Abdominal epilepsy and foreign body in the abdomen - Dilemma in diagnosis of abdominal pain

Noor Topno, Mahesh S. Gopasetty, Annappa Kudva, B. Lokesh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

There are many medical causes of abdominal pain; abdominal epilepsy is one of the rarer causes. It is a form of temporal lobe epilepsy presenting with abdominal aura. Temporal lobe epilepsy is often idiopathic, however it may be associated with mesial temporal lobe sclerosis, dysembryoplastic neuroepithelial tumors and other benign tumors, arterio-venous malformations, gliomas, neuronal migration defects or gliotic damage as a result of encephalitis. Wben associated with anatomical abnormality, abdominal epilepsy is difficult to control with medication alone. In such cases, appropriate neurosurgery can provide a cure or, at least. make this condition easier to treat with medication. Once all known intra-abdominal causes have been ruled out, many cases of abdominal pain are dubbed as functional. If clinicians are not aware of abdominal epilepsy, this diagnosis is easily missed, resulting in inappropriate treatment. We present a case report of a middle aged woman presenting with abdominal pain and episodes of unconsciousness. On evaluation she was found to have an intra-abdominal foreign body (needle). Nevertheless, the presence of this entity was insufficient to explain her episodes of unconsciousness. On detailed analysis of her medical history and after appropriate investigations, she was diagnosed with temporal lobe epilepsy which was treated with appropriate medications, and which resulted in her pain being relieved.

Original languageEnglish
Pages (from-to)870-873
Number of pages4
JournalYonsei Medical Journal
Volume46
Issue number6
Publication statusPublished - 01-12-2005

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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