Reflex epilepsy and non-ketotic hyperglycemia.
Epileptic seizures are paroxysmal events, and it is likely that many, if not most, of them are precipitated by known or unknown factors acting on a central nervous system that is predisposed to the production of epileptic discharges by the presence of an organic lesion, a genetically determined neuronal hyperexcitability, or both. Known precipitating influences are quite varied. We report the case of a 58 years-old patient, followed for non-ketotic hyperglycemia, who presented with focal seizures exclusively induced by specific, active or passive, postures and movements of the right arm or hand. MRI was normal. Following regulation of glucose blood levels the position-induced seizures stopped and antiepileptics were not prescribed. The seizures are kept under control by regulating blood glucose.
Ozer
Feriha
F
Haseki Education and Research Hospital, Neurology Clinic, Istanbul, Turkey. ffozer@yahoo.com
Mutlu
Aytul
A
Ozkayran
Tufan
T
D001786:Blood Glucose / Q000378:metabolism; D004569:Electroencephalography; D020195:Epilepsy, Reflex / Q000150:complications* / Q000188:drug therapy; D005260:Female; D005907:Gliclazide / Q000627:therapeutic use; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D005907:Gliclazide