Recurrence of Epileptic Spasms as Reflex Seizures Induced by Eating : A Case Report and Literature Review

Georg Thieme Verlag KG Stuttgart · New York..

Background Eating epilepsy (EE) is a rare form of reflex epilepsy in which seizures are induced by eating. It is known that most patients with eating seizures, in fact, suffer from symptomatic temporal lobe epilepsy (TLE), whereas only a few patients with epileptic spasms induced by eating (E-ES) have been reported. Patient Description The patient was an 8-year-old girl whose magnetic resonance imaging (MRI) of the head detected dysgenesis of the corpus callosum, cerebellar hypogenesis, marked cerebral asymmetry, broad polymicrogyria, periventricular heterotopia, and closed lip-type schizencephaly. She experienced E-ES as the second form of recurrent seizures after the first recurrence of spontaneous ES. After E-ES occurred, the EEG findings in the right hemisphere, predominantly over the right centrotemporal region, were clearly exacerbated, although the interictal EEG originally showed left-side-dominant asymmetric hypsarrhythmia. The ictal EEG of the E-ES showed diffuse large triphasic (negative-positive-negative) potentials, predominantly over the right centrotemporoparietal region. Conclusions This is a unique case because the E-ES were recurrent ES, although the previous ES were spontaneous, which may provide insight into the mechanism of E-ES.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

Neuropediatrics - 48(2017), 2 vom: 07. Apr., Seite 119-122

Sprache:

Englisch

Beteiligte Personen:

Kobayashi, Yoshiyuki [VerfasserIn]
Ishikawa, Nobutsune [VerfasserIn]
Tani, Hiroo [VerfasserIn]
Fujii, Yuji [VerfasserIn]
Kobayashi, Masao [VerfasserIn]

Links:

Volltext

Themen:

Anticonvulsants
Case Reports
Journal Article
Review

Anmerkungen:

Date Completed 17.04.2017

Date Revised 17.04.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1055/s-0037-1598111

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM268260451