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H. A. SCHUBERT, M.D.; D. A. MALOOLY, M.D.

AMA Arch Intern Med. 1959;104(4):585-588.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

The number of terms applied to this disorder is exceeded only by the numerous and widespread symptoms and signs that the illness may manifest. In the medical literature, the condition has been described under the following titles: abdominal epilepsy,² paroxysmal abdominal pain,^3,4 hypothalamic and thalamic epilepsy,⁵ masked epilepsy,⁶ the periodic syndrome,⁷ visceral epilepsy,¹¹ diencephalic autonomic epilepsy,⁸ and diencephalic autonomic discharge.⁹ The term convulsive equivalent state¹ signifies a paroxysmal cerebral dysrhythmia manifested clinically by symptoms in various organ systems. Convulsive movements and loss of consciousness need not be present.¹ Of interest to internists are such symptoms as paroxysmal abdominal pain, hypertension, nausea, vomiting, fever, borborygmi and belching, flushing, blanching, cyanosis, urinary incontinence, syncope, and migraine headaches.^{1,3-5,7,10-19} The paroxysmal nature of the symptoms is the clue to this diagnosis and should lead to a request for an electroencephalogram. Among several patterns that may be noted, the occurrence of 14- and . . . [Full Text PDF of this Article]

Author Affiliations
Temple, Texas

Footnotes
Submitted for publication Feb. 18, 1959.

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