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Ws studied 2 members of a family suffering from paroxysmal attacks elicited by tactile stimuli.The attacks consist of burning pain of the simulated body part,followed by either complete collapse or tonic posturing.Noxious stimuli provide episodes regardless of their somatic location,whereas it is only recessary for nonnoxious stimuli to be applied to specific trigger zones,such as the rectum,to provoke attacks.Episodes are most commonly recipitated by bowel movement,leading to extreme fear of defecation and resultant fecal retention.An ictal electroen-cephalographic video recording revealed only slowing of the background;however,serum prolactin was significantly elevated postictally.The attacks were completely suppressed by carbamazepine and resumed on discontinuing the medication.These attacks may represent a form of reflex epilepsy manifested by autonomic nervous system dysfunction, |
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carbamazepine
familial
familial rectal pain
pain,anal
prolactin,elevated
seizure
seizure,stimulus sensitive
treatment of neurologic disorder
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