Highlights
- •Intracranial causes for abdominally-manifested symptoms are rare.
- •Parafalcine meningioma was seen to cause paroxysmal abdominal symptoms, likely due to seizure activity.
- •This case shows a previously unreported aetiology for RUQ symptoms.
Abstract
Right upper quadrant (RUQ) abdominal pain and discomfort is a common presenting complaint
often associated with abdominal pathology. We report a rare presentation of structural
intracranial pathology in a patient initially presenting with RUQ abdominal discomfort.
While initial investigations concentrating on abdominal causes revealed no likely
culprit, progression of symptoms to involve right lower limb weakness eventually prompted
the patient's re-presentation and eventual definitive diagnosis. This case depicts
a hitherto unreported cause for abdominally-manifested seizures.
Keywords
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References
- Abdominal epilepsy masked with hiccups in a patient with intracranial malignant glioma.Cureus. 2019; 11e6338
- The early diagnosis of the acute abdomen.12th ed. Oxford University Press, London1963
- Thoracic disc prolapse presenting with abdominal pain: case report and review of the literature.Ann R Coll Surg Engl. 2009; 91: W4-6
- An unusual cause for chronic right-sided abdominal pain: question.J Clin Neurosci. 2014; 21: 2226
- Abdominal and flank pain as presenting symptoms of schwannoma.J Adolesc Health Care. 1989; 10: 143-145
- Spinal cord tumor-associated syrinx mimicking abdominal epilepsy: a rare cause of childhood abdominal pain.J Pediatr Gastroenterol Nutr. 1989; 9: 524-527
- Abdominal epilepsy, an uncommon cause of recurrent abdominal pain: a brief report.Gut. 2007; 56: 439-441
- Abdominal epilepsy and foreign body in the abdomen–dilemma in diagnosis of abdominal pain.Yonsei Med J. 2005; 46: 870-873
- Recurrent nausea as part of the spectrum of abdominal epilepsy.Dig Dis Sci. 2000; 45: 1238-1240
- Last’s Anatomy: Regional and applied.ninth ed. Churchill Livingstone, Edinburgh2011
- Somatic motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation.Brain. 1937; 60: 389-440
- Functional architecture of the somatosensory homunculus detected by electrostimulation.J Physiol. 2018; 596: 941-956
- Recurrent abdominal pain: when should an epileptic seizure be suspected?.Arq Neuropsiquiatr. 2002; 60: 628-630
- Abdominal epilepsy, a rare cause of abdominal pain: the need to investigate thoroughly as opposed to making rapid attributions of psychogenic causality.J Pain Res. 2020; 13: 457-460
- Abdominal epilepsy in an adolescent with bilateral perisylvian polymicrogyria.Epilepsia. 1998; 39: 1370-1374
- Abdominal Epilepsy Associated With Alzheimer's Disease.J Am Geriatr Soc. 2016; 64: 1146-1147
Article info
Publication history
Accepted:
February 7,
2021
Received:
August 4,
2020
Identification
Copyright
© 2021 Elsevier Ltd. All rights reserved.
