Non-ketotic Hyperglycemia Manifested as Occipital Lobe Complex Partial Status Epileticus.
- Author:
So Young MOON
1
;
Dae Won SEO
;
Hahn Young KIM
;
Young Min SHON
;
Min Soo PARK
;
Won Chul SHIN
;
Dong Kyu NA
;
Seung Bong HONG
Author Information
1. Department of Neurology, Samsung Medical center, Sungkyunkwan University School of Medicine, Korea. dwseo@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Non-ketotic hyperglycemia;
partial status epilepticus;
MRI
- MeSH:
Anticonvulsants;
Blood Glucose;
Diffusion;
Epilepsy;
Female;
Follow-Up Studies;
Humans;
Hyperglycemia*;
Ischemia;
Magnetic Resonance Imaging;
Middle Aged;
Occipital Lobe*;
Seizures;
Status Epilepticus
- From:Journal of the Korean Neurological Association
2002;20(1):75-78
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 48-year-old woman presented with right visual aura evolving into versive and clonic seizures. The seizures were controlled not by anticonvulsants but bynormalization of blood sugar and not by anticonvulsants. T2-weighted MRI (T2WI) showed subcortical hypointensity and cortical hyperintensity with a low apparent diffusion coefficient (ADC) value in left occipital area, which reversed into a high ADC value at in follow-up images. Serial MRIs including diffu-sion- weighted images seemed to reveal tissue injury after partial status epilepticus and regional ischemia associated with non-ketotic hyperglycemia.