摂食以外に視覚刺激でも発作が誘発されたeating epilepsyの1例  [in Japanese] A case of epilepsy induced by eating or by visual stimuli of food made of minced meat  [in Japanese]

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Author(s)

    • 三村 直哉 Mimura Naoya
    • 京都大学大学院医学研究科臨床神経学 Department of Neurology, Kyoto University Graduate School of Medicine
    • 井上 岳司 Inoue Takeshi
    • 京都大学大学院医学研究科臨床神経学 Department of Neurology, Kyoto University Graduate School of Medicine
    • 下竹 昭寛 Shimotake Akihiro
    • 京都大学大学院医学研究科てんかん・運動異常生理学講座 Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
    • 松本 理器 Matsumoto Riki
    • 京都大学大学院医学研究科臨床神経学 Department of Neurology, Kyoto University Graduate School of Medicine
    • 池田 昭夫 Ikeda Akio
    • 京都大学大学院医学研究科てんかん・運動異常生理学講座 Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine

Abstract

<p>34歳女性.肉類系統の食事の摂取,視聴により誘発されるてんかん発作を主訴に来院.20代前半よりミンチ肉を用いた食物を摂取した際に,フラッシュバックと心窩部不快感の単純部分発作(simple partial seizure; SPS)を認めた.33歳時,ホットドッグを摂取直後,その半年後には水餃子の調理映像を視聴した際に同様のSPSの後,全般性強直間代発作を生じた.上記調理映像を視聴中に脳波検査を施行,発作が誘発された.脳波所見では,左frontalからmid temporal最大のθ波が律動的に出現した後,全般化した.特定の食物の摂取で誘発,かつ視聴のみでも発作が誘発され,eating epilepsyの多様性を示唆した.</p>

<p>We report a 34-year-old woman with eating epilepsy induced not only by eating but also seeing foods made of minced meat. In her early 20s of age, she started having simple partial seizures (SPS) as flashback and epigastric discomfort induced by particular foods. When she was 33 years old, she developed SPS, followed by secondarily generalized tonic-clonic seizure (sGTCS) provoked by eating a hot dog, and 6 months later, only seeing the video of dumpling. We performed video electroencephalogram (EEG) monitoring while she was seeing the video of soup dumpling, which most likely caused sGTCS. Ictal EEG showed rhythmic theta activity in the left frontal to mid-temporal area, followed by generalized seizure pattern. In this patient, seizures were provoked not only by eating particular foods but also by seeing these. This suggests a form of epilepsy involving visual stimuli.</p>

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 57(8), 430-435, 2017

    Societas Neurologica Japonica

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