Vol. 1, Issue 10, Part P (2015)

Abstract
Aim: made to find the incidence of abdominal epilepsy in children suffering from chronic recurrent abdominal pain, with the help of symptoms & EEG, and to study the response to empirical AED in these children Material and Method: A detailed present & past history was obtained from the patients or their parents’. Associated complaints were also inquired. History of similar complaints in the past was noted. Family history of similar complaints was inquired about in these patients. A detailed general and systemic examination was done in these patients with special focus on abdominal examination & Central Nervous system examination. The patients were evaluated after the reports of the investigations were available. If any worm infestation was found, appropriate treatment with Antihelmintic drugs were given and patient excluded from the study. If patients had Urinary tract infection then patients would be treated accordingly and excluded from the study. Urine examination for porphobillinogen was done in all the patients to rule out intermittent porphyrias as a cause of chronic recurrent abdominal pain & also as an essential investigation prior to antiepileptic drug (oxcarbazepine) being given to all patients included in this study. Result: In this study the outcome after treatment in these cases was studied & it was found that all the patients with an Abnormal EEG record (37patients) had significant improvement after treatment with anti-epileptic drug oxcarbazepine. And out of the 13 patients with a normal EEG record, 9 patients had a significant improvement in symptoms after treatment with anti-epileptic drugs;however 4 patients did not have any improvement after treatment with Antiepileptic drug oxcarbazepine Conclusion: Even on intensive search for a cause, cause can rarely be found. In such children diagnosis of the abdominal epilepsy may be considered as, response to anti-epileptic drugs is beneficial in them.