Hameed Rania Adel, Aghdam Mohammad Reza F
Department of Child and Adolescent Psychiatry, Innlandet Hospital Trust, Gjøvik, Norway.
Landmo Nursing Home and Rehabilitation Center, Nordre Land, Norway.
Case Rep Psychiatry. 2021 May 3;2021:9969854. doi: 10.1155/2021/9969854. eCollection 2021.
Epilepsy is a chronic central nervous system disorder characterized by the recurrence of unprovoked seizures and can affect people of all ages. Seizure symptoms can vary widely in patients. Many papers have been published about agitation and epileptic seizures, but almost nothing about sugar cravings and agitation related to epilepsy. The purpose of this case report is to shed light on possibly a hidden symptom within the epilepsy field, in fact sugar cravings. . A 12-year-old boy was referred to the children and adolescent psychiatric outpatient clinic with suspicion of ADHD. The boy has struggled with anxiety, concentration, and impulsivity. Because of intense agitation and sugar cravings, the patient was referred to EEG. The EEG shows pathological activity with bilatero-temporal to central epileptiform activity, not synchronized. After pathological EEG findings, the patient started treatment with Lamotrigine. Great improvement when it comes to agitation, moodiness, and reduction of sugar craving after starting with Lamotrigine.
We consider inexplicable behavior or symptoms such as agitation and sugar craving may be related to epilepsy seizure. Therefore, it is important that these patients should be examined more closely with EEG to confirm or deny epilepsy.
癫痫是一种慢性中枢神经系统疾病，其特征是无端发作反复出现，可影响各年龄段的人群。患者的发作症状差异很大。关于激越与癫痫发作，已有许多论文发表，但关于与癫痫相关的嗜糖和激越，几乎没有相关研究。本病例报告的目的是揭示癫痫领域可能存在的一个隐藏症状，即嗜糖。一名12岁男孩因疑似注意力缺陷多动障碍被转诊至儿童及青少年精神科门诊。该男孩一直受焦虑、注意力不集中和冲动问题困扰。由于严重激越和嗜糖，患者接受了脑电图检查。脑电图显示双侧颞叶至中央区存在癫痫样活动的病理活动，且不同步。脑电图检查出现病理结果后，患者开始使用拉莫三嗪治疗。开始使用拉莫三嗪后，激越、情绪波动以及嗜糖情况有了很大改善。
我们认为，激越和嗜糖等无法解释的行为或症状可能与癫痫发作有关。因此，对这些患者进行更密切的脑电图检查以确认或排除癫痫很重要。
