P02.30 GASTRO-OESOPHAGEAL REFLUX AND “EPILEPTIC” ATTACKS: CASUALLY ASSOCIATED OR RELATED? EFFICIENCY OF ANTIREFLUX SURGERY A CASE REPORT Achille Mastrosimone1, Alessia Cusimano2, Silvia Marino2, Gianni Pantuso2, Eugenio Fiorentino2 1Policlinico Of Palermo, Palermo/ITALY, 2University Of Palermo, Palermo/ITALY Background: Although a possible link between gastro-oesophageal reflux disease (GORD) and obstructive sleeping apnoea has already been reported in the literature, there has never been any suggestion of an association with epilepsy, and epileptic attacks have not so far been included among gastro- oesophageal reflux disease symptoms. Methods: We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesoph- agitis, who for the last ten years had not only presented the typical symptoms of gastrooesophageal reflux, but also symptoms of obstructive sleep apnoea and epileptic- like attacks occurring occasionally and only during sleep. Results: Partial posterior fundoplication was performed and considerably reduced the reflux symptoms, and in addition brought about a drastic decrease in the number of epileptic-like attacks. Discussion: Our case suggests that epileptic-like episodes in patients with obstructive sleeping apnoea may well be linked to the simultaneous presence of GORD associated with hiatus hernia, and surgical treatment of GORD may bring about an improvement of the neurological problems. Disclosure: All authors have declared no conflicts of interest.

Mastrosimone, A., Cusimano, A., Marino, S., Pantuso, G., Fiorentino, E. (2012). Gastrooesophageal reflux and "Epileptic" attacks: casually associated or related? Efficiency of antireflux surgery, a case report. In Diseases of the Esophagus (pp.0073A-0073A). NY : Wiley Periodicals, Inc..

Gastrooesophageal reflux and "Epileptic" attacks: casually associated or related? Efficiency of antireflux surgery, a case report

MASTROSIMONE, Achille;CUSIMANO, Alessia;MARINO, Silvia;PANTUSO, Gianni;FIORENTINO, Eugenio
2012-01-01

Abstract

P02.30 GASTRO-OESOPHAGEAL REFLUX AND “EPILEPTIC” ATTACKS: CASUALLY ASSOCIATED OR RELATED? EFFICIENCY OF ANTIREFLUX SURGERY A CASE REPORT Achille Mastrosimone1, Alessia Cusimano2, Silvia Marino2, Gianni Pantuso2, Eugenio Fiorentino2 1Policlinico Of Palermo, Palermo/ITALY, 2University Of Palermo, Palermo/ITALY Background: Although a possible link between gastro-oesophageal reflux disease (GORD) and obstructive sleeping apnoea has already been reported in the literature, there has never been any suggestion of an association with epilepsy, and epileptic attacks have not so far been included among gastro- oesophageal reflux disease symptoms. Methods: We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesoph- agitis, who for the last ten years had not only presented the typical symptoms of gastrooesophageal reflux, but also symptoms of obstructive sleep apnoea and epileptic- like attacks occurring occasionally and only during sleep. Results: Partial posterior fundoplication was performed and considerably reduced the reflux symptoms, and in addition brought about a drastic decrease in the number of epileptic-like attacks. Discussion: Our case suggests that epileptic-like episodes in patients with obstructive sleeping apnoea may well be linked to the simultaneous presence of GORD associated with hiatus hernia, and surgical treatment of GORD may bring about an improvement of the neurological problems. Disclosure: All authors have declared no conflicts of interest.
Settore MED/18 - Chirurgia Generale
16-ott-2012
World Congress of Intenational Society for Diseases of the Esophagus
Venezia
October 15-17, 2012
13th
00188
Mastrosimone, A., Cusimano, A., Marino, S., Pantuso, G., Fiorentino, E. (2012). Gastrooesophageal reflux and "Epileptic" attacks: casually associated or related? Efficiency of antireflux surgery, a case report. In Diseases of the Esophagus (pp.0073A-0073A). NY : Wiley Periodicals, Inc..
Proceedings (atti dei congressi)
Mastrosimone, A; Cusimano, A; Marino, S; Pantuso, G; Fiorentino, E
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/66299
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