JLE

Epilepsies

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Eating seizures: about four cases Volume 16, issue 1, Janvier-Février-Mars 2004

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Authors
Hôpital Henri‐Gastaut, Centre Saint‐Paul, 300 bd de Sainte‐Marguerite, 13009 Marseille

Feeding is a source of various stimuli (somesthetic, sensory, emotional) that may trigger in rare instances reflex epileptic seizures. Part of these seem to correspond to complex focal seizures found in temporal lobe epilepsy, with complex triggers as in musicogenic epilepsy, or in noogenic epilepsy. Others are probably of suprasylvian origin and belong to the seizures triggered by simple stimuli. There are also generalized seizures. We illustrate this problem with four clinical cases. We will also discuss the pathogeny of such seizures, considering first the various possible triggering factors, and then a specific experimental model well suited to the interpretation of complex reflex seizures. Such epilepsies are often drug‐resistant, and we will thus discuss the range of therapeutic possibilities.