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Abdominal Epilepsy in an Adolescent with Bilateral Perisylvian Polymicrogyria
Author(s) -
GarcíaHerrero D.,
FernhndezTorre J. L.,
Barrasa J.,
Calleja J.,
Pascual J.
Publication year - 1998
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1157.1998.tb01340.x
Subject(s) - polymicrogyria , epilepsy , medicine , psychology , audiology , pediatrics , psychiatry
Summary:Purpose : We report a patient with recurrent episodes of severe periumbilical pain accompanied by headache, pallor, dizziness, and visual hallucinations who was subsequently diagnosed as having abdominal epilepsy and a bilateral sylvian cortical malformation. Methods and Results: During an EEG examination, the patient had a simple partial seizure, manifested as intense abdominal pain. The ictal EEG showed a focal electrographic seizure arising from the left frontotemporal region. Computed tomography scan was normal; however, magnetic resonance imaging (MRI) revealed asymmetric lesions involving both sylvian fissures compatible with polymicrogyria. Onset of treatment with sodium valproate was followed by a significant reduction of seizures. Conclusions: Abdominal epilepsy should be suspected in adolescents or adults with paroxysmal episodes of abdominal pain associated with migraine‐like symptoms. EEG and MRI investigations are indicated. A developmental brain disorder should be considered as a possible etiology.