Unusual Presentations of Epilepsy: A Series of Paediatric Cases with Abdominal Epilepsy and Epileptic Angina
Correspondence Address :
Rita Panyang Kataki,
House No.-28, West Milan Nagar, Lane I, Dibrugarh, Assam-786003, India.
E-mail: panyang.rita.dr@gmail.com
Epilepsy, a common neurological disorder characterised by recurrent seizures, can manifest in unusual clinical presentations such as abdominal pain, nausea, vomiting, and bloating associated with diverse Central Nervous System (CNS) symptoms like confusion, fatigue, headache, dizziness, and syncope. The importance of recognising and documenting such unusual presentations lies in their potential to be misdiagnosed or overlooked, delaying appropriate treatment and causing undue distress to both the patients and their families. In the present case series, patients presented with gastrointestinal or chest pain for a prolonged period. As the symptoms did not subside with treatment, an Electroencephalogram (EEG) was performed to rule out epilepsy. In all three cases (10-year and 10-month-old female, 11-year-old male, seven-year-old male), EEG revealed a generalised seizure disorder. The present case series highlights unusual presentations of epilepsy in paediatric patients, including Abdominal Epilepsy (AE) and epileptic angina. These cases underscore the importance of considering epilepsy as a potential aetiology in patients with recurrent and atypical symptoms.
Cyclical vomiting, Electroencephalogram, Seizure disorder
DOI: 10.7860/JCDR/2024/67269.19207
Date of Submission: Aug 30, 2023
Date of Peer Review: Nov 11, 2023
Date of Acceptance: Jan 31, 2024
Date of Publishing: Mar 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. No
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 02, 2023
• Manual Googling: Nov 28, 2023
• iThenticate Software: Jan 27, 2024 (5%)
ETYMOLOGY: Author Origin
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