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An Unusual Cause of Recurrent Paroxysmal Abdominal Pain in Adults

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Alternative Title
성인에서의 반복성, 발작성 복통의 드문 원인
Abstract
성인의 반복성 발작성 복통은 드물게는 측두엽간질에 속하는 "복부간질"로 생길 수 있다. 이 증상은 두통, 안면홍조, 구역질외에 경우에 따라서는 순간적인 의식소실과 같은 중추신경계 자극증상, 간질뇌파형 및 항경련제에 대한 증상치료로 "과민성대장증후군", "편두통"등 다른 질환과 간별이 될 수 있다. 이번 연구에서 저자는 항경련제 치료로 반복성 발작성 복통이 치료된 다섯명의 환자에서 복부 간질로 인한 다양한 위장관질환, 중추신경장애, 특징적인 뇌파소견 및 뇌핵자기공명영상을 검토해 보고자 한다.
Paroxysmal, recurrent abdominal pain in adults is uncommonly caused by abdominal epilepsy, which is one spectrum of temporal lobe epilepsy(TLE). It may be distinguished from the irritable bowel syndrome or migraine by the presence of central nervous system complaints including transient loss of consciousness, by response to antiepileptic medication and by epileptiform discharges in EEG. In this report, we review the variety of gastrointestinal symptoms and central nervous system disturbances, specific encephalographic abnormalities and abnormal brain MRI findings of abdominal epilepsy. A striking response to anticonvulsant medication was seen in all adult patients.
Paroxysmal, recurrent abdominal pain in adults is uncommonly caused by abdominal epilepsy, which is one spectrum of temporal lobe epilepsy(TLE). It may be distinguished from the irritable bowel syndrome or migraine by the presence of central nervous system complaints including transient loss of consciousness, by response to antiepileptic medication and by epileptiform discharges in EEG. In this report, we review the variety of gastrointestinal symptoms and central nervous system disturbances, specific encephalographic abnormalities and abnormal brain MRI findings of abdominal epilepsy. A striking response to anticonvulsant medication was seen in all adult patients.
Author(s)
Kim,Kwang Kook
Issued Date
1994
Type
Research Laboratory
URI
https://oak.ulsan.ac.kr/handle/2021.oak/5337
http://ulsan.dcollection.net/jsp/common/DcLoOrgPer.jsp?sItemId=000002025183
Alternative Author(s)
김광국
Publisher
울산의대학술지
Language
eng
Rights
울산대학교 저작물은 저작권에 의해 보호받습니다.
Citation Volume
3
Citation Number
2
Citation Start Page
65
Citation End Page
71
Appears in Collections:
Research Laboratory > The ULSAN university medical journal
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