Gastro-oesophageal reflux and "epileptic" attacks: casually associated or related? Efficiency of antireflux surgery. A case report

Eugenio Fiorentino, Gianni Pantuso, Achille Mastrosimone, Alessia Cusimano, Calogero Cipolla, Alessia Cusimano, Gianni Pantuso, Eugenio Fiorentino, Achille Mastrosimone, Stefania Latteri

Risultato della ricerca: Article

1 Citazione (Scopus)

Abstract

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. We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesophagitis, 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. 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. 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.
Lingua originaleEnglish
pagine (da-a)95-98
Numero di pagine4
RivistaChirurgia Italiana
Volume61
Stato di pubblicazionePublished - 2009

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Esophageal Diseases
Gastroesophageal Reflux
Hiatal Hernia
Apnea
Fundoplication
Esophagitis
Obstructive Sleep Apnea
Esophagus
Epilepsy
Sleep

All Science Journal Classification (ASJC) codes

  • Surgery

Cita questo

Gastro-oesophageal reflux and "epileptic" attacks: casually associated or related? Efficiency of antireflux surgery. A case report. / Fiorentino, Eugenio; Pantuso, Gianni; Mastrosimone, Achille; Cusimano, Alessia; Cipolla, Calogero; Cusimano, Alessia; Pantuso, Gianni; Fiorentino, Eugenio; Mastrosimone, Achille; Latteri, Stefania.

In: Chirurgia Italiana, Vol. 61, 2009, pag. 95-98.

Risultato della ricerca: Article

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AU - Fiorentino, Eugenio

AU - Pantuso, Gianni

AU - Mastrosimone, Achille

AU - Cusimano, Alessia

AU - Cipolla, Calogero

AU - Cusimano, Alessia

AU - Pantuso, Gianni

AU - Fiorentino, Eugenio

AU - Mastrosimone, Achille

AU - Latteri, Stefania

PY - 2009

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N2 - 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. We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesophagitis, 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. 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. 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.

AB - 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. We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesophagitis, 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. 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. 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.

KW - Gastro-oesophageal reflux surgery

UR - http://hdl.handle.net/10447/35732

M3 - Article

VL - 61

SP - 95

EP - 98

JO - Updates in Surgery

JF - Updates in Surgery

SN - 2038-131X

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