John Libbey Eurotext

True abdominal epilepsy is clonic jerking of the abdominal musculature Article à paraître

Illustrations

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Tableaux

Auteurs
1 Lake Erie College of Osteopathic Medicine, Bradenton, FL, USA
2 Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
3 Department of Neurology, Mayo Clinic, Jacksonville, FL, USA
* Correspondence: William O. Tatum Department of Neurology, Mayo Clinic, Mangurian Building, Fourth Floor, 4500 San Pablo Road, Jacksonville, Florida 32224, USA

Aims

Abdominal epilepsy (AE) has long been reported as a rare phenomenon in children with various episodic gastrointestinal sensory and painful symptoms suspected to be due to epileptic seizures. Originally, AE was diagnosed when abdominal sensory or painful symptoms were associated with pain, temporal lobe origin, an epileptiform or paroxysmal EEG pattern, and a clinical response to antiseizure medication. AE has also been associated with non-epileptic etiologies such as migraine. Reports of abdominal epilepsy based on an abnormal EEG or clinical response to antiseizure medication without diagnosis confirmation by video-EEG are at best speculative, and at worst, misdiagnoses.