Journal of the Korean Neurological Association  2002;20(1):75-78

Non-ketotic Hyperglycemia Manifested as Occipital Lobe Complex Partial Status Epileticus.

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

Affiliations

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Keywords

Non-ketotic hyperglycemia; partial status epilepticus; MRI

Country

Republic 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.