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KMID : 0391520060140020337
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Journal of the Korean Child Neurology Society
2006 Volume.14 No. 2 p.337 ~ p.341
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A Case of Abdominal Epilepsy Diagnosed by 24-hour Electroencephalogram Monitoring.
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Youn Young-Ah
Cho Sun-Young
Lee Kyung-Yil
Lee In-Goo
Lee Joon-Sung
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Abstract
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Abdominal epilepsy is an infrequent syndrome which occurrs with gastrointestinal complaints caused by a seizure activity. It is characterized by paroxysmal onset of abdominal pain without visceral disorders, but comes along with the alteration of awareness during the attack and abnormal electroencephalogram(EEG) findings. Like other epilepsies, this abdominal epilepsy is improved with anticonvulsant medication. We present a 14 year-old boy who had recurrent episodes of abdominal pain for 2 months, accompanied by hyperventilation and alteration of awareness. His interictal EEG findings were normal, but 24 hour EEG monitoring showed multifocal spikes and generalized epileptiform discharges when abdominal pain developed. After the medication with valproate, he became free of symptoms and signs.
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KEYWORD
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Abdominal epilepsy, 24-hour EEG monitoring
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