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 a few may radiate pain very intensely. Multiple twitch syndromes. 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 radiating to the lower abdomen, which is very intense, colicky or cut-like, 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. EEG may show paroxysmal slow waves, spikes or spike bursts. The symptomatic examination of involuntary axial movements of the abdominal wall is multi-site, involuntary, sudden muscle twitching with explosive vocalizations and obscene utterances, with compulsive intent and personality changes. It starts with muscle twitching of the head and face and progresses to twitching of 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 mental development is normal.