Clinical manifestations of multiple twitch syndromes with involuntary axial movements of the abdominal wall that cannot be controlled. It belongs to the abdominal type of epilepsy in vegetative epilepsy. The symptoms of abdominal epilepsy manifest as sudden onset abdominal pain, mostly around the umbilicus or in the upper abdomen, and in a few cases the pain may radiate very strongly. The general symptoms of abdominal wall involuntary axial movements manifest as multi-site, involuntary, sudden muscle twitches with explosive vocalizations and obscene utterances, with compulsive intent and personality changes. The twitching starts with the head and face muscles and progresses to the trunk. The seizures may occur as few as ten or even hundreds of times a day. The twitching is purposeless. Most of them appear months or years later with an abnormal throat sound. The symptoms tend to disappear during sleep and the intellectual development is normal. Multiple tic syndromes. The symptoms of abdominal epilepsy manifest as sudden onset abdominal pain, mostly around the umbilicus or upper abdomen, and in a few cases radiating to the lower abdomen, which is very intense, colic-like or hair-cutting, and lasts for several minutes or hours or more. In a few patients, the attack is accompanied by some degree of impaired consciousness, but rarely complete loss of consciousness. They are often accompanied by gastrointestinal symptoms such as loss of appetite, nausea, vomiting, and diarrhea. Most patients have fatigue, drowsiness, and deep sleep after an attack. The frequency of seizures varies from several times a day to once every few days. The symptoms, order of symptoms and accompanying symptoms are basically the same for each attack in the same patient. There is often a family history. The EEG may show paroxysmal slow waves, spikes or spike bursts.