title: Clonic focal seizure of the foot secondary to nonketotic hyperglycemia.
abstract: Focal epileptic seizures can be the first manifestation of a diabetic disorder. Metabolic disturbances, including hyperglycemia, mild hyperosmolality, hyponatremia, and lack of ketoacidosis contribute to the development of partial focal seizures. A review of the medical literature for partial focal seizures is presented, followed by a case study of a patient who developed clonic seizures of the right foot secondary to hyperglycemia, hyponatremia, and hyperosmolality.
authors.affiliation: Podiatric Medicine and Surgery, St Vincent Hospital, 20 Worcester Center Blvd, Worcester, MA 01608-1320, USA.
authors.forename: Louis J
authors.initials: LJ
authors.lastname: DeCaro
authors.forename: Michael
authors.initials: M
authors.lastname: Reinig
authors.forename: Bruce T
authors.initials: BT
authors.lastname: Croft
mesh_terms: D000368:Aged; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000209:etiology*; D005500:Follow-Up Studies; D005528:Foot / Q000503:physiopathology; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000097:blood / Q000150:complications; D008297:Male; D018570:Risk Assessment