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Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain

Abdominal epilepsy (AE) is a very rare diagnosis; it is considered to be a category of temporal lobe epilepsies and is more commonly a diagnosis of exclusion. Demographic presentation of AE is usually in the pediatric age group. However, there is recorded documentation of its occurrence even in adul...

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Autores principales: Balabhadra, Anvesh, Malipeddi, Apoorva, Ali, Niloufer, Balabhadra, Raju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456628/
https://www.ncbi.nlm.nih.gov/pubmed/32879835
http://dx.doi.org/10.7759/cureus.10120
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author Balabhadra, Anvesh
Malipeddi, Apoorva
Ali, Niloufer
Balabhadra, Raju
author_facet Balabhadra, Anvesh
Malipeddi, Apoorva
Ali, Niloufer
Balabhadra, Raju
author_sort Balabhadra, Anvesh
collection PubMed
description Abdominal epilepsy (AE) is a very rare diagnosis; it is considered to be a category of temporal lobe epilepsies and is more commonly a diagnosis of exclusion. Demographic presentation of AE is usually in the pediatric age group. However, there is recorded documentation of its occurrence even in adults. AE can present with unexplained, relentless, and recurrent gastrointestinal symptoms such as paroxysmal pain, nausea, bloating, and diarrhoea that improve with antiepileptic therapy. It is commonly linked with electroencephalography (EEG) changes in the temporal lobes along with symptoms that reflect the involvement of the central nervous system (CNS) such as altered consciousness, confusion, and lethargy. Due to the vague nature of these symptoms, there is a high chance of misdiagnosing a patient. We present the case of a 20-year-old man with AE who was misdiagnosed with psychogenic abdominal pain after undergoing multiple investigations with various hospital departments.
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spelling pubmed-74566282020-09-01 Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain Balabhadra, Anvesh Malipeddi, Apoorva Ali, Niloufer Balabhadra, Raju Cureus Neurology Abdominal epilepsy (AE) is a very rare diagnosis; it is considered to be a category of temporal lobe epilepsies and is more commonly a diagnosis of exclusion. Demographic presentation of AE is usually in the pediatric age group. However, there is recorded documentation of its occurrence even in adults. AE can present with unexplained, relentless, and recurrent gastrointestinal symptoms such as paroxysmal pain, nausea, bloating, and diarrhoea that improve with antiepileptic therapy. It is commonly linked with electroencephalography (EEG) changes in the temporal lobes along with symptoms that reflect the involvement of the central nervous system (CNS) such as altered consciousness, confusion, and lethargy. Due to the vague nature of these symptoms, there is a high chance of misdiagnosing a patient. We present the case of a 20-year-old man with AE who was misdiagnosed with psychogenic abdominal pain after undergoing multiple investigations with various hospital departments. Cureus 2020-08-29 /pmc/articles/PMC7456628/ /pubmed/32879835 http://dx.doi.org/10.7759/cureus.10120 Text en Copyright © 2020, Balabhadra et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Balabhadra, Anvesh
Malipeddi, Apoorva
Ali, Niloufer
Balabhadra, Raju
Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title_full Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title_fullStr Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title_full_unstemmed Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title_short Abdominal Epilepsy: A Rare Cause of Unexplained Abdominal Pain
title_sort abdominal epilepsy: a rare cause of unexplained abdominal pain
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456628/
https://www.ncbi.nlm.nih.gov/pubmed/32879835
http://dx.doi.org/10.7759/cureus.10120
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