成人腹痛型癫痫9例病因探讨及诊疗体会

The etiology of adult＇s abdominal pain epilepsy and experiences of diagnosis and treatment in 9 patients

目的 探讨成人腹痛型癫痫的病因及介绍诊疗经验.方法 对成人腹痛型癫痈9例的既往史、临床表现、辅助检查、治疗及转归进行回顾性分析.结果 本组成人腹痛型癫痫与颅脑发育不全、脑损伤、颅内占位病变等因素有关,确诊后常规抗癫痫治疗,2例4 d控制发作,5例1～6个月控制发作,2例6～14个月控制发作.控制发作后6个月～2年复查脑电图均有相应的改善.结论 成人腹痛型癫痫要追问有无颅脑疾患的既往史,确诊后常规抗癫痫治疗效果显著,预后良好.

Objective To explore the etiology of adult＇s abdominal pain epilepsy and to intro- duce the related clinical experiences of diagnosis and treatment. Methods Nine patients with adult% abdominal pain epilepsy were retrospectively analyzed, including the medical history, clinical symp- toms, accessory examinations, treatment regimen and clinical outcomes. Results The pathogenic factors were associated at least with immature cranioeerebral development, craniocerebral injury and intraeranial space occupying lesion in these patients . With anti-epilepsy treatment after the diagno- sis,2 cases＇ disorders were controlled within 4 days, 5 cases＇ within 1 to 6 months and 2 cases~ within 6 to 14 months. The follow-up in 6 months to 2 years showed an improvement of electroen- cephalogram. 1 case had a relapse after finishing the medication, and the continuous treatment was still effective. Conclusion Patients with abdominal pain epilepsy need to be inquired about their med- ical history of eraniocerebral injury or other related disorders. Routine anti-epilepsy treatment after positive diagnosis is of significant effects and the majority of patients could have much better clinical outcomes.