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Eating epilepsy or feeding epilepsy in an infant

Roshan Koul1, Aida Alshihi2, Renjith Mani1

  • 1Dept of Child Health (Neurology), Sultan Qaboos University Hospital, College of Medicine and Health Sciences, Muscat, Oman.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|November 19, 2013
PubMed

Insights

Eating epilepsy is a rare reflex epilepsy in infants, triggered by feeding. Diagnosis requires ruling out gastroesophageal reflux and apparent life-threatening events, with a detailed history being crucial.

Area of Science:

  • Pediatric Neurology
  • Epileptology
  • Reflex Epilepsies

Background:

  • Reflex epilepsies are characterized by seizures precipitated by specific stimuli.
  • Eating epilepsy, a form of reflex epilepsy, is uncommon in pediatric populations.
  • Gastroesophageal reflux and apparent life-threatening events can present with similar symptoms, complicating diagnosis.

Observation:

  • A case report details a five-month-old infant diagnosed with eating epilepsy.
  • The infant's presentation necessitated a differential diagnosis considering other potential causes of feeding-related distress.
  • A thorough, stepwise patient history was instrumental in identifying the correct diagnosis.

Findings:

  • Eating epilepsy is an uncommon but important consideration in infants presenting with feeding-related seizures.
  • Negative investigations for gastroesophageal reflux and apparent life-threatening events support the diagnosis of eating epilepsy.
  • Systematic clinical evaluation and history taking are key diagnostic tools.

Implications:

  • Highlights the need for increased awareness of eating epilepsy among clinicians managing infants.
  • Emphasizes the importance of a detailed history in diagnosing rare epilepsy syndromes.
  • Suggests that early and accurate diagnosis can guide appropriate management strategies for pediatric feeding epilepsy.

Keywords:
Eating epilepsyFeeding or feeding related epilepsyInfancy

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