title: Recurrence of Epileptic Spasms as Reflex Seizures Induced by Eating: A Case Report and Literature Review.
abstract: BackgroundEating 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 DescriptionThe 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.ConclusionsThis 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.
authors.affiliation: Department of Pediatrics, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kobayashi
authors.affiliation: Department of Pediatrics, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Nobutsune
authors.initials: N
authors.lastname: Ishikawa
authors.affiliation: Department of Pediatrics, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Hiroo
authors.initials: H
authors.lastname: Tani
authors.affiliation: Department of Pediatrics, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Fujii
authors.affiliation: Department of Pediatrics, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Masao
authors.initials: M
authors.lastname: Kobayashi
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000503:physiopathology*; D002648:Child; D020195:Epilepsy, Reflex / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology*; D005260:Female; D006801:Humans; D012008:Recurrence
chemical_list: D000927:Anticonvulsants