Department of Pediatrics, North Bengal Medical College & Hospital, Siliguri, India,
World J Pediatr. 2014 Feb;10(1):80-2. doi: 10.1007/s12519-014-0457-1. Epub 2014 Jan 25.
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.
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.
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.
High suspicion is required for the diagnosis of AE after exclusion of other possible causes.
腹型癫痫（AE）是儿童反复发作性腹痛的一种不常见病因。其特征为阵发性腹痛发作，伴有多种其他腹部不适，脑电图异常，以及对抗癫痫药物的反应。我们描述了 6 例 AE 患儿的临床特征。
我们对医院中儿童 AE 的病例记录进行了回顾性调查。AE 的诊断依赖于反复发作的腹痛症状、细微的中枢神经系统异常、脑电图异常和对抗癫痫药物的反应。
这 6 例患儿均被诊断为 AE。该病在儿科病房所有住院患儿中的发病率为 0.07%。除了另外 2 例有反复呕吐的患儿外，所有患儿均有反复发作的腹痛。在本系列中，男女比例（1:2）不均衡。
在排除其他可能的病因后，需要高度怀疑 AE 的诊断。
