Author/Authors :
MOHAMMADI, Mohammad Hasan Pediatric Neurology - Zabol University of Medical Sciences, Zabol, Iran , SHAHRAMIAN, Iraj Pediatric Gastroenterology and Hepatology Research Center - Zabol University of Medical Sciences, Zabol, Iran , BAZI, Ali Faculty of Hematology Allied Medical Sciences - Zabol University of Medical Sciences, Zabol, Iran , DELARAMNASAB, Mojtaba Faculty of Nursing - Zabol University of Medical Sciences, Zabol, Iran
Abstract :
Epilepsy in autism is a relatively common phenomenon. However,
reflex seizures provoked by multifactorial stimuli are rare in these
patients. We here reported the first case of defecation-induced seizure
in a 15-year old autistic girl. The patient had been diagnosed with
epilepsy within the first year after birth; however, seizures induced
by bowel movements were observed at the age of 15. Reflex seizures
showed a myoclonic pattern represented with one-sided neck
deflection. EEG showed an abnormal polyspike and wave pattern
during defecation while the patterns were normal between the attacks.
The patient was partially responsive to adrenocorticotropic hormone
therapy with a reduced frequency of both reflexes and generalized
seizures. Phenobarbital therapy was effective to manage recurrent
seizure attacks. Although seizure is commonly encountered in autism,
reflex seizures induce
Keywords :
Reflex seizure , Defecation , Autism , Electroencephalography
