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©The Author(s) 2022.
World J Gastrointest Pathophysiol. Sep 22, 2022; 13(5): 143-156
Published online Sep 22, 2022. doi: 10.4291/wjgp.v13.i5.143
Published online Sep 22, 2022. doi: 10.4291/wjgp.v13.i5.143
Table 1 Differences between epilepsy with abdominal pain and abdominal migraine
Parameter | Epilepsy with abdominal pain | Abdominal migraine |
Age | Mainly pediatric age (4-9 yr), scarce in adults | It starts in childhood (3-10 yr with a peak at 7), though it may occur in adults |
Sex | More in males during childhood, more in females in adulthood | More in females |
Prevalence | Very rare | More common affect 2% to 4% of children |
Etiology | Focal partial temporal lobe epilepsy due to idiopathic or secondary causes | Food allergy, Mitochondrial DNA mutation (cytopathy), Corticotropin-releasing factors abnormalities, Endogenous prostaglandin release |
Family history | Strong family history of migraine | |
Duration of episodes | Usually 10-30 min, 4–5 times/month | Usually, more than an hour (3-4 h), at least twice/6 mo |
Aura | May present | May present |
Headache if present | Short duration | Long duration |
Consciousness | May be altered | Not affected |
Postictal tiredness or confusion | May present | absent |
EEG | Abnormal epileptogenic electrical activity of focal temporal epilepsy | Usually, normal |
Postictal serum Prolactin | Usually, high | Usually normal, it may be high, especially in females |
Prevention | Prevention and treatment of the cause in secondary cases and sleep hygiene in idiopathic cases | Good sleep hygiene, hydration, stress reduction, and avoiding dietary triggers |
Prophylaxis therapy | Antiseizure medications | Amyltryptine, propranolol, cryoheptadine, pizotifen |
- Citation: Al-Beltagi M, Saeed NK. Epilepsy and the gut: Perpetrator or victim? World J Gastrointest Pathophysiol 2022; 13(5): 143-156
- URL: https://www.wjgnet.com/2150-5330/full/v13/i5/143.htm
- DOI: https://dx.doi.org/10.4291/wjgp.v13.i5.143