Shebani Zacharia, Brown Alexander J, Narvaez Caicedo Camila, Rane Schweta, Masel Todd
Neurology, The University of Texas Medical Branch, Galveston, USA.
Cureus. 2023 Jun 8;15(6):e40155. doi: 10.7759/cureus.40155. eCollection 2023 Jun.
Seizures have been reported to be directly triggered by certain foods in some people with epilepsy. On the other hand, eating epilepsy has been mentioned in the literature as a rare disorder characterized by clinical and EEG findings that vary from patient to patient and are interestingly prevalent in certain geographic areas. Epilepsy in these patients is either idiopathic or due to underlying brain pathology. We present a case of refractory focal epilepsy in which the patient reports seizures provoked by eating greasy pork. During the admission to the epilepsy monitoring unit (EMU), the patient did not have seizures during the first three days of the admission despite antiepileptic medication withdrawal, sleep deprivation, and photic stimulation. However, when he consumed greasy pork, he had tonic-clonic convulsions about five hours after eating. On the following day, he had another tonic-clonic seizure after eating greasy pork.
据报道，某些癫痫患者的癫痫发作是由特定食物直接引发的。另一方面，文献中提到“饮食性癫痫”是一种罕见的疾病，其临床和脑电图表现因人而异，有趣的是，在某些地理区域较为普遍。这些患者的癫痫要么是特发性的，要么是由潜在的脑部病变引起的。我们报告一例难治性局灶性癫痫病例，该患者称食用油腻猪肉会引发癫痫发作。在入住癫痫监测单元（EMU）期间，尽管停用了抗癫痫药物、进行了睡眠剥夺和光刺激，但患者在入院的头三天没有发作。然而，当他食用油腻猪肉后，大约在进食五小时后出现了强直阵挛性抽搐。第二天，他在食用油腻猪肉后又出现了一次强直阵挛性发作。
