Paroxysmal belching: Epileptic or nonepileptic?
نویسندگان
چکیده
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.
منابع مشابه
Paroxysmal Nonepileptic Spells in Adolescence
Paroxysmal nonepileptic spells are often difficult to diagnose in pediatric patients owing to overlapping clinical features with epileptic seizures. A diagnosis of epilepsy is typically associated with pharmacologic and social sequelae, and an incorrect diagnosis can create an unnecessary burden highlighting the need for proper identification of paroxysmal nonepileptic spells. The adolescent po...
متن کاملEpileptic and nonepileptic paroxysmal events out of sleep in children.
The distinction between epileptic and nonepileptic events out of sleep may represent a significant challenge to the pediatrician. It is known that sleep can facilitate epileptic activity and that seizures in sleep tend to occur during specific sleep stages. Certain epilepsy syndromes have a well-documented and strong association with sleep and these can present with a variety of bizarre behavio...
متن کاملImproving diagnosis of epilepsy in India--how difficult is it?
Misdiagnosis of seizures and epilepsy is rampant. There are several paroxysmal non-epileptic events (NEE) – like syncope, non-epileptic attacks (earlier called psychogenic or pseudo-seizures), paroxysmal movement disorders, migraine equivalents, parasomnias, nonepileptic staring – which can mimic seizures and confuse even the experienced observer [1,2]. In a prospective study of first ‘seizures...
متن کاملFactitious psychogenic nonepileptic paroxysmal episodes
Mistaking psychogenic nonepileptic paroxysmal episodes (PNEPEs) for epileptic seizures (ES) is potentially dangerous, and certain features should alert physicians to a possible PNEPE diagnosis. Psychogenic nonepileptic paroxysmal episodes due to factitious seizures carry particularly high risks of morbidity or mortality from nonindicated emergency treatment and, often, high costs in wasted medi...
متن کاملUnderstanding seizure dogs.
Nonepileptic seizures can be difficult to distinguish from epileptic seizures: they may look exactly like epileptic seizures. The difference is that during a nonepileptic seizure, there are no abnormal electrical discharges in the brain of the type seen in epileptic seizures. Nonepileptic seizures can have many causes; however, the most common cause is a psychiatric illness. In these illnesses ...
متن کامل