可】

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