Eating Epilepsy: EEG and Clinical Study

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20 Scopus citations

Abstract

Summary: We studied a 22‐year‐old woman with eating epilepsy. During 52 days, her seizures were monitored in an inpatient epilepsy center, and their relation to meals, foods, and other variables was assessed. Of a total of 136 seizures observed, 76 occurred during eating and 60 occurred at noneating times. Observation during 6 h of video monitoring detected a rate of type A seizures (head drop, generalized EEG activity) of 1.0 during eating epochs versus 0.21 during noneating epochs (p < 0.05). Interictal generalized EEG activity consisting of sharp slow‐wave complexes was also markedly increased during eating epochs, with mean 16.6 discharges per epoch versus 2.89 during noneating epochs (p < 0.02). AED levels remained stable during monitoring. Dietary analysis indicated that many types of food seemed to be implicated and that some specific foods were repeated activators. Hemos estudiado a una mujer de 22 años con epilepsia comiendo. Durante 52 días, se monitorizaron las crisis en un centra externo de epilepsía, y se estimó su relation con las comidas, alimentos y otras variables. De un total de 136 crisis observadas, 76 ocurrieron durante las comidas y 60 fuera de ellas. La observación durante 6 horas de monitorización por video detectó una frecuencia de crisis Tip A (caída de cabeza, actividad EEG generalizada) de 1.0 durante los períodos de comida versus 0.21 durante los períodos de no‐comida (p < 0.05). La actividad interictal EEG generalizada consistente en complejos punta‐onda lenta estaba también marcadamente incrementada durante los períodos de comida con una media de 16.6 descargas por período versus 2.89 durante los períodos de no‐comida (p < 0.02). Los niveles de AED permanecieron estables durante los períodos de monitorización. Los análisis dietéticos indicaron que muchos tipos de alimentos parecían star implicados y que algunos alimentos específicos fueron repetidos activadores.

Original languageEnglish (US)
Pages (from-to)441-445
Number of pages5
JournalEpilepsia
Volume27
Issue number4
DOIs
StatePublished - Aug 1986

Keywords

  • Eating epilepsy
  • Reflex epilepsy
  • artial seizures

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