Peppercorn M A, Herzog A G, Dichter M A, Mayman C I
JAMA. 1978 Nov 24;240(22):2450-1. doi: 10.1001/jama.240.22.2450.
Four patients, aged 17 to 47 years, had paroxysmal abdominal pain associated with symptoms suggestive of a CNS disturbance. None had a discernible primary gastrointestinal process, but each had EEG abnormalities and a striking response to anticonvulsant medication. These findings suggest that abdominal epilepsy should be considered in the differential diagnosis of unexplained paroxysmal abdominal pain.
4名年龄在17至47岁之间的患者出现了阵发性腹痛,并伴有提示中枢神经系统紊乱的症状。他们均没有明显的原发性胃肠道病变,但每个人都有脑电图异常,且对抗惊厥药物有显著反应。这些发现表明,在不明原因的阵发性腹痛的鉴别诊断中应考虑腹型癫痫。