[Partial motor seizures induced by movement in diabetic patients].
Three elderly patients with partial motor seizures triggered by movement of posture of an extremity are presented. They had a history of diabetes mellitus. Two of them had nonketotic hyperglycemia. Hemiparesis was present in the three patients, which resolved in two. In the other patient, hemiparesis resulted from a previous stroke. All patients had transitory parietal syndrome. During seizures, EEG showed discharges in the parieto-occipital area in two cases and in the mid-temporal area in one. Seizures were resistant to conventional anticonvulsant therapy, and ceased only after treatment of metabolic disturbances. A search for reflex seizures and hyperglycemia should be carried out routinely in the elderly with repeated spontaneous focal motor seizures. This may be important for treatment and prognosis.
Tedrus
G M
GM
Departamento de Neuropsiquiatria, Faculdade de Ciências Médicas da Pontifícia, Universidade Católica de Campinas (PUCCAMP), Brasil.
Albertin
M C
MC
Odashima
N S
NS
Fonseca
L C
LC
D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D002555:Cerebrospinal Fluid / Q000737:chemistry / Q000166:cytology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000378:metabolism / Q000503:physiopathology; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000209:etiology* / Q000378:metabolism; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D009069:Movement Disorders / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology
D001786:Blood Glucose
Crises parciais motoras induzidas por movimentos em pacientes diabéticos.