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Neurologische Differenzialdiagnose des paroxysmalen Erbrechens: Gastrointestinale Ursache bei familiärer Kavernomatose

Neurological differential diagnosis of paroxysmal vomiting: gastrointestinal cause in familial cavernomatosis

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Zusammenfassung

Paroxysmalem Erbrechen und anderen paroxysmal auftretenden gastrointestinalen Beschwerden kann eine epileptische Genese zugrunde liegen. Patienten mit einer solchen Fragestellung werden bei Vorliegen zerebraler, insbesondere temporaler Läsionen, und unauffälliger internistischer Zusatzdiagnostik häufiger zur differenzialdiagnostischen Einschätzung zugewiesen. Die Aufzeichnung habitueller Episoden im Video-EEG-Monitoring kann bei der Eingrenzung der Differenzialdiagnosen behilflich sein, auch wenn die Diagnosesicherung wie in dem geschilderten Fall erst durch einen Ösophagusbreischluck möglich war.

Abstract

Paroxysmal vomiting and other paroxysmal gastrointestinal symptoms can have an underlying epileptic origin. Patients with such symptoms are referred for a differential diagnostic work-up in the presence of cerebral, in particular temporal lesions and inconspicuous internal medical additional diagnostics. The recording of habitual episodes during video electroencephalography (EEG) monitoring can help to narrow down the differential diagnosis, even if confirmation of the diagnosis was only possible by a barium swallow X‑ray, as in the case described here.

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Authors and Affiliations

  1. Klinik für Neurologie und Epilepsiezentrum Frankfurt Rhein-Main, Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland

    Konstantin Kohlhase, Sriramya Lapa, Felix Rosenow & Adam Strzelczyk

  2. LOEWE Center for Personalized and Translational Epilepsy Research (CePTER), Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland

    Konstantin Kohlhase, Marlies Wagner, Felix Rosenow & Adam Strzelczyk

  3. Institut für Diagnostische und Interventionelle Radiologie, Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland

    Boris Bodelle

  4. Institut für Neuroradiologie, Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland

    Marlies Wagner

  5. Klinik für Neurochirurgie und Wirbelsäulenchirurgie, Universität Duisburg-Essen, Essen, Deutschland

    Ulrich Sure

  6. Zentrum der Neurologie und Neurochirurgie, Goethe-Universität Frankfurt, Schleusenweg 2–16 (Haus 95), 60528, Frankfurt am Main, Deutschland

    Konstantin Kohlhase

Authors
  1. Konstantin Kohlhase
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  2. Boris Bodelle
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  3. Marlies Wagner
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  4. Sriramya Lapa
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  5. Ulrich Sure
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  6. Felix Rosenow
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  7. Adam Strzelczyk
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Corresponding author

Correspondence to Konstantin Kohlhase.

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Interessenkonflikt

K. Kohlhase, B. Bodelle, M. Wagner, S. Lapa, U. Sure, F. Rosenow und A. Strzelczyk geben an, dass kein themenbezogener Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt.

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Kohlhase, K., Bodelle, B., Wagner, M. et al. Neurologische Differenzialdiagnose des paroxysmalen Erbrechens: Gastrointestinale Ursache bei familiärer Kavernomatose. Z. Epileptol. 33, 70–73 (2020). https://doi.org/10.1007/s10309-019-00299-3

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  • DOI: https://doi.org/10.1007/s10309-019-00299-3

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