[A case of digestive epilepsy with late diagnosis: a disease not to be disregarded].
Digestive epilepsy is a rare disease, poorly recognized by gastroenterologists. Its diagnosis requires a compatible clinical presentation, the absence of concomitant organic digestive disease, and an effective and long-lasting response to specific anticonvulsant agents. We report a case of digestive epilepsy due to a meningioma of the right parietal lobe in a 79-year-old woman suffering from headaches, vertigo, sweating and abdominal pain for at least 14 years. Initial diagnosis was irritable bowel syndrome. A meningal syndrome led to neurological work-up showing cerebral meningioma. The recurrent paroxysmal abdominal pain was interpreted as manifestations of digestive epilepsy, and effective and long-lasting treatment was obtained with carbamazepine. After analysis of the determining elements in this case, the epidemiology, pathophysiology, diagnostic work-up, therapy, and differential diagnosis of digestive epilepsy are discussed.
Service d'Hépato-Gastroentérologie, CHU Dupuytren, Limoges.
M H
MH
Mendler
D
D
Sautereau
B
B
Pillegand
R
R
Ravon
D015746:Abdominal Pain; D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D004066:Digestive System Diseases / Q000188:drug therapy / Q000209:etiology*; D004827:Epilepsy / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000175:diagnosis* / Q000188:drug therapy; D008579:Meningioma / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
D000927:Anticonvulsants; D002220:Carbamazepine
Un cas d"épilespie digestive de diagnostic tardif: une pathologie à ne pas méconnaître.