1例误诊长达16年成人腹型癫痫报道兼文献复习

Diagnosis neglected for 16 years: A report of a misdiagnosed of adult abdominal epilepsy and review of the literatures

目的探讨避免成人腹型癫痫的误诊。方法回顾分析1例误诊长达16年成人腹型癫痫的临床资料,并复习国内外文献。结果成人腹型癫痫罕见,误诊长达16年鲜见报道,应与多种疾病进行鉴别诊断。结论周密的临床思维、详尽的综合分析及腹痛发作时脑电图检查是减少该病误诊的关键,一旦诊断明确,应规范地进行抗癫痫治疗。

Objective To avoid misdiagnosis of adult abdominal epilepsy. Methods Analyzed the clinical data of a misdiagnosed adult patient with 16 years of abdominal epilepsy, also reviewed the related literatures. Results Both adult abdominal epilepsy and the misdiagnosis of it for 16 years were very rare. Differential diagnosis of it should be used to distinguish with a variety of diseases. Conclusion It is crucial to avoid misdiagnosis of the disease that examining patient with electroencephalogram （EEG） at the onset of abdominal pain and thinking carefully with detailed and comprehensive analysis. Once the diagnosis is definite, antiepileptic therapy should be applied.