The authors present the case report of a child with abdominal epilepsy who had suffered from abdominal pain for several months under the label of psychogenic pain. The important historical clues were pallor and cold sweating during the paroxysm, followed by lethargy and prolonged sleep. An abnormal electroencephalogram and a remarkable response to anticovulsants confirmed the diagnosis. This condition must be considered in a child with undiagnosed recurrent abdominal pain.

https://pmj.bmj.com/content/postgradmedj/64/750/281.full.pdf

Abdominal epilepsy misdiagnosed as psychogenic pain.

Abdominal epilepsy is an uncommon cause of paroxysmal abdominal pain. It is relatively common in children, but very rare in adults. We report a case of 38-year-old, who reported with recurrent abdominal pain for 2 years. Electroencephalography confirmed the diagnosis; he responded well to carbamazepine and remains symptom-free on follow-up.

Abdominal epilepsy, an uncommon cause of chronic and recurrent abdominal pain: a case report.

Abdominal Epilepsy is a rare cause of recurrent abdominal pain in children. Paroxysmal episodes of pain abdomen with neurological symptoms like dizziness, post-ictal sleep or lethargy, specific electro-encephalographic changes and improvement in symptoms after treatment with antiepileptic drugs help in diagnosis of abdominal epilepsy. We report a seven-year-old girl with recurrent episodes of abdominal pain. Cause of pain remained undiagnosed despite extensive investigative workup. Meticulous history and pain diary gave clue to the diagnosis. EEG conducted during pain episode was abnormal. Treatment with Valproate resolved the pain. Normalization of EEG findings on follow up confirmed the diagnosis of abdominal epilepsy.

/pdf/abdominal-epilepsy-a-diagnosis-often-missed-a-case-report-4xsb3d8nmr.pdf

F Kajtor

Papers

["abdominal epilepsy" in childhood].