A pediatric case series of abdominal epilepsy

Rakesh Mondal, Sumantra Sarkar, Toshibananda Bag, Kalyanbrata Mondal, Abhisek Saren

Siliguri, India

Author Affiliations: Department of Pediatrics, North Bengal Medical College & Hospital, Siliguri, India (Mondal R, Bag T, Mondal K, Saren A); Department of Pediatrics, Institute of Post Graduate Medical Education & Research, Kolkata, India (Sarkar S)

Corresponding Author: Rakesh Mondal, Balarampur, Mahestala, Kolkata-700141, India (Tel: +919674240973/033-64143736; Email: ivanrakesh2001@gmail.com)

doi: 10.1007/s12519-014-0457-1

Background: Abdominal epilepsy (AE) is an infrequent cause of recurrent abdominal pain in children. It is characterized by paroxysmal episodes of abdominal pain, a variety of other abdominal complaints, electroencephalogram abnormalities, and response to anti-epileptic agents. We described the clinical profile of six patients with AE.

Methods: We conducted a retrospective survey of AE in children from the records of the hospital. The diagnosis of AE was dependent on recurrent abdominal symptoms, subtle central nervous system abnormalities, electroencephalogram abnormalities and response to anticonvulsant agents.

Results: The six patients were diagnosed with AE. The incidence of the disease was 0.07% in all admissions to the pediatric ward. Recurrent pain was common in all patients except two who had additional recurrent vomiting. In this series, the boy to girl ratio (1:2) was unequal.

Conclusion: High suspicion is required for the diagnosis of AE after exclusion of other possible causes.

Key words: abdominal pain; children; epilepsy

World J Pediatr 2014;10(1):80-82