Gujjar Arunodaya R, Jacob P C, Ramanchandiran Nandhagopal, Al-Asmi Abdullah
Department of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sultan Qaboos Univ Med J. 2013 Feb;13(1):156-61. doi: 10.12816/0003212. Epub 2013 Feb 27.
Eating epilepsy (EE), where seizures are triggered by eating, is rare and has not been reported in the Gulf region. In EE, the ictal semiology includes partial or generalised seizures. Focal brain changes on imaging, if present, are often confined to the temporal lobe or perisylvian region. Therapeutic options, especially in those patients who are refractory to pharmacotherapy, have not been well-established. We report a series of five patients with EE from Oman, a country located in the eastern part of the Arabian Gulf region, and highlight the usefulness of temporal lobectomy in one patient who had medically-intractable EE. Surgical intervention could be considered as a potential therapeutic option in carefully selected patients with medically-intractable seizures.
饮食性癫痫（EE）是一种由进食引发癫痫发作的疾病，较为罕见，在海湾地区尚未有过报道。在饮食性癫痫中，发作期症状学包括部分性或全身性发作。影像学上的局灶性脑改变若存在，通常局限于颞叶或外侧裂周围区域。治疗方案，尤其是对于那些药物治疗无效的患者，尚未完全确立。我们报告了来自阿曼（位于阿拉伯海湾地区东部的一个国家）的5例饮食性癫痫患者系列病例，并强调了颞叶切除术对1例药物治疗难治性饮食性癫痫患者的有效性。对于精心挑选的药物治疗难治性癫痫患者，手术干预可被视为一种潜在的治疗选择。
