Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report
A middle-aged (46 years old) woman had been experiencing recurrent upper abdominal distension, nausea, and belching over a 2-year period. She underwent extensive gastrointestinal evaluations, including endoscopy, chest computed tomography, and abdominal ultrasound; she was diagnosed with chronic gas...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-07-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605251358034 |
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| author | Yangzong Wu Shuting Hong Limei Zheng Xiaoxin Chen Zhiquan Fan Qiangwang Wu Congli Luo |
| author_facet | Yangzong Wu Shuting Hong Limei Zheng Xiaoxin Chen Zhiquan Fan Qiangwang Wu Congli Luo |
| author_sort | Yangzong Wu |
| collection | DOAJ |
| description | A middle-aged (46 years old) woman had been experiencing recurrent upper abdominal distension, nausea, and belching over a 2-year period. She underwent extensive gastrointestinal evaluations, including endoscopy, chest computed tomography, and abdominal ultrasound; she was diagnosed with chronic gastritis and treated with omeprazole (20 mg bid) and mosapride (5 mg tid) for 1 month, with no symptom relief. For further diagnosis and treatment, she visited The Second Hospital of Longyan in April 2023. Further investigations, including brain imaging and video electroencephalography, revealed medial temporal lobe cavernous malformation associated with epilepsy. She subsequently underwent expanded medial temporal lobectomy for removal of the lesion and the surrounding epileptogenic cortex. Postoperatively, her gastrointestinal symptoms resolved completely. This case highlights the importance of considering medial temporal lobe epilepsy in the differential diagnosis of patients presenting with recurrent, short-duration gastrointestinal complaints that are not resolved with conventional treatments. |
| format | Article |
| id | doaj-art-ebd22f4c3d2f4fa691a36b1099052faf |
| institution | Kabale University |
| issn | 1473-2300 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-ebd22f4c3d2f4fa691a36b1099052faf2025-08-20T03:51:43ZengSAGE PublishingJournal of International Medical Research1473-23002025-07-015310.1177/03000605251358034Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case reportYangzong WuShuting HongLimei ZhengXiaoxin ChenZhiquan FanQiangwang WuCongli LuoA middle-aged (46 years old) woman had been experiencing recurrent upper abdominal distension, nausea, and belching over a 2-year period. She underwent extensive gastrointestinal evaluations, including endoscopy, chest computed tomography, and abdominal ultrasound; she was diagnosed with chronic gastritis and treated with omeprazole (20 mg bid) and mosapride (5 mg tid) for 1 month, with no symptom relief. For further diagnosis and treatment, she visited The Second Hospital of Longyan in April 2023. Further investigations, including brain imaging and video electroencephalography, revealed medial temporal lobe cavernous malformation associated with epilepsy. She subsequently underwent expanded medial temporal lobectomy for removal of the lesion and the surrounding epileptogenic cortex. Postoperatively, her gastrointestinal symptoms resolved completely. This case highlights the importance of considering medial temporal lobe epilepsy in the differential diagnosis of patients presenting with recurrent, short-duration gastrointestinal complaints that are not resolved with conventional treatments.https://doi.org/10.1177/03000605251358034 |
| spellingShingle | Yangzong Wu Shuting Hong Limei Zheng Xiaoxin Chen Zhiquan Fan Qiangwang Wu Congli Luo Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report Journal of International Medical Research |
| title | Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report |
| title_full | Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report |
| title_fullStr | Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report |
| title_full_unstemmed | Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report |
| title_short | Medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease: A case report |
| title_sort | medial temporal lobe cavernous malformation associated with epilepsy misdiagnosed as gastrointestinal disease a case report |
| url | https://doi.org/10.1177/03000605251358034 |
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