title: Paroxysmal belching: Epileptic or nonepileptic?
abstract: The prevalence and localizing value of ictal belching are yet unknown. We present the case of a patient with medically refractory focal epilepsy with simple and complex partial seizures, as well as generalized seizures. One presumed seizure type comprised frequent episodes of repetitive belching. Video-EEG monitoring during these attacks showed no ictal changes. The belching episodes were inducible and terminable through suggestion. The diagnosis of excessive supragastric belching, a previously described psychogenic condition, was made.
authors.affiliation: Ruhr-Epileptology, Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr-University Bochum, In der Schornau 23-25, 44892 Bochum, Germany.
authors.forename: Stoyan
authors.initials: S
authors.lastname: Popkirov
authors.affiliation: Ruhr-Epileptology, Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr-University Bochum, In der Schornau 23-25, 44892 Bochum, Germany.
authors.forename: Wenke
authors.initials: W
authors.lastname: Grönheit
authors.affiliation: Ruhr-Epileptology, Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr-University Bochum, In der Schornau 23-25, 44892 Bochum, Germany.
authors.forename: Jörg
authors.initials: J
authors.lastname: Wellmer
keywords: Epilepsy; Eructation; Excessive supragastric belching; Suggestion