반복성 복통으로 발현된 복성 간질 1예
A Case of Abdominal Epilepsy Presenting withRecurrent Abdominal Pain
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초록
저자들은 6세 된 남아에서 4년간의 반복적이고, 발작적인 복통의 원인을 규명하던 중 만성 복통의 타 기질적 질환들이 배제되고, 뇌파 검사의 이상 소견과 함께 항경련제의 사용에 증상의 극적인 소실을 보여 복성 간질로 진단된 1예를 경험하고 문헌 고찰과 함께 보고하는 바이다.
Abstract
Abdominal epilepsy is an uncommon disorder and a rare cause of recurrent abdominal pain of children. Diagnostic criteria of this disorder include otherwise unexplained, paroxysmal gastrointestinal complaints, symptoms of a central nerve system disturbance, an abnormal electroencephalogram with a finding specific for a seizure disorder, and improvement with anticonvulsant medication. We present a case of a 6-year-old boy with abdominal epilepsy presenting with recurrent, paroxysmal abdominal pain for 4 years. This patient had definite electroencephalogram abnormalities and a striking response to administration of an anticonvulsant. (Korean J Pediatr Gastroenterol Nutr 2007; 10: 202∼205)
참고문헌 (16)
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- Peppercorn MA, "The spectrum of abdominal epilepsy in adults", pp.1294~6
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- Cupini LM, "Cyclic vomiting syndrome, migraine, and epilepsy: a common underlying disorder?", 43, pp.407~409 (2003)
- 윤영아, "24시간 뇌파 감시로 진단된 복성 간질 1례", 14, pp.337~341 (2006)
- Dutta SR, "Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report", 56, pp.438~441 (2007)
- Nair DR, "Painful auras in focal epilepsy", 57, pp.700~702 (2001)
- Franzon RC, "Recurrent abdominal pain. When an epileptic seizure should be suspected?", 60, pp.628~630 (2002)
- Zinkin NT, "Abdominal epilepsy", 19, pp.263~274 (2005)
- Peppercorn MA, "Herzog AG. The spectrum of abdominal epilepsy in adults. Am J Gastroenterol 1989", pp.1294~6
- Rasquin A, "Childhood functional gastrointestinal disorders: child", adolescent, 2006, pp.130, 1527~1537
- Cupini LM, "Cyclic vomiting syndrome, migraine, and epilepsy: a common underlying disorder?", 43, pp.407~409 (2003)
- 윤영아, "24시간 뇌파 감시로 진단된 복성 간질 1례", 14, pp.337~341 (2006)
- Dutta SR, "Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report", 56, pp.438~441 (2007)
- Nair DR, "Painful auras in focal epilepsy", 57, pp.700~702 (2001)
- Franzon RC, "Recurrent abdominal pain. When an epileptic seizure should be suspected?", 60, pp.628~630 (2002)