Reflex seizures and non-ketotic hyperglycemia: an unresolved issue.
Reflex seizures are a rare form of epilepsy, the pathogenesis of which is unclear. They have been reported in the setting of non-ketotic hyperglycemia (NKH) and are considered to be neuroendocrine in origin. We report a diabetic patient with movement-induced seizures whose presentation suggests that brain ischemia may be the precipitating event in focal seizures seen in the setting of NKH. We recommend that in such instances a focal lesion such as stroke should be ruled out.
Siddiqi
Zaeem A
ZA
Department of Medicine (Neurology), Duke University, Durhams, NC, USA.
VanLandingham
Kevan E
KE
Husain
Aatif M
AM
D000368:Aged; D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D004569:Electroencephalography; D020195:Epilepsy, Reflex / Q000175:diagnosis / Q000209:etiology*; D005625:Frontal Lobe / Q000473:pathology; D006801:Humans; D020158:Hyperglycinemia, Nonketotic / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male