Visual Seizure: A Reversible Complication of Non-Ketotic Hyperglycemia.
10.3803/EnM.2012.27.2.155
- Author:
Na Young KIM
1
;
Min Su PARK
Author Information
1. Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea. minsupark@ynu.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetes mellitus;
Nonketotic hyperglycemia;
Visual seizure
- MeSH:
Aged;
Blood Glucose;
Brain;
Diabetes Mellitus;
Edema;
Epilepsy;
Epilepsy, Partial, Motor;
Follow-Up Studies;
Hemianopsia;
Humans;
Hyperglycemia;
Magnetic Resonance Imaging;
Neurologic Examination;
Occipital Lobe;
Osmolar Concentration;
Seizures
- From:Endocrinology and Metabolism
2012;27(2):155-158
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 65-year-old man with diabetes mellitus was presented with left visual aura, followed by a versive seizure, each lasting approximately 3 minutes. Neurological examination showed an intermittent left homonymous hemianopsia. Brain magnetic resonance imaging (MRI) showed right occipital lobe lesion, with cytotoxic edema. Blood glucose was 593 mg/dL and serum osmolarity was 309 mOsm/kg. The seizures were controlled by normalization of blood sugar and short-term anticonvulsant, and the lesions were resolved in a follow-up MRI. We report a case of visual seizures associated with non-ketotic hyperglycemia.
