DOI: https://doi.org/10.22141/2308-2097.53.1.2019.163460

Gastroenterological masks of partial epilepsy in clinical practice

V.V. Cherniavsky, N.O. Fedorchenko

Abstract


The purpose of this paper is to draw gastroenterologists’ attention and underline the necessity to conduct detailed differential diagnosis in patients with dyspepsia syndrome. This paper shows a clinical case of abdominal form of the partial epilepsy. We have focused on the medical history; therefore, this disease has been suspected and electroencephalography and neurologist’s consultation were recommended in order to correct treatment. Partial epilepsy has to be included into the list of differential diagnosis in dyspepsia. Gastroenterologists and other internal medicine practitioners should be familiar with different clinical types of epilepsy and symptoms of partial epilepsy, as well as with the features of its medical treatment for early diagnosis and better outcomes in patients with epilepsy. It is necessary to collect detailed medical history and refer to neurologist patients with dyspepsia and a history of head injury, participation in combat sports, football or any severe infectious diseases with an intoxication syndrome. Early diagnosis of somatic masks of the partial epilepsy will allow predicting unexpected secondarily generalized seizures, since these somatic masks, according to their nature, actually are auras of the possible tonic and clonic seizures.

Keywords


dyspepsia; differential diagnosis; partial epilepsy

References


Mahadeva S, Goh KL. Epidemiology of functional dyspepsia: A global perspective. World J Gastroenterol. 2006 May 7;12(17):2661-6.

Ministry of Health of Ukraine. Order No 600, dated Aug 3, 2012: On approval and implementation of medical and technological documents on the standardization of medical care in dyspepsia. Available from: http://search.ligazakon.ua/l_doc2.nsf/link1/MOZ16319.html. ( in Ukrainian).

Moayyedi PM, Lacy BE, Andrews CN, Enns RA, Howden CW, Vakil N. ACG and CAG Clinical Guideline: Management of Dyspepsia. Am J Gastroenterol. 2017 Jul;112(7):988-1013. doi: 10.1038/ajg.2017.154.

Kunakbaeva EG. Nekotorye aspekty patogeneza, differentsial'noi diagnostiki i lecheniia bol'nykh funktsional'noi dispepsiei v ambulatorno-poliklinicheskikh usloviiakh [Some aspects of the pathogenesis, differential diagnosis and treatment of patients with functional dyspepsia in the outpatient setting]. Diss PhD med sci. 2017; 130 p. (in Russian).

Marienko LB. Patomorfoz symptomatychnoi epilepsii: porivnialne katamnestychne doslidzhennia) [Pathomorphosis of symptomatic epilepsy: comparative catamest research]. Diss MD med sci. 2014; 389 p. (in Ukrainian).

Aroniadou-Anderjaska V, Fritsch B, Qashu F, Braga MF. Pathology and Pathophysiology of the Amygdala in Epileptogenesis and Epilepsy. Epilepsy Res. 2008 Feb;78(2-3):102-16. doi: 10.1016/j.eplepsyres.2007.11.011.

Meldrum BS, Akbar MT, Chapman AG, Glutamate receptors and transporters in genetic and acquired models of epilepsy. Epilepsy Res. 1999 Sep;36(2-3):189-204.

Adelöw C, Andell E, Amark P, et al. Newly diagnosed single unprovoked seizures and epilepsy in Stockholm, First report from the Stockholm Incidence registry of Epilepsy(SIRE). Epilepsia. 2009 May;50(5):1094-101. doi: 10.1111/j.1528-1167.2008.01726.x.

Lowenstein DH. Epilepsy after head injury: an overview. Epilepsia. 2009 Feb;50 Suppl 2:4-9. doi: 10.1111/j.1528-1167.2008.02004.x.

Shanko GG, Ivashyna AN, Shanko VF. Novel and ordinary drugs in medical treatment of children epilepsy: indications and efficiency. Visnyk epileptolohii. 2009;(27-28):82-90. (in Russian).

Szaflarski J, Rackley AY, Lindsell CJ, Szaflarski M, Yates SL. Seizure control in patients with epilepsy: the physician vs. medication factors BMC Health Serv Res. 2008 Dec 18;8:264. doi: 10.1186/1472-6963-8-264.




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