Mesial temporal lobe epilepsy presenting with rising epigastric sensation as the only clinical symptom: a case report

Neuroreport
Lichao SunWeihong Lin

Abstract

Mesial temporal lobe epilepsy is generally manifested as central nervous system disorder, emotional disturbances, and visceral discomfort. We present the case of an elderly male patient with mesial temporal lobe epilepsy presenting with rising epigastric sensation as the only manifestation. A 60-year-old male patient who had been regularly suffering from episodic epigastric sensations three to seven times every day was admitted to our hospital. 'Rising air' initiated from epigastria, ascending to his chest, and terminated in the throat. Brain MRI showed sclerosis of the right hippocampus and enlargement of the right temporal horn. Video electroencephalography showed that the seizure was associated with a high-amplitude spike and slow wave, originating from the right anterior temporal region and extending to the leads in the right hemisphere. Extensive gastrointestinal and cardiothoracic investigations showed no abnormality, and so an underlying seizure disorder was suspected. The patient was prescribed a low dose of carbamazepine of 200 mg daily and was discharged the next day. A repeat video electroencephalography confirmed the satisfactory efficacy of the treatment. During the follow-up period of 22 months, there was no reapp...Continue Reading

References

Aug 1, 1994·Brain : a Journal of Neurology·F CendesA Olivier
Aug 17, 2004·Epilepsy Currents·Shlomo Shinnar
Oct 12, 2010·Epilepsy & Behavior : E&B·Nancy Foldvary-Schaefer, Kanjana Unnwongse
Nov 30, 2010·Seizure : the Journal of the British Epilepsy Association·Ricardo CersósimoRoberto Caraballo
Oct 30, 2012·Epilepsy & Behavior : E&B·Yi-Chun KuanDer-Jen Yen

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Citations

Jan 11, 2021·Epilepsy & Behavior : E&B·Fangzhao YinGuojun Zhang

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