A complete family history as to the past seizures experienced by the patient or by members of his family may be revealing and helpful in establishing a diagnosis of abdominal epilepsy. In our study 19 of the 46 children revealed a past history of seizure state and 25 had experienced febrile seizures in infancy.
Detailed consideration of the type of pain, its site, and allied symptoms should be evaluated carefully. Disorientation during an episode of pain followed by exhaustion and sleep is suggestive of abdominal epilepsy.
Electroencephalography is usually helpful in supporting the clinical diagnosis of abdominal epilepsy.
Discussion with the child and his parents, when practical and possible, in regard to the diagnosis and therapy, is recommended. Clarification and definition of the regimen and of the condition are essential, as the term "epilepsy" still carries a stigma to the lay person. Consideration of the patient and parental feelings and attitudes leads to understanding, co-operation, and ultimate success in the control of symptoms.
- Copyright © 1960 by the American Academy of Pediatrics