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Canadian Journal of Gastroenterology
Volume 8, Issue 1, Pages 45-48
http://dx.doi.org/10.1155/1994/725067
Brief Communication

Benign Focal Epilepsy of Childhood and Gastroesophagael Reflux

Anne G Sheehan, Sherry Pelensky, Colin Van Orman, and Steven R Martin

Department of Pediatrics, Alberta Children’s Hospital; and University of Calgary, Calgary, Alberta, Canada

Received 15 October 1992; Accepted 15 July 1993

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastroesophageal reflux has been associated with, and implicated in, a number of conditions, including respiratory disease (recurrent pneumonia, chronic cough, asthma), sudden infant death syndrome, dysphagia and central nervous disorders. An eight-year-old girl presented with an acute history that suggested gastroesophageal reflux. An esophageal motility study was abnormal and 24 h pH study demonstrated gastroesophageal reflux. Before the manometric study, a seizure was observed and subsequent neurological evaluation confirmed the diagnosis of benign focal epilepsy of childhood, which was treated with carbamazepine. The symptoms resolved after eight weeks and the repeat reflux investigations were essentially normal. Oropharyngeal symptoms are common in benign focal epilepsy of childhood, a condition which is very responsive to therapy. Symptoms suggestive of this diagnosis - acute onset, with unusual oropharyngeal sensations, or seizures-occurring mainly at night may initially be confused with gastroesophageal reflux. Benign focal epilepsy of childhood should be considered in reflux presenting outside infancy.