Epilepsy With Severe Abdominal Pain

We describe a patient who experienced recurrent episodes of abdominal pain as a prominent feature of his seizure disorder. Treatment with carbamazepine could not prevent these painful sensations, but a selective amygdalohippocampectomy completely controlled the episodic pain and the seizures associa...

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Bibliographic Details
Published in:Mayo Clinic proceedings 2002-12, Vol.77 (12), p.1358-1360
Main Authors: Eschle, Daniel, Siegel, Adrian M., Wieser, Heinz-Gregor
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Abdominal Pain - physiopathology
Adult
Amygdala - surgery
Anticonvulsants - therapeutic use
Biological and medical sciences
Carbamazepine - therapeutic use
Electroencephalography
Epilepsies, Partial - complications
Epilepsies, Partial - diagnosis
Epilepsies, Partial - physiopathology
Epilepsies, Partial - surgery
Epilepsy
Hippocampus - surgery
Humans
Male
Medical sciences
Neurosurgery
Recurrence
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:We describe a patient who experienced recurrent episodes of abdominal pain as a prominent feature of his seizure disorder. Treatment with carbamazepine could not prevent these painful sensations, but a selective amygdalohippocampectomy completely controlled the episodic pain and the seizures associated with loss or alteration of consciousness. During the presurgical evaluation, the episodes of abdominal pain correlated with amygdalar seizure discharges.
ISSN:0025-6196
1942-5546
DOI:10.4065/77.12.1358