Epilepsia abdominal na infância

Ribeiro, Rubens Moura; Figueiredo, Jorge Armbrust; Ribeiro, Valeriana Moura

doi:10.1590/S0004-282X1964000100004

Resumos

São analisados do ponto de vista clínico e eletrencefalográfico, 21 casos relativos a crianças com epilepsia abdominal. Os autores chamam a atenção para as dificuldades que freqüentemente surgem para estabelecer êsse diagnóstico em crianças e, principalmente, para correlacioná-lo à uma patologia cerebral. Representa o EEG um exame subsidiário de valor como auxiliar no diagnóstico, principalmente quando são registradas as disritmias 14 e 6 por segundo. É considerada também a importância das estruturas subcor-ticais e suas ligações com o lobo temporal na regulação da atividade do trato gastrintestinal.

The clinical and electroencephalographic finding of 21 children with abdominal epilepsy are analised. There is inquestionably an overlopping between the clinical syndrome of abdominal epilepsy and cerebral pathology. The EEG is usually abnormal and often shows the "14 and 6 per second dysrhythmia" which is an indication of abdominal epilepsy. In basis of experimental and clinical evidence it seems probable that the state of activity of the gastro-intestinal tract is under cerebral cortex and lower centers influence.

Epilepsia abdominal na infância

Abdominal epilepsy in children

Rubens Moura Ribeiro^I; Jorge Armbrust Figueiredo^II; Valeriana Moura Ribeiro^I

^IAssistente; Clínica Neurológica da Faculdade de Medicina de Ribeirão Prêto, da Univ. de São Paulo

^IIProfessor; Clínica Neurológica da Faculdade de Medicina de Ribeirão Prêto, da Univ. de São Paulo

RESUMO

São analisados do ponto de vista clínico e eletrencefalográfico, 21 casos relativos a crianças com epilepsia abdominal. Os autores chamam a atenção para as dificuldades que freqüentemente surgem para estabelecer êsse diagnóstico em crianças e, principalmente, para correlacioná-lo à uma patologia cerebral. Representa o EEG um exame subsidiário de valor como auxiliar no diagnóstico, principalmente quando são registradas as disritmias 14 e 6 por segundo. É considerada também a importância das estruturas subcor-ticais e suas ligações com o lobo temporal na regulação da atividade do trato gastrintestinal.

ABSTRACT

The clinical and electroencephalographic finding of 21 children with abdominal epilepsy are analised. There is inquestionably an overlopping between the clinical syndrome of abdominal epilepsy and cerebral pathology. The EEG is usually abnormal and often shows the "14 and 6 per second dysrhythmia" which is an indication of abdominal epilepsy. In basis of experimental and clinical evidence it seems probable that the state of activity of the gastro-intestinal tract is under cerebral cortex and lower centers influence.

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Clínica Neurológica, Faculdade de Medicina Ribeirão Prêto, São Paulo - Brasil

1. BARRAQUER-FERRÉ, L. - Abdominal epilepsy. Acta Psychiat. et Neurol. Scandinav., 29:71-77, 1954.
2. CHAO, D. H.-C; DRUCKMAN, R. e KELLAWAY, P. - Convulsive Disorders of Children. W. B. Saunders Co., Philadelphia, 1958.
3. CUSHING, H. - Papers Relating to the Pituitary Body, Hyppothalamus and Parasympathetic Nervous System. Charles C. Thomas, Springfield (Illinois), 1932.
4. DUNLOP, C. W. - Viscero-sensory and somato-sensory representation in the rhinencephalon. Electroenceph. Clin. a. Neurophysiol., 10:297-304, 1958.
5. FULTON, J. F. - Physiology of the Nervous System, ed. 2. Oxford University Press, New York, 1043.
6. GIBBS, E. L. e GIBBS, F. A. - Electroencephalographic evidence of thalamic and hyppothalamic epilepsy. Neurology 1:136-144, 1951.
7. GLOOR, P. - Electrophysiological studies on the conections of the amygdaloid nucleus in the cat. Electroenceph. Clin. a. Neurophysiol., 7:223-242, 1955.
8. GLOOR, P. - The pattern of conduction of amygdaloid seizure discharge: an experimental study in the cat. Arch. Neurol, a. Psychiat., 77:247-258, 1957.
9. GOWERS, W. R. - The Borderland of Epilepsy. J. & A. Churchill, London, 1907.
10. GREEN, J. D. e SHIMAMOTO, T. - Hyppocampal seizures and their propagation. Arch. Neurol, a. Psychiat., 70: 687-702, 1953.
11. HOEFER, P. F. A.; COHEN, S. M. e GREELEY, D. M. - Paroxysmal abdominal pain: a form of epilepsy in children. JAMA, 147:1-6, 1951.
12. JASPER, H. - Electroencephalography in Epilepsy and Cerebral Localization. Charles C. Thomas, Springfield (Illinois), 1941.
13. KELLAWAY, P.; CRAWLEY, J. W. e KAGAWA, N. - A specific electroencephalographic correlate of convulsive equivalent disorders in children. J. Pediat., 55:582, 1959.
14. KLINGMAN, W.; LANG-FORD, W. S.; GREELEY, D. M. e HOEFER, P. F. A. - Paroxysmal attacks of abdominal pain: epileptic equivalent in children. Tr. Am. Neurol. Ass., 67:228-229,1941.
15. LIVINGSTON, S. - Abdominal pain as a manifestation of epilepsy (abdominal epilepsy) in children. J. Pediat., 38:687-695, 1951.
16. MILLICHAP, J. G.; LOMBROSO, C. T. e C. T. LENNOX, W. G. - Cyclic vomiting as a form of epilepsy in children. Pediatrics 15:705-714, 1955.
17. MULDER, D. W.; DALY, D. e BAILEY, A. A. - Visceral epilepsy. Arch. Int. Med., 93:481-493, 1954.
18. NAEYE, R. L. - Cyclic fever abdominal pain and grand mal seizures: case report. Ann. Int. Med., 48:859-963, 1958.
19. PENFIELD, W. - Epilepsy automatism and the centreencephalic integrating system. A. Res. Nerv. Ment. Dis. Proc, 30:513-528, 1952.
20. PENFIELD, W. e JASPER, H. - Epilepsy and Cerebral Localization. Charles C. Thomas, Baltimore, 1941.
21. PENFIELD, W. e JASPER, H. - Epilepsy and the Functional Anatomy of the Human Brain. Little Brown Co., Boston, 1954.
22. PRICHARD, J. D. - Abdominal pain of cerebral origin in children. Canad. M. A. J., 78:665-668, 1958.
23. SHEEBY, B. N.; LITTLE, S. C. e STORE, J. J. - Abdominal epilepsy. J. Pediat., 56:355-363, 1960.
24. SNYDER, C. H. - Epileptic equivalent in children. Pediatrics 21:308-318, 1958.
25. SPIEGEL, E. S.; WESTON, K. e OPPENHEIMER, M. J. - Postmotor foci influencing the gastrointestinal tract and the descending pathways. J. Neuropath, a. Exper. Neurol., 2:45-53, 1943.
26. STUART, H. C. - Normal growth and development diving adolescence. New England J. Med., 234:666, 1946.
27. van BUREN, J. M. - The abdominal aura: a study of abdominal sensations occurring in epilepsy and produced by depth stimulation. Electroenceph. Clin. a. Neurophysiol., 15:1-19, 1963.
28. WATTS, J. W. e FULTON, J. A. - Intussusception: the relation of the cerebral cortex in intestinal motility in the monkey. New England J. Med., 210:833, 1934.

Datas de Publicação

Publicação nesta coleção
21 Ago 2013
Data do Fascículo
Mar 1964

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BARRAQUER-FERRÉ, L. - Abdominal epilepsy. Acta Psychiat. et Neurol. Scandinav., 29:71-77, 1954.

[2] 2. CHAO, D. H.-C; DRUCKMAN, R. e KELLAWAY, P. - Convulsive Disorders of Children. W. B. Saunders Co., Philadelphia, 1958.

[3] 3. CUSHING, H. - Papers Relating to the Pituitary Body, Hyppothalamus and Parasympathetic Nervous System. Charles C. Thomas, Springfield (Illinois), 1932.

[4] 4. DUNLOP, C. W. - Viscero-sensory and somato-sensory representation in the rhinencephalon. Electroenceph. Clin. a. Neurophysiol., 10:297-304, 1958.

[5] 5. FULTON, J. F. - Physiology of the Nervous System, ed. 2. Oxford University Press, New York, 1043.

[6] 6. GIBBS, E. L. e GIBBS, F. A. - Electroencephalographic evidence of thalamic and hyppothalamic epilepsy. Neurology 1:136-144, 1951.

[7] 7. GLOOR, P. - Electrophysiological studies on the conections of the amygdaloid nucleus in the cat. Electroenceph. Clin. a. Neurophysiol., 7:223-242, 1955.

[8] 8. GLOOR, P. - The pattern of conduction of amygdaloid seizure discharge: an experimental study in the cat. Arch. Neurol, a. Psychiat., 77:247-258, 1957.

[9] 9. GOWERS, W. R. - The Borderland of Epilepsy. J. & A. Churchill, London, 1907.

[10] 10. GREEN, J. D. e SHIMAMOTO, T. - Hyppocampal seizures and their propagation. Arch. Neurol, a. Psychiat., 70: 687-702, 1953.

[11] 11. HOEFER, P. F. A.; COHEN, S. M. e GREELEY, D. M. - Paroxysmal abdominal pain: a form of epilepsy in children. JAMA, 147:1-6, 1951.

[12] 12. JASPER, H. - Electroencephalography in Epilepsy and Cerebral Localization. Charles C. Thomas, Springfield (Illinois), 1941.

[13] 13. KELLAWAY, P.; CRAWLEY, J. W. e KAGAWA, N. - A specific electroencephalographic correlate of convulsive equivalent disorders in children. J. Pediat., 55:582, 1959.

[14] 14. KLINGMAN, W.; LANG-FORD, W. S.; GREELEY, D. M. e HOEFER, P. F. A. - Paroxysmal attacks of abdominal pain: epileptic equivalent in children. Tr. Am. Neurol. Ass., 67:228-229,1941.

[15] 15. LIVINGSTON, S. - Abdominal pain as a manifestation of epilepsy (abdominal epilepsy) in children. J. Pediat., 38:687-695, 1951.

[16] 16. MILLICHAP, J. G.; LOMBROSO, C. T. e C. T. LENNOX, W. G. - Cyclic vomiting as a form of epilepsy in children. Pediatrics 15:705-714, 1955.

[17] 17. MULDER, D. W.; DALY, D. e BAILEY, A. A. - Visceral epilepsy. Arch. Int. Med., 93:481-493, 1954.

[18] 18. NAEYE, R. L. - Cyclic fever abdominal pain and grand mal seizures: case report. Ann. Int. Med., 48:859-963, 1958.

[19] 19. PENFIELD, W. - Epilepsy automatism and the centreencephalic integrating system. A. Res. Nerv. Ment. Dis. Proc, 30:513-528, 1952.

[20] 20. PENFIELD, W. e JASPER, H. - Epilepsy and Cerebral Localization. Charles C. Thomas, Baltimore, 1941.

[21] 21. PENFIELD, W. e JASPER, H. - Epilepsy and the Functional Anatomy of the Human Brain. Little Brown Co., Boston, 1954.

[22] 22. PRICHARD, J. D. - Abdominal pain of cerebral origin in children. Canad. M. A. J., 78:665-668, 1958.

[23] 23. SHEEBY, B. N.; LITTLE, S. C. e STORE, J. J. - Abdominal epilepsy. J. Pediat., 56:355-363, 1960.

[24] 24. SNYDER, C. H. - Epileptic equivalent in children. Pediatrics 21:308-318, 1958.

[25] 25. SPIEGEL, E. S.; WESTON, K. e OPPENHEIMER, M. J. - Postmotor foci influencing the gastrointestinal tract and the descending pathways. J. Neuropath, a. Exper. Neurol., 2:45-53, 1943.

[26] 26. STUART, H. C. - Normal growth and development diving adolescence. New England J. Med., 234:666, 1946.

[27] 27. van BUREN, J. M. - The abdominal aura: a study of abdominal sensations occurring in epilepsy and produced by depth stimulation. Electroenceph. Clin. a. Neurophysiol., 15:1-19, 1963.

[28] 28. WATTS, J. W. e FULTON, J. A. - Intussusception: the relation of the cerebral cortex in intestinal motility in the monkey. New England J. Med., 210:833, 1934.