The syndrome of abdominal epilepsy has been recognized for a number of years, but is rarely diagnosed. Our experience indicates that it occurs with a much greater frequency than was formerly suspected. It is predominately a syndrome affecting children and is manifested by paroxysmal attacks of abdominal pain and vomiting. Headaches, atypical syncopal episodes and somnolence often accompany the abdominal symptoms. The electroencephalogram is usually abnormal and often shows the “14 and 6/sec. dysrhythmia” which Gibbs feels is an indication of thalamic and hypothalamic epilepsy. The disorder is apparently benign and usually responds well to therapy with diphenylhydantoin sodium.