Late-Onset Abdominal Epilepsy with an Uncommon Epileptic Focus: A Case Report

Background: Abdominal epilepsy (AE) is a rare disorder characterized by recurrent abdominal pain and electroencephalography (EEG) abnormalities indicating seizure activity. It is mainly a disease of youngsters and originates from the temporal lobe.Case Report: This case describes a 58-year-old woman with episodes of diffuse abdominal pain and altered consciousness. Her episodes were associated with disorientation and reduced consciousness. Extensive gastrointestinal investigations revealed no underlying cause; however, the EEG showed epileptiform activity in the frontal regions of both hemispheres. After exclusion of other causes, AE was diagnosed, and treatment with levetiracetam was initiated. Six months later, the patient showed significant improvement and did not have a recurrence of episodes.Conclusion: AE should be suspected not only in youngsters but also in adults who demonstrate recurrent abdominal symptoms that are accompanied by neurological signs. Temporal origin is not a rule, and extratemporal origin may be the culprit as well.