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Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome

Received: 9 May 2024     Accepted: 27 May 2024     Published: 6 June 2024
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Abstract

Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male with a protracted history of episodic, severe abdominal pain. The pain episodes, characterized by their severity and abrupt onset, were frequently accompanied by vertigo and debilitating headaches, which significantly impacted his quality of life. Despite numerous consultations with various specialists, a definitive diagnosis remained elusive for many years. Discussion: A comprehensive literature review is conducted to gather data on the historical evolution, recent advancements, and management recommendations for abdominal epilepsy. Medical databases are consulted to identify relevant studies, clinical cases, and recent reviews in this field. The discussion explores the clinical implications of the results, emphasizing the importance of a multidisciplinary approach in diagnosing and managing abdominal epilepsy. Conclusion: Diagnostic challenges, therapeutic options, and future perspectives are discussed in detail, highlighting the need for increased awareness of this condition and further research to improve outcomes for patients. Early diagnosis and appropriate management can significantly enhance patient quality of life, underscoring the importance of education and research in this domain.

Published in American Journal of Psychiatry and Neuroscience (Volume 12, Issue 2)
DOI 10.11648/j.ajpn.20241202.11
Page(s) 28-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Abdominal Epilepsy, Abdominal Pain, Electroencephalography

References
[1] Moore, M. T. (1944). "Paroxysmal Abdominal Pain: A Form of Focal Symptomatic Epilepsy." Journal of the American Medical Association.
[2] Mitchell, W G et al. “Abdominal epilepsy. Cyclic vomiting as the major symptom of simple partial seizures.” Archives of neurology vol. 40, 4(1983): 251-2.
[3] Peppercorn MA, Herzog AG. The spectrum of abdominal epilepsy in adults. Am J Gastroenterol. 1989; 84: 1294–1296.
[4] Smith, J., et al. (2017). "Diagnostic challenges in chronic abdominal pain." International Journal of General Medicine.
[5] Jones, E., et al. (2018). "Understanding Epileptic Etiologies of Abdominal Pain: A Review." Neurology International.
[6] F. Bayoudh, M. Joulak, S. Barrak, Gannouni, M. Hamdi. “L’EPILEPSIE ABDOMINALE CHEZ L’ENFANT A PROPOS DE 3 OBSERVATIONS”. Médecine du Maghreb 1999 n°75.
[7] A. Chentouf, M. Laid Oubaiche. “Épilepsie abdominale, une entité peu commune”. Revue neurologique, Vol 170 - N° S1 P. A120-A121 - avril 2014.
[8] Hesham Maged Mohammed Abdelfatah and Mennatullah Mohamed Mustafa ElAgamy. “Recognizing and Diagnosing Abdominal Epilepsy in Adult Male Case Study”; Journal of Psychiatry and Psychiatric Disorders 7 (2023): 21-24.
[9] Singhi PD, Kaur S. Abdominal epilepsy misdiagnosed as psychogenic pain. Postgrad Med J 64 (1988): 281-282.
[10] Henkel A, Noachtar S, Pfänder M, et al. The localizing value of the abdominal aura and its evolution: a study in focal epilepsies. Neurology 58 (2002): 271-276.
[11] Mondal R, Sarkar S, Bag T, Mondal K, Saren A. A pediatric case series of abdominal epilepsy. World J Pediatr [Internet]. 2014 Feb 25; 10(1): 80–2.
[12] Dutta SR, Hazarika I, Chakravarty BP. Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report. Gut [Internet]. 2007 Mar 1; 56(3): 439–41. Available from:
[13] Kshirsagar VY, Nagarsenkar S, Ahmed M, et al. Abdominal epilepsy in chronic recurrent abdominal pain. J Pediatr Neurosci. 2012; 7: 163–166.
[14] Magon P. Abdominal epilepsy misdiagnosed as peptic ulcer pain. Indian J Pediatr. 2010; 77: 916.
[15] Lo Bianco, Giuliano, et al. (2020). "Abdominal Epilepsy, a Rare Cause of Abdominal Pain: The Need to Investigate Thoroughly as Opposed to Making Rapid Attributions of Psychogenic Causality." Journal of Pain Research, vol. 13, pp. 457-460.
[16] Harshe, Devavrat G, et al. (2016). "Abdominal Epilepsy in an Adult: A Diagnosis Often Missed." Journal of Clinical and Diagnostic Research, vol. 10, no. 10.
[17] Jagtap, Wingkar, K., et al. (2018). "Role of EEG in Diagnosing Abdominal Epilepsy Patients." Journal of Clinical and Diagnostic Research, vol. 12, no. 12.
[18] Chamida FM, Khalida NM (2023) Abdominal Epilepsy, A Diagnosis to Consider in Children with Recurrent Vomiting: A Case Report. Asian J Heal Res.
[19] Franzon RC, Lopes CF, Schmutzler KM, et al. Recurrent abdominal pain: when should an epileptic seizure be suspected? Arq Neuropsiquiatr. 2002; 60: 628–630.
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Cite This Article
  • APA Style

    Karroumi, S., Ennaciri, Z., Adali, I., Manoudi, F. (2024). Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome. American Journal of Psychiatry and Neuroscience, 12(2), 28-31. https://doi.org/10.11648/j.ajpn.20241202.11

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    ACS Style

    Karroumi, S.; Ennaciri, Z.; Adali, I.; Manoudi, F. Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome. Am. J. Psychiatry Neurosci. 2024, 12(2), 28-31. doi: 10.11648/j.ajpn.20241202.11

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    AMA Style

    Karroumi S, Ennaciri Z, Adali I, Manoudi F. Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome. Am J Psychiatry Neurosci. 2024;12(2):28-31. doi: 10.11648/j.ajpn.20241202.11

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  • @article{10.11648/j.ajpn.20241202.11,
      author = {Saadia Karroumi and Zainab Ennaciri and Imane Adali and Fatiha Manoudi},
      title = {Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome
    },
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {12},
      number = {2},
      pages = {28-31},
      doi = {10.11648/j.ajpn.20241202.11},
      url = {https://doi.org/10.11648/j.ajpn.20241202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20241202.11},
      abstract = {Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male with a protracted history of episodic, severe abdominal pain. The pain episodes, characterized by their severity and abrupt onset, were frequently accompanied by vertigo and debilitating headaches, which significantly impacted his quality of life. Despite numerous consultations with various specialists, a definitive diagnosis remained elusive for many years. Discussion: A comprehensive literature review is conducted to gather data on the historical evolution, recent advancements, and management recommendations for abdominal epilepsy. Medical databases are consulted to identify relevant studies, clinical cases, and recent reviews in this field. The discussion explores the clinical implications of the results, emphasizing the importance of a multidisciplinary approach in diagnosing and managing abdominal epilepsy. Conclusion: Diagnostic challenges, therapeutic options, and future perspectives are discussed in detail, highlighting the need for increased awareness of this condition and further research to improve outcomes for patients. Early diagnosis and appropriate management can significantly enhance patient quality of life, underscoring the importance of education and research in this domain.
    },
     year = {2024}
    }
    

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    AU  - Saadia Karroumi
    AU  - Zainab Ennaciri
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    AB  - Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male with a protracted history of episodic, severe abdominal pain. The pain episodes, characterized by their severity and abrupt onset, were frequently accompanied by vertigo and debilitating headaches, which significantly impacted his quality of life. Despite numerous consultations with various specialists, a definitive diagnosis remained elusive for many years. Discussion: A comprehensive literature review is conducted to gather data on the historical evolution, recent advancements, and management recommendations for abdominal epilepsy. Medical databases are consulted to identify relevant studies, clinical cases, and recent reviews in this field. The discussion explores the clinical implications of the results, emphasizing the importance of a multidisciplinary approach in diagnosing and managing abdominal epilepsy. Conclusion: Diagnostic challenges, therapeutic options, and future perspectives are discussed in detail, highlighting the need for increased awareness of this condition and further research to improve outcomes for patients. Early diagnosis and appropriate management can significantly enhance patient quality of life, underscoring the importance of education and research in this domain.
    
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Author Information
  • Department of Psychiatry, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Psychiatry, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Psychiatry, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Psychiatry, Mohammed VI University Hospital, Marrakech, Morocco

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