Complex Partial Seizure as a Manifestation of Non-Ketotic Hyperglycemia: The Needle Recovered From Haystack?

Khairil Amir Rani, Mohamed H. Ahmed, Louise Dunphy, Yousif Behnam

Abstract


We present a case of a 75-year-old gentleman with undiagnosed type 2 diabetes mellitus presenting with acute onset expressive dysphasia and right hemi-paresis with no prior history of seizure. He developed clusters of stereotypical complex partial seizures which were refractory to anti-epileptic agents. He was not known to have diabetes and his brain MRI was normal. His random blood sugar measurement on admission to hospital was 30 mmol/L with HbA1c measurement of 14.8%. His seizures terminated completely when his hyperglycemia was corrected with insulin and rehydration therapy.




J Clin Med Res. 2016;8(6):478-479
doi: http://dx.doi.org/10.14740/jocmr2552w


Keywords


Non-ketotic hyperglycemia; Seizures; MRI

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