Solana de Lope J, Alarcón Fernández O, Aguilar Mendoza J, Beltrán Coronel J, Barinagarrementería F, Pérez Manauta J
Servicio de Gastroenterología, Hospital Espaãnol de México, Colonia Granada, México, DF.
Rev Gastroenterol Mex. 1994 Oct-Dec;59(4):297-300.
Abdominal epilepsy is a rare cause of abdominal pain. We report an adult patient with intermittent, paroxysmal epigastric abdominal pain, accompanied by nausea, vomiting, restlessness and anxiety. Physical examination was normal. Blood analysis disclosed only leucocytosis with neutrophilia. X ray examinations, ultrasound and CT abdominal scan, mesenteric arteriography and exploratory laparotomy did not show evidence of pathology. The electroencephalogram (EEG) showed bilateral theta slow activity during hyperventilation. We started treatment with carbamazepine and the patient remained asymptomatic for nine months. However he had a relapse because he did'nt take his medication regularly. At that time the serum levels of carbamazepine were low. The EEG showed bursts of diffuse paroxysmal acute waves. Once therapeutic serum levels of carbamazepine were achieved the pain disappeared. He has remained asymptomatic during the last twelve months, while taking his treatment regularly.
腹型癫痫是腹痛的一种罕见病因。我们报告一例成年患者，其有间歇性、阵发性上腹部腹痛，伴有恶心、呕吐、烦躁不安和焦虑。体格检查正常。血液分析仅显示白细胞增多伴中性粒细胞增多。X线检查、腹部超声和CT扫描、肠系膜动脉造影及剖腹探查均未发现病理证据。脑电图（EEG）显示过度换气时双侧θ慢波活动。我们开始用卡马西平治疗，患者9个月无症状。然而，他因未规律服药而复发。当时卡马西平的血清水平较低。脑电图显示弥漫性阵发性急性波爆发。一旦达到卡马西平的治疗性血清水平，疼痛就消失了。在过去的十二个月里，他规律服药，一直无症状。
