Non-ketotic hyperglycaemia-related paroxysmal bilateral hand paraesthesia misdiagnosed as diabetic neuropathy.
Non-ketotic hyperglycaemia (NKH)-related partial seizure disorders are not uncommon in clinical practice but still deserve attention as they significantly affect neurologic outcome if unnoticed. The atypical presentation of sensorimotor symptoms can be seen in this setting, with paroxysmal character as the rule. Atypical manifestations could cause confusion and might lead to improper diagnosis and treatment. We report a case of inadequately controlled diabetes mellitus and NKH presenting as paroxysmal paraesthesia of both hands, which was misdiagnosed as diabetic neuropathy.
Huang
C W
CW
Department of Neurology, National Cheng Kung University Medical Center, Tainan, Taiwan. huangcw@mail.ncku.edu.tw
Hsieh
Y J
YJ
Huang
C C
CC
Tsai
J J
JJ
D000368:Aged; D001786:Blood Glucose; D003324:Coronary Artery Disease / Q000150:complications; D003920:Diabetes Mellitus / Q000503:physiopathology; D003929:Diabetic Neuropathies / Q000150:complications / Q000503:physiopathology*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004569:Electroencephalography; D020937:Epilepsy, Partial, Sensory / Q000175:diagnosis* / Q000209:etiology; D007839:Functional Laterality; D006225:Hand / Q000473:pathology; D006801:Humans; D006943:Hyperglycemia / Q000503:physiopathology*; D008297:Male; D010292:Paresthesia / Q000175:diagnosis*; D051436:Renal Insufficiency, Chronic / Q000150:complications; D014741:Video Recording
D001786:Blood Glucose