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South African Journal of Child Health, Vol 3, No 3 (2009)

Abdominal epilepsy in a Nigerian child: A case report

Garba Mohammed Ashir, Alhaji Mohammed Arab, Mustapha Modu Gofama, Ibrahim Bello Abdullahi, Nwaizu C Azuka

Abstract


Abdominal epilepsy is an exceptionally rare cause of abdominal pain that’s more likely to occur in children. We report a child with episodic paroxysmal abdominal pain, accompanied by flatulence, neck pain tiredness and bilateral lower limbs weakness. Physical examination was normal expect for hyper pigmented spots. Blood analysis, X ray examinations, ultrasound and barium studies of the abdomen did not show evidence of pathology. The electroencephalogram (EEG) showed temporal lobe dysrhythmia during typical attack. We started treatment with carbamazepine and the patient has remained asymptomatic during the last six months, while taking her treatment regularly.

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