Recognizing and Diagnosing Abdominal Epilepsy in Adult Male Case Study

Author(s): Hesham Maged Mohammed Abdelfatah and Mennatullah Mohamed Mustafa ElAgamy

Abdominal Epilepsy (AE) is a very rare disorder; it is considered a category of temporal lobe epilepsies and was diagnosed by exclusion. AE is usually in the pediatric. However, there is recorded case of its occurrence in adults. AE can present with unexplained, cruel, and recurrent gastrointestinal symptoms such as paroxysmal severe pain, nausea, vomiting bloating, and diarrhea that improve with antiepileptic therapy. It is commonly linked with Electroencephalography (EEG) changes in the temporal lobes with symptoms that represent the involvement of the Central Nervous System (CNS) such as altered consciousness, confusion, and lethargy. That's Due to the mysterious nature of these symptoms; there is a greater chance of misdiagnosing of this case. We present the case of a 35-year-old man with AE who was misdiagnosed with psychogenic abdominal pain after doing multiple investigations with various medical branches in multiple hospital departments.